社区居住老年人肌少症体能测试的心理测量特性的系统评价。
A systematic review of the psychometric properties of physical performance tests for sarcopenia in community-dwelling older adults.
机构信息
Department of Gastro-enterology and Hepatology, Dietetics and Intestinal Failure, Radboud University Medical Center, Nijmegen, the Netherlands.
Department of Rehabilitation, Radboud University Medical Center, Nijmegen, the Netherlands.
出版信息
Age Ageing. 2024 Jun 1;53(6). doi: 10.1093/ageing/afae113.
BACKGROUND
This review provides an overview of the psychometric properties of the short physical performance battery (SPPB), timed up and go test (TUG), 4 m gait speed test (4 m GST) and the 400 m walk test (400 m WT) in community-dwelling older adults.
METHODS
A systematic search was conducted in MEDLINE, CINAHL and EMBASE, resulting in the inclusion of 50 studies with data from in total 19,266 participants (mean age 63.2-84.3). Data were extracted and properties were given a sufficient or insufficient overall rating following the COSMIN guideline for systematic reviews of patient-reported outcome measures. Quality of evidence (QoE) was rated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.
RESULTS
The SPPB was evaluated in 12 studies, TUG in 30, 4 m GST in 12 and 400 m WT in 2. Reliability of the SPPB, TUG and 4 m GST was rated sufficient (moderate to good QoE). The measurement error of the SPPB was rated insufficient (low QoE). Criterion validity for the SPPB was insufficient in indicating sarcopenia (moderate QoE), while the TUG was sufficient and insufficient for determining mobility limitations (low QoE) and activities of daily living disability (low QoE), respectively. Construct validity of the SPPB, TUG, 4 m GST and 400 m WT was rated insufficient in many constructs (moderate to high QoE). Responsiveness was rated as insufficient for SPPB (high QoE) and TUG (very low QoE), while 4 m GST was rated as sufficient (high QoE).
CONCLUSION
Overall, the psychometric quality of commonly used physical performance tests in community-dwelling older adults was generally rated insufficient, except for reliability. These tests are widely used in daily practice and recommended in guidelines; however, users should be cautious when drawing conclusions such as sarcopenia severity and change in physical performance due to limited psychometric quality of the recommended measurement instruments. There is a need for a disease-specific physical performance test for people with sarcopenia.This research received no specific grant from any funding agency and was registered a priori using the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42022359725).
背景
本综述概述了简易体能测试组合（SPPB）、计时起立行走测试（TUG）、4 米步行速度测试（4 m GST）和 400 米步行测试（400 m WT）在社区居住的老年人中的心理测量特性。
方法
在 MEDLINE、CINAHL 和 EMBASE 中进行了系统检索，共纳入了 50 项研究，这些研究的数据来自总共 19266 名参与者（平均年龄 63.2-84.3 岁）。根据患者报告结局测量系统评价的 COSMIN 指南，提取数据并对特性进行充分或不充分的总体评价。使用 Grading of Recommendations Assessment, Development and Evaluation（GRADE）方法对证据质量（QoE）进行评级。
结果
共评价了 12 项 SPPB 研究、30 项 TUG 研究、12 项 4 m GST 研究和 2 项 400 m WT 研究。SPPB、TUG 和 4 m GST 的可靠性被评为充分（中等到良好的 QoE）。SPPB 的测量误差被评为不充分（低 QoE）。SPPB 用于指示肌少症的效标效度不足（中等 QoE），而 TUG 用于确定移动能力受限（低 QoE）和日常生活活动障碍（低 QoE）的效标效度充足。SPPB、TUG、4 m GST 和 400 m WT 的结构效度在许多结构中被评为不足（中等到高 QoE）。SPPB 的反应性被评为不充分（高 QoE），TUG 的反应性被评为非常低（低 QoE），而 4 m GST 的反应性被评为充分（高 QoE）。
结论
总体而言，除了可靠性外，社区居住的老年人中常用的体能测试的心理测量质量普遍被评为不足。这些测试在日常实践中被广泛使用，并在指南中推荐；然而，由于推荐的测量仪器的心理测量质量有限，用户在得出肌少症严重程度和体能变化等结论时应谨慎。对于肌少症患者，需要一种特定疾病的体能测试。本研究没有从任何资助机构获得特定的资助，并且使用国际前瞻性系统评价注册库（PROSPERO）（CRD42022359725）进行了预先注册。
Zotero 插件