Shiba Takahiro, Sawaya Yohei, Hirose Tamaki, Sato Ryo, Ishizaka Masahiro, Kubo Akira, Urano Tomohiko
Nishinasuno General Home Care Center, Department of Day Rehabilitation, Care Facility for the Elderly "Maronie-en": 533-4 Iguchi, Nasushiobara-shi, Tochigi 329-2763, Japan.
Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan.
J Phys Ther Sci. 2022 May;34(5):341-346. doi: 10.1589/jpts.34.341. Epub 2022 May 1.
[Purpose] This study aimed to investigate the problems associated with osteosarcopenia and its effect on physical performance, nutritional status, and support or care required by older community-dwelling adults. [Participants and Methods] This study investigated 141 older community-dwelling adults requiring support or care using an ambulatory rehabilitation service. The patients were divided into a control, osteopenia only, sarcopenia only, and osteosarcopenia group. We investigated the associations of each condition with the baseline information, grip strength, gait speed, Mini Nutritional Assessment-Short Form score, and support or care level required. [Results] The osteosarcopenia group consisted of 43.3% of the total study participants. Osteosarcopenia was more closely associated with body mass index, support or care level, grip strength, gait speed, skeletal muscle mass index, and Mini Nutritional Assessment-Short Form score than osteopenia or sarcopenia alone. [Conclusion] Osteosarcopenia is highly prevalent in older community-dwelling adults requiring support or care, which may suggest a greater effect on physical performance, nutritional status, and support or care required than that exerted by osteopenia or sarcopenia alone.
[目的] 本研究旨在调查与骨质疏松性肌少症相关的问题及其对社区居住的老年人身体机能、营养状况以及所需支持或护理的影响。[参与者与方法] 本研究对141名需要使用门诊康复服务的社区居住的老年人进行了调查。患者被分为对照组、单纯骨质疏松组、单纯肌少症组和骨质疏松性肌少症组。我们研究了每种情况与基线信息、握力、步速、微型营养评定简表得分以及所需支持或护理水平之间的关联。[结果] 骨质疏松性肌少症组占研究总参与者的43.3%。与单纯骨质疏松或单纯肌少症相比，骨质疏松性肌少症与体重指数、支持或护理水平、握力、步速、骨骼肌质量指数和微型营养评定简表得分的关联更为密切。[结论] 骨质疏松性肌少症在需要支持或护理的社区居住的老年人中非常普遍，这可能表明其对身体机能、营养状况以及所需支持或护理的影响比单纯骨质疏松或单纯肌少症更大。
