Abidin Nurdiana Zainol
Department of Community Health, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Pulau Pinang, Malaysia.
School of Biosciences, Faculty of Science and Engineering, University of Nottingham Malaysia, Selangor, Malaysia.
Malays J Med Sci. 2023 Feb;30(1):137-151. doi: 10.21315/mjms2023.30.1.12. Epub 2023 Feb 28.
Asian women are more susceptible to musculoskeletal disorders compared to their Caucasian counterparts, and employed women are substantially more prone to musculoskeletal disorders compared to men. Data on musculoskeletal health in Malaysian women are lacking. The study's goal was to evaluate the body composition and functional performance of older and younger Malaysian women for obesity and musculoskeletal health problems.
The study included 141 post-menopausal Malaysian women and 118 young Malaysian women between 18 years old and 32 years old of age. Body composition, bone density, handgrip strength and physical performance were assessed using bio-electrical impedance analyser, calcaneal quantitative ultrasound, hand dynamometer and modified short physical performance battery test, respectively.
There was a higher prevalence of 'low muscle mass' among the younger age group compared to their older counterparts (48 young women [40.0%] versus 44 post-menopausal women [31.2%]). Conversely, there was a higher prevalence of 'obesity' and 'low bone density' among the older age group compared to their younger counterparts. Mean broadband ultrasound attenuation (BUA) for both age groups was ≥ 70.0 dB/MHz. The majority of post-menopausal women had a 'minor functional decline' (40.6%), followed by moderate (28.1%), major (22.7%), severe (6.3%) and the lowest percentage for 'no decline' (2.3%).
There was a high prevalence of obesity with poor musculoskeletal health in older Malaysian women, which may lead to frailty and higher incidences of falls and fractures at an advanced age. The screening of musculoskeletal conditions among Malaysian women may aid in early detection of abnormalities and timely intervention.
与白种女性相比，亚洲女性更容易患肌肉骨骼疾病，而且职业女性比男性更容易患肌肉骨骼疾病。马来西亚女性肌肉骨骼健康方面的数据匮乏。该研究的目的是评估马来西亚老年和年轻女性的身体成分及功能表现，以了解肥胖和肌肉骨骼健康问题。
该研究纳入了141名绝经后马来西亚女性和118名年龄在18岁至32岁之间的年轻马来西亚女性。分别使用生物电阻抗分析仪、跟骨定量超声、握力计和改良简短体能测试电池对身体成分、骨密度、握力和身体表现进行评估。
与老年女性相比，年轻女性中“低肌肉量”的患病率更高（48名年轻女性[40.0%]对44名绝经后女性[31.2%]）。相反，与年轻女性相比，老年女性中“肥胖”和“低骨密度”的患病率更高。两个年龄组的平均宽带超声衰减（BUA）均≥70.0 dB/MHz。大多数绝经后女性有“轻度功能下降”（40.6%），其次是中度（28.1%）、重度（22.7%）、极重度（6.3%），“无下降”的比例最低（2.3%）。
马来西亚老年女性肥胖患病率高，肌肉骨骼健康状况不佳，这可能导致老年时身体虚弱，跌倒和骨折的发生率更高。对马来西亚女性进行肌肉骨骼疾病筛查可能有助于早期发现异常并及时进行干预。
