Cezón-Serrano Natalia, Arnal-Gómez Anna, Arjona-Tinaut Laura, Cebrià I Iranzo Maria Àngels
Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia, Spain.
Physiotherapy in Motion, Multi-specialty Research Group (PTinMOTION), Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia, Spain.
Nurs Health Sci. 2023 Dec;25(4):597-608. doi: 10.1111/nhs.13050. Epub 2023 Sep 13.
This study aimed to detect the functional and emotional impact of COVID-19 lockdown on institutionalized older adults with sarcopenia during a 15-month follow-up. A prospective longitudinal cohort study was conducted in a nursing home. Participants were screened for sarcopenia, and those with a score of ≥4 points according to SARC-F questionnaire were included. Assessments were performed pre-lockdown (T1), 12 months (T2) after, and at a 15-month follow-up (T3). Functional measurements included chair stand test, handgrip, biceps brachii and quadriceps femoris strengths, appendicular skeletal mass, gait speed, Short Physical Performance Battery, and Timed Up-and-Go test. Emotional assessments included Short-Form Health Survey, Geriatric Depression Scale-Short Form, and the Mini-Mental State Examination. The analyzed sample showed a reduction in bicep strength, and other upper and lower limb strength variables showed a decreasing trend with no changes regarding muscle mass. Physical performance showed a change, specifically a deterioration in the subtest related to balance. Cognitive and emotional components were affected and quality of life was decreased. It is of paramount importance to focus on sarcopenic older adults since their characteristics can deteriorate when isolation measures are conducted.
本研究旨在检测在15个月的随访期间，新冠疫情封锁措施对患有肌少症的机构养老老年人的功能和情绪影响。在一家养老院进行了一项前瞻性纵向队列研究。对参与者进行肌少症筛查，根据SARC-F问卷得分≥4分的参与者被纳入研究。在封锁前（T1）、封锁后12个月（T2）以及15个月随访时（T3）进行评估。功能测量包括椅子站立试验、握力、肱二头肌和股四头肌力量、四肢骨骼肌质量、步速、简短体能状况量表以及计时起立行走测试。情绪评估包括简易健康调查问卷、老年抑郁量表简版以及简易精神状态检查表。分析样本显示肱二头肌力量下降，其他上肢和下肢力量变量呈下降趋势，肌肉质量无变化。身体表现出现变化，特别是与平衡相关的子测试表现恶化。认知和情绪成分受到影响，生活质量下降。关注患有肌少症的老年人至关重要，因为在实施隔离措施时，他们的身体状况可能会恶化。
