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高血压老年人群中肌少症的患病率及相关因素。

Prevalence of and factors associated with sarcopenia among elderly individuals with hypertension.

机构信息

Department of Rehabilitation Medicine, Tianjin Medical University, Tianjin, China.

Department of Rehabilitation Medicine, Tianjin Port Hospital, Tianjin, China.

出版信息

J Int Med Res. 2022 Jul;50(7):3000605221110490. doi: 10.1177/03000605221110490.

DOI:10.1177/03000605221110490
PMID:35822256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9284226/
Abstract

PURPOSE

Sarcopenia is a major health problem in community-dwelling elderly individuals. Hypertension is postulated to aggravate sarcopenia. The present study was performed to estimate the prevalence of and factors associated with sarcopenia among elderly individuals with hypertension.

METHODS

This study involved 165 Chinese individuals with hypertension aged ≥60 years who were evaluated for sarcopenia using the Asian Working Group for Sarcopenia criteria. Data on their sociodemographic information, physical illnesses, and clinical and functional status were collected.

RESULTS

The overall prevalence of sarcopenia among elderly individuals with hypertension was 20.2%. The factors significantly associated with sarcopenia were an age of ≥70 years (adjusted odds ratio (OR), 3.01; 95% confidence interval (CI), 1.17-5.39), diabetes (OR, 4.45; 95% CI, 1.32-11.16), osteoporosis (OR, 2.52; 95% CI, 1.13-5.37), drinking (OR, 3.28; 95% CI, 1.26-7.85), and a body mass index of 24.0 to 27.9 kg/m (OR, 0.74; 95% CI, 0.59-0.91).

CONCLUSIONS

This study revealed a very high prevalence of sarcopenia among elderly individuals with hypertension (20.2%). Sarcopenia may be associated with advanced age, drinking, diabetes, the body mass index, and osteoporosis. The longitudinal relationship between clinic visits and sarcopenia should be further evaluated.

摘要

目的

肌少症是社区居住的老年人群体中的一个主要健康问题。高血压被认为会加重肌少症。本研究旨在评估高血压老年人群中肌少症的患病率及其相关因素。

方法

本研究纳入了 165 名年龄≥60 岁的患有高血压的中国个体,使用亚洲肌少症工作组标准评估肌少症。收集了他们的社会人口学信息、身体疾病以及临床和功能状况的数据。

结果

高血压老年人群中肌少症的总体患病率为 20.2%。与肌少症显著相关的因素包括年龄≥70 岁(调整后的优势比(OR),3.01;95%置信区间(CI),1.17-5.39)、糖尿病(OR,4.45;95% CI,1.32-11.16)、骨质疏松症(OR,2.52;95% CI,1.13-5.37)、饮酒(OR,3.28;95% CI,1.26-7.85)和身体质量指数为 24.0 至 27.9kg/m(OR,0.74;95% CI,0.59-0.91)。

结论

本研究揭示了高血压老年人群中肌少症的患病率非常高(20.2%)。肌少症可能与年龄较大、饮酒、糖尿病、身体质量指数和骨质疏松症有关。还需要进一步评估就诊与肌少症之间的纵向关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d8f/9284226/6185ba1ea2e6/10.1177_03000605221110490-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d8f/9284226/6185ba1ea2e6/10.1177_03000605221110490-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d8f/9284226/6185ba1ea2e6/10.1177_03000605221110490-fig1.jpg

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