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握力截断值用于社区居住的老年人群肌少症筛查的系统评价。

Cutoff Points for Grip Strength in Screening for Sarcopenia in Community-Dwelling Older-Adults: A Systematic Review.

机构信息

Sabrina Fernandes, Universidade Federal do Rio Grande do Norte, Brazil,

出版信息

J Nutr Health Aging. 2022;26(5):452-460. doi: 10.1007/s12603-022-1788-6.

Abstract

BACKGROUND

Currently, different cutoff points for handgrip strength (HGS) have been used to estimate the prevalence of sarcopenia. In addition, the variability of equipment and protocols for this assessment can significantly influence the early detection of this important public health problem. Thus, this review aims to identify the different cutoff points for HGS adopted for older men and women in screening for sarcopenia.

OBJECTIVES

this review aims to identify the different cutoff points for HGS adopted for older men and women in screening for sarcopenia.

METHODS

In accordance with the PRISMA 2020 recommendations, which included published studies from the last 10 years, from 6 databases, in 3 different languages.

RESULTS

19.730 references were identified, of which 62 were included for the review. All references analyzed used algorithms and definitions of sarcopenia already known in the literature. Of the studies found, 16 chose to develop cutoff values for HGS based on their own population. The variation in cutoff points was evident when compared between gender and regions of the world.

CONCLUSION

It has become evident that there is a variability of normative values for HGS in sarcopenia screening. In addition, this systematic review shows the difference in the cutoff points used between the consensuses and those developed for each population.

摘要

背景

目前,握力(HGS)的不同截断点已被用于估计肌少症的患病率。此外,评估该指标的设备和方案的变异性可能会显著影响这一重要公共卫生问题的早期发现。因此,本综述旨在确定用于筛查肌少症的老年男性和女性的 HGS 不同截断点。

目的

本综述旨在确定用于筛查肌少症的老年男性和女性的 HGS 不同截断点。

方法

根据 PRISMA 2020 建议,从 6 个数据库中检索过去 10 年发表的研究,使用 3 种不同的语言。

结果

共检索到 19730 篇参考文献,其中 62 篇被纳入综述。所有分析的参考文献均使用了文献中已知的肌少症算法和定义。在所发现的研究中,有 16 项研究选择根据其自身人群制定 HGS 的截断值。当比较性别和世界区域时,截点的差异是明显的。

结论

很明显,在肌少症筛查中,HGS 的正常参考值存在差异。此外,本系统综述还显示了共识中使用的截点与为每个人群制定的截点之间的差异。

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