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社区老年人肌少症的流行情况及相关因素。

Community-based prevalence and associated factors of sarcopenia in the Vietnamese elderly.

机构信息

Department of Nutrition and Food, University of Medicine and Pharmacy at Ho Chi Minh City, 217 Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, Vietnam.

Department of Medicine and Pharmacy, Tra Vinh University, 126 Nguyen Thien Thanh Street, Ward 5, Tra Vinh City, Tra Vinh Province, Vietnam.

出版信息

Sci Rep. 2024 Jan 2;14(1):17. doi: 10.1038/s41598-023-50979-4.

Abstract

Sarcopenia, a condition characterized by muscle mass decline, is one of the leading health problems in the elderly. This study determined the rate of sarcopenia according to criteria by Asian Working Group for Sarcopenia (AWGS) and related factors in elderly people. A community-based cross-sectional study was conducted in 632 people aged 60 years or over in Ho Chi Minh City. Data were collected through a predefined questionnaire and direct measurement. Sarcopenia was identified based on the Inbody 770 machine and AWGS criteria. The prevalence of sarcopenia was 32.0%. Participants with advanced age, low education, unemployment, low level of family economics and frailty were more likely to have sarcopenia. Among these, frailty had the highest impact on sarcopenia, with significantly higher odds of having sarcopenia found in participants with pre-frailty (OR = 4.80, 95% CI 2.75-8.38, p < 0.001) and frailty (OR = 21.16, 95% CI 8.96-49.97, p < 0.001). In contrast, BMI was inversely associated with sarcopenia. Sarcopenia is prevalent in the Vietnamese elderly. Apart from social demographic characteristics including age, education, employment and family economic status, frailty appeared to be an important risk factor. Early screening, referral, and treatment of sarcopenia among the elderly having a high risk of sarcopenia are recommended.

摘要

肌少症是一种以肌肉质量下降为特征的疾病,是老年人面临的主要健康问题之一。本研究根据亚洲肌少症工作组(AWGS)的标准,确定了老年人肌少症的发生率及其相关因素。在胡志明市,对 632 名 60 岁及以上的社区居民进行了一项基于人群的横断面研究。数据通过预先设定的问卷和直接测量收集。肌少症是根据 Inbody 770 机器和 AWGS 标准确定的。肌少症的患病率为 32.0%。年龄较大、教育程度较低、失业、家庭经济水平较低和衰弱的参与者更有可能患有肌少症。其中,衰弱对肌少症的影响最大,衰弱前期(OR=4.80,95%CI 2.75-8.38,p<0.001)和衰弱(OR=21.16,95%CI 8.96-49.97,p<0.001)的参与者发生肌少症的可能性明显更高。相比之下,BMI 与肌少症呈负相关。肌少症在越南老年人中较为普遍。除了包括年龄、教育、就业和家庭经济状况在内的社会人口特征外,衰弱似乎是一个重要的危险因素。建议对肌少症高危老年人进行早期筛查、转介和治疗。

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