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巴西南部人群中可能发生的肌少症的流行情况及其相关因素:一项基于人群的研究。

Prevalence and factors associated with probable sarcopenia in southern Brazil: a population-based study.

机构信息

Postgraduate Program in Health Sciences, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil.

Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.

出版信息

Rural Remote Health. 2024 Aug;24(3):8711. doi: 10.22605/RRH8711. Epub 2024 Aug 26.

Abstract

INTRODUCTION

There are few studies on probable sarcopenia in rural areas. This study aims to assess prevalence of probable sarcopenia and its associated factors in older adults living in the rural area of a municipality in southern Brazil.

METHODS

This cross-sectional study assessed data from the second wave of the EpiRural Cohort Study. Structured questionnaires, handgrip strength, gait speed, and anthropometric measurements were collected from 651 older adults. The criteria from the European Working Group on Sarcopenia in Older People 2 were used in this study. Chi-square test and logistic regression with robust variance were performed.

RESULTS

Prevalence of probable sarcopenia was 19.2% (95% confidence interval (CI): 16.3-25.2%). Male sex (prevalence ratio (PR) 1.61; 95%CI 1.17-2.21), age ≥80 years (PR 4.15; 95%CI 2.65-6.50), underweight (PR 1.90; 95%CI 1.23-2.93), diabetes mellitus (PR 1.80; 95%CI 1.20-2.73), and hospitalization in the past year (PR 2.00; 95%CI 1.36-2.91) were significantly associated with probable sarcopenia.

CONCLUSION

One in five rural older adults have probable sarcopenia. Older adults living in rural areas need frequent measurements of muscle strength, and greater investments should be made to minimize the physical disability caused by sarcopenia among this population.

摘要

简介

农村地区关于可能的肌肉减少症的研究较少。本研究旨在评估巴西南部一个市农村地区老年人中可能的肌肉减少症的患病率及其相关因素。

方法

这是一项横断面研究,评估了 EpiRural 队列研究第二波的数据。从 651 名老年人中收集了结构化问卷、握力、步速和人体测量数据。本研究使用了欧洲老年人肌肉减少症工作组 2 的标准。进行了卡方检验和稳健方差的 logistic 回归。

结果

可能的肌肉减少症的患病率为 19.2%(95%置信区间[CI]:16.3-25.2%)。男性(患病率比[PR] 1.61;95%CI 1.17-2.21)、年龄≥80 岁(PR 4.15;95%CI 2.65-6.50)、体重不足(PR 1.90;95%CI 1.23-2.93)、糖尿病(PR 1.80;95%CI 1.20-2.73)和过去一年住院(PR 2.00;95%CI 1.36-2.91)与可能的肌肉减少症显著相关。

结论

五分之一的农村老年人可能患有肌肉减少症。生活在农村地区的老年人需要经常测量肌肉力量,并应加大投资力度,最大限度地减少肌肉减少症给这一人群带来的身体残疾。

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