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评估SarQoL问卷作为韩国老年人肌少症筛查工具的效果。

Evaluating the SarQoL Questionnaire as a Screening Tool for Sarcopenia among Korean Older Adults.

作者信息

Lee Haneul, Kim Jiyoun

机构信息

Department of Physical Therapy, Gachon University, Incheon 21936, Republic of Korea.

Department of Exercise Rehabilitation, Gachon University, Incheon 21936, Republic of Korea.

出版信息

Healthcare (Basel). 2024 Oct 7;12(19):2000. doi: 10.3390/healthcare12192000.

Abstract

BACKGROUND/OBJECTIVES: Sarcopenia, characterized by the progressive loss of muscle mass and strength, poses significant risks to physical health, leading to a reduced quality of life (QoL), increased disability, and higher mortality rates among older adults. Early detection and intervention are crucial to prevent the cascading effects of sarcopenia, including falls, fractures, and hospitalization. This study determined an optimal cut-off point of the SarQoL score that can serve as an effective screening tool among community-dwelling Korean older adults.

METHODS

The study involved 451 South Korean older adults, assessing the correlation between SarQoL scores and sarcopenia as defined by the Asian Working Group for Sarcopenia (AWGS) criteria. Participants completed the Korean version of the SarQoL questionnaire.

RESULTS

Findings revealed that individuals diagnosed with sarcopenia had significantly lower SarQoL scores compared to non-sarcopenic participants, with a cut-off score of ≤58.5 providing good diagnostic accuracy (AUC = 0.768, sensitivity = 69.3%, specificity = 75.2%).

CONCLUSIONS

These results underscore the questionnaire's reliability and validity in screening for sarcopenia-related QoL impairment and its potential utility as a clinical tool. Implementing the SarQoL in routine assessments could improve clinical outcomes by enabling earlier and more precise identification of sarcopenia.

摘要

背景/目的:肌肉减少症以肌肉质量和力量的逐渐丧失为特征,对身体健康构成重大风险,导致老年人生活质量(QoL)下降、残疾增加和死亡率升高。早期检测和干预对于预防肌肉减少症的连锁反应(包括跌倒、骨折和住院)至关重要。本研究确定了SarQoL评分的最佳切点,该切点可作为韩国社区居住老年人的有效筛查工具。

方法

该研究纳入了451名韩国老年人,评估了SarQoL评分与亚洲肌肉减少症工作组(AWGS)标准定义的肌肉减少症之间的相关性。参与者完成了韩语版的SarQoL问卷。

结果

研究结果显示,与非肌肉减少症参与者相比,被诊断为肌肉减少症的个体SarQoL评分显著更低,切点分数≤58.5时具有良好的诊断准确性(AUC = 0.768,敏感性 = 69.3%,特异性 = 75.2%)。

结论

这些结果强调了该问卷在筛查与肌肉减少症相关的生活质量损害方面的可靠性和有效性,以及其作为临床工具的潜在效用。在常规评估中应用SarQoL可以通过更早、更精确地识别肌肉减少症来改善临床结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29e9/11477437/9127e631c871/healthcare-12-02000-g001.jpg

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