Seko Toshiaki, Akasaka Hiroshi, Koyama Masayuki, Himuro Nobuaki, Saitoh Shigeyuki, Ogawa Shunichi, Miura Sayo, Mori Mitsuru, Ohnishi Hirofumi
Department of Rehabilitation, Hokkaido Chitose College of Rehabilitation, Chitose 066-0055, Japan.
Department of Public Health, Sapporo Medical University School of Medicine, Sapporo 060-8556, Japan.
Geriatrics (Basel). 2024 Jan 10;9(1):9. doi: 10.3390/geriatrics9010009.
Sarcopenia is the core factor of frailty. This study specifically focused on lower limb muscle strength and examined muscle indices that indicate the risk of frailty or pre-frailty in older adults. The study included 327 community-dwelling individuals aged ≥65 years (43.7% male) who participated in the cohort. Frailty was defined based on five symptoms: weight loss, low activity level, exhaustion, weakness and slowness. Participants were classified into frail (three or more applicable), pre-frail (one to two applicable) and non-frail groups. Muscle strength (knee extension strength, toe grip strength and hand grip strength) were assessed, and appendicular muscle mass was assessed via a bioelectrical impedance analysis. The adjusted odds ratio (OR) of muscle indices for with frailty (frail group vs. pre-frail group) or pre-frailty (pre-frail group vs. non-frail group) were calculated. The prevalence of frail and pre-frail was 7% and 40%, respectively. Adjusted for age, sex, albumin and medical history, knee extension strength was significantly associated with frailty (odds ratio 0.95, 95% CI 0.92-0.98), while hand grip strength was associated with pre-frailty (odds ratio 0.92, 95% CI 0.88-0.97) but not with other muscle indices. This study is significant for identifying knee extension strength as a factor relevant to frailty in older adults considered pre-frailty, emphasizing the importance of this specific muscle measure in predicting and managing frailty.
肌肉减少症是衰弱的核心因素。本研究特别关注下肢肌肉力量,并研究了表明老年人衰弱或衰弱前期风险的肌肉指标。该研究纳入了327名年龄≥65岁的社区居住个体(男性占43.7%),他们参与了该队列研究。衰弱是根据体重减轻、低活动水平、疲惫、虚弱和行动迟缓这五种症状来定义的。参与者被分为衰弱组(适用三种或更多症状)、衰弱前期组(适用一至两种症状)和非衰弱组。评估了肌肉力量(膝关节伸展力量、足趾握力和握力),并通过生物电阻抗分析评估了四肢肌肉质量。计算了肌肉指标对于衰弱(衰弱组与衰弱前期组)或衰弱前期(衰弱前期组与非衰弱组)的调整优势比(OR)。衰弱和衰弱前期的患病率分别为7%和40%。在对年龄、性别、白蛋白和病史进行调整后,膝关节伸展力量与衰弱显著相关(优势比0.95,95%置信区间0.92 - 0.98),而握力与衰弱前期相关(优势比0.92,95%置信区间0.88 - 0.97),但与其他肌肉指标无关。本研究对于将膝关节伸展力量确定为与被认为处于衰弱前期的老年人衰弱相关的一个因素具有重要意义,强调了这一特定肌肉测量指标在预测和管理衰弱方面的重要性。