Department of Geriatrics and Orthopedics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Department of Geriatrics and Orthopedics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; Fondazione Policlinico Universitario "A. Gemelli" IRCCS, 00168 Rome, Italy.
Arch Gerontol Geriatr. 2023 Nov;114:105059. doi: 10.1016/j.archger.2023.105059. Epub 2023 May 8.
Sarcopenia is a neuromuscular disease characterized by the simultaneous existence of reduced muscle strength and muscle atrophy. The current recommendations for the diagnosis of sarcopenia suggest dynapenia be operationalized using either isometric handgrip strength (IHG) or sit-to-stand (STS) tests. However, specific associations between each of these assessment tools and sarcopenia-related parameters have been observed. In addition, important neuromuscular and biomechanical aspects differ between IHG and STS. This scenario has important clinical implications and calls for detailed studies to refine the current recommendations for sarcopenia identification. The present communication presents evidence to foster a constructive debate on the matter.
肌肉减少症是一种神经肌肉疾病，其特征是肌肉力量和肌肉萎缩同时存在。目前，肌肉减少症的诊断建议使用等长握力（IHG）或坐站（STS）测试来操作 dynapenia。然而，这些评估工具中的每一个与与肌肉减少症相关的参数之间都存在特定的关联。此外，IHG 和 STS 之间存在重要的神经肌肉和生物力学差异。这种情况具有重要的临床意义，需要进行详细的研究来完善目前对肌肉减少症识别的建议。本通讯提供了证据，以促进对此事的建设性辩论。
