Wang Xinxin, Chen Ling, Lyu Mengyu, Wei Ning
Department of Nursing, College of Medicine and Health Science, Wuhan Polytechnic University, Wuhan, Hubei, China.
Department of Rehabilitation Sciences, College of Medicine and Health Science, Wuhan Polytechnic University, Wuhan, Hubei, China.
Disabil Rehabil. 2024 Sep;46(19):4540-4545. doi: 10.1080/09638288.2023.2274884. Epub 2023 Oct 28.
This study evaluated whether anthropometric measurements and the five times sit-to-stand test could be used to identify dynapenia. The cut-off values of accurate screening tools for identifying dynapenia were also established.
This was a cross-sectional study conducted on individuals ≥ 60 years old ( = 529). All participants underwent handgrip strength measurement, anthropometric measurements and the five times sit-to-stand test. The participants whose handgrip strength was < 28 kg for men and < 18 kg for women were considered to have dynapenia. The association between the recorded variables and dynapenia was determined using logistic regression, and cut-off values were established by performing the Receiver Operating Characteristic curve analysis.
The prevalence of dynapenia was 35.42% in men and 25.61% in women. For males, both calf circumference (≤ 35.2 cm) and the five times sit-to-stand test (≥ 14.6 s) could be used as accurate tools for dynapenia. For females, only the five times sit-to-stand test (≥ 11.8 s) had sufficient accuracy to be used as a screening tool for dynapenia.
The five times sit-to-stand test was an accurate screening tool for identifying dynapenia. The calf circumference could be only used as a screening tool in males.
本研究评估人体测量指标和五次坐立试验是否可用于识别肌肉减少症。还确定了用于识别肌肉减少症的准确筛查工具的临界值。
这是一项针对年龄≥60岁（n = 529）个体的横断面研究。所有参与者均接受握力测量、人体测量和五次坐立试验。男性握力<28 kg且女性握力<18 kg的参与者被认为患有肌肉减少症。使用逻辑回归确定记录变量与肌肉减少症之间的关联，并通过进行受试者工作特征曲线分析来确定临界值。
男性肌肉减少症患病率为35.42%，女性为25.61%。对于男性，小腿围（≤35.2 cm）和五次坐立试验（≥14.6秒）均可作为肌肉减少症的准确筛查工具。对于女性，只有五次坐立试验（≥11.8秒）具有足够的准确性，可作为肌肉减少症的筛查工具。
五次坐立试验是识别肌肉减少症的准确筛查工具。小腿围仅可作为男性的筛查工具。
