Sato Ryo, Sawaya Yohei, Shiba Takahiro, Hirose Tamaki, Ishizaka Masahiro, Urano Tomohiko
Division of Physical Therapy, Doctoral Program in Health Sciences, Graduate School of Health and Welfare Sciences, International University of Health and Welfare, Japan.
Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Japan.
J Phys Ther Sci. 2023 Mar;35(3):242-246. doi: 10.1589/jpts.35.242. Epub 2023 Mar 1.
[Purpose] This study aimed to identify factors associated with sarcopenia development and improvement among older adults requiring long-term care. [Participants and Methods] This prospective observational study included 118 older adults requiring long-term care in a single facility. Sarcopenia was assessed according to the 2019 diagnostic criteria of the Asian Working Group for Sarcopenia at baseline and after 6 months. Nutritional status was measured using calf circumference and the Mini Nutritional Assessment-Short Form to examine the association between sarcopenia onset and improvement. [Results] Risk of malnutrition and lower calf circumference at baseline were significantly associated with sarcopenia development. The study also showed that a non-risk of malnutrition, higher calf circumference, and higher skeletal muscle mass index were significantly associated with improved sarcopenia. [Conclusion] The Mini Nutritional Assessment-Short Form and calf circumference were able to predict sarcopenia development and improvement in older adults requiring long-term care.
[目的] 本研究旨在确定与需要长期护理的老年人肌肉减少症发生和改善相关的因素。[参与者与方法] 这项前瞻性观察性研究纳入了一家机构中118名需要长期护理的老年人。在基线和6个月后，根据亚洲肌肉减少症工作组2019年诊断标准评估肌肉减少症。使用小腿围和简易营养评估量表来测量营养状况，以研究肌肉减少症发生和改善之间的关联。[结果] 基线时营养不良风险和较低的小腿围与肌肉减少症的发生显著相关。研究还表明，无营养不良风险、较高的小腿围和较高的骨骼肌质量指数与肌肉减少症的改善显著相关。[结论] 简易营养评估量表和小腿围能够预测需要长期护理的老年人肌肉减少症的发生和改善情况。
