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老年哥伦比亚非裔和混血女性肌少症的临床注意事项。

Clinical considerations for sarcopenia in older Colombian Afro-descendant and mestizo women.

机构信息

Grupo de Investigación Salud de la Mujer, Facultad de Medicina, Universidad de Cartagena, Colombia.

出版信息

J Int Med Res. 2023 Aug;51(8):3000605231187934. doi: 10.1177/03000605231187934.

DOI:10.1177/03000605231187934
PMID:37534469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10402288/
Abstract

OBJECTIVES

To identify the frequencies of clinical suspicion of sarcopenia (CSS) and probable sarcopenia (PS) and their association with ethnic groups.

METHODS

This cross-sectional study categorized 700 women into Afro-descendant and mestizo ethnic groups. Calf circumference, muscle strength, and gait speed were measured. CSS was assessed using a sarcopenia risk scale and the measurement of calf circumference; the muscle strength of the dominant hand was used to establish PS. Unadjusted logistic regressions assessed associations between CSS/PS and ethnicity. Two adjusted logistic regression models included relevant covariates.

RESULTS

CSS and PS were identified in 10.4% to 20.7% and 7.8% to 14.1% of study participants, respectively. Compared with mestizos, Afro-descendants had a more favorable sarcopenia risk score, greater calf circumference, and greater muscle strength and were associated with a lower risk for CSS (odds ratio [OR]: 0.13, 95% confidence interval [CI]: 0.06-0.28 and OR: 0.12, 95% CI: 0.07-0.21) and PS (OR: 0.12, 95% CI: 0.05-0.30 and OR: 0.11, 95% CI: 0.06-0.21).

CONCLUSION

Compared with mestizos, CSS and PS were less frequent among Afro-descendants, who had 87% to 88% lower probability of CSS and 88% to 89% lower probability of PS.

摘要

目的

确定临床疑似肌少症(CSS)和可能肌少症(PS)的频率及其与种族群体的关系。

方法

本横断面研究将 700 名女性分为非裔和混血种族群体。测量小腿围、肌肉力量和步态速度。使用肌少症风险量表和小腿围测量评估 CSS;使用优势手的肌肉力量来确定 PS。未调整的逻辑回归评估了 CSS/PS 与种族之间的关联。两个调整后的逻辑回归模型包括了相关的协变量。

结果

CSS 和 PS 分别在 10.4%至 20.7%和 7.8%至 14.1%的研究参与者中被确定。与混血儿相比,非裔具有更好的肌少症风险评分、更大的小腿围、更大的肌肉力量,并且 CSS(比值比 [OR]:0.13,95%置信区间 [CI]:0.06-0.28 和 OR:0.12,95% CI:0.07-0.21)和 PS(OR:0.12,95% CI:0.05-0.30 和 OR:0.11,95% CI:0.06-0.21)的风险较低。

结论

与混血儿相比,非裔 CSS 和 PS 的发生率较低,CSS 的可能性低 87%至 88%,PS 的可能性低 88%至 89%。

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