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出生体重对年轻日本女性身体成分、身体适应性和肌肉减少症评估的影响。

Effects of birth weight on body composition, physical fitness, and sarcopenia assessments in young Japanese women.

机构信息

School oeef Nursing, Seirei Christopher University, Hamamatsu, Japan.

出版信息

PLoS One. 2024 Sep 11;19(9):e0297720. doi: 10.1371/journal.pone.0297720. eCollection 2024.

Abstract

This study examined the effects of birth weight on body composition, physical fitness, and sarcopenia in adulthood among young Japanese women. Seventy young adult women (birth weight <2500 g classified as low-birth-weight group [L-BW, n = 13] and ≥2500 g classified as not low-birth-weight group [NL-BW, n = 57]) were evaluated for body composition, physical fitness, and sarcopenia. Skeletal muscle mass was significantly greater (p<0.05) in the NL-BW group than in the L-BW group for all body sites. Effect sizes for the differences in skeletal muscle mass between the two groups were all larger in the NL-BW group than in the L-BW group (0.86-1.44). Knee extension muscle strength was higher in the NL-BW group than in the L-BW group (p = 0.04), but there were no differences between groups with respect to other physical fitness indicators (p>0.05). Except for SMI (p<0.05), other sarcopenia diagnostic evaluations did not differ between the two groups (p>0.05). In conclusion, L-BW female infants were shorter in standing height and smaller in skeletal muscle mass in terms of morphology at the time of young adulthood compared to NL-BW female infants. In addition, in terms of physical fitness, those with L-BW also had a lower-limb power score and a higher proportion of low skeletal muscle mass. Thus, it was suggested that low birth weight infants may be at risk of needing nursing care in old age (i.e., a high predicted incidence of sarcopenia) as well as thinness problems in the fertile generation.

摘要

本研究旨在探讨出生体重对年轻日本女性成年后身体成分、体质和肌肉减少症的影响。本研究共纳入 70 名年轻成年女性(出生体重 <2500g 为低出生体重组[L-BW,n=13],≥2500g 为非低出生体重组[NL-BW,n=57]),评估其身体成分、体质和肌肉减少症。所有身体部位的骨骼肌质量均显著高于 NL-BW 组(p<0.05)。两组间骨骼肌质量的差异效应大小均为 NL-BW 组大于 L-BW 组(0.86-1.44)。NL-BW 组的膝关节伸肌肌力高于 L-BW 组(p=0.04),但两组在其他体质指标方面无差异(p>0.05)。除了骨骼肌质量指数(SMI,p<0.05)外,两组间其他肌肉减少症诊断评估无差异(p>0.05)。综上所述,与 NL-BW 组相比,L-BW 组女性在成年早期的身高和骨骼肌质量方面存在形态学上的差异。此外,在体质方面,L-BW 组的下肢力量评分较低,骨骼肌质量较低的比例较高。因此,低出生体重儿可能存在老年需要护理(即肌肉减少症发病率较高)和生育期消瘦问题的风险。

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