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精神分裂症患者中肌肉减少症的患病率

The Prevalence of Sarcopenia in Patients with Schizophrenia.

作者信息

Bulbul Feridun, Tamam Lut, Demirkol Mehmet Emin, Cakmak Soner, Namli Zeynep, Ersahinoglu Emre

机构信息

Department of Psychiatry, Çukurova University School of Medicine, Adana, Turkey.

出版信息

Psychiatry Clin Psychopharmacol. 2021 Mar 1;31(1):60-66. doi: 10.5152/pcp.2021.20175. eCollection 2021 Mar.

Abstract

OBJECTIVE

In this study, we aimed to investigate the frequency of sarcopenia in patients with schizophrenia and the risk factors that may be associated with sarcopenia.

METHODS

We recruited 72 schizophrenia patients who had registered in the schizophrenia specialized unit of Çukurova University. The socio-demographic variable form was filled. Each patient underwent physical mass, strength, and performance tests to confirm the diagnosis of sarcopenia (SP), which was made according to the criteria of European Consensus.

RESULTS

Mean age of the patients was 39.50 (19-65) years for the possible sarcopenia group and 37.00 (21-65) years for without SP group. Possible sarcopenia was 36.1% ( = 26), and SP and severe SP were 0.0% in schizophrenia patients. Total body water (TBW) (37.60 vs. 43.90) and bone mineral density (2.70 vs. 3.10) values were significantly lower in the possible SP group compared to the non-sarcopenia group ( = .011 and = .025, respectively). However, it was found that muscle mass (kg) (51.05 vs. 58.65) and muscle strength (kg/kg) (20.70 vs. 33.15) were significantly lower in the possible SP group compared to the non-sarcopenia group ( = .042 and = .001, respectively). Compared to the non-sarcopenia group, patient exercising was less in the possible SP group (4 vs. 9, = .001), while walking speeds (m/s) were statistically faster in the possible SP group (6.74 vs. 5.98, = .010).

CONCLUSION

This is the first study that investigated SP in schizophrenia patients. Sarcopenia was found more frequently in schizophrenia patients than in the general population.

摘要

目的

在本研究中,我们旨在调查精神分裂症患者中肌肉减少症的发生率以及可能与肌肉减少症相关的危险因素。

方法

我们招募了72名在库库洛瓦大学精神分裂症专科登记的精神分裂症患者。填写了社会人口统计学变量表格。每位患者都接受了身体质量、力量和性能测试,以根据欧洲共识标准确诊肌肉减少症(SP)。

结果

可能患有肌肉减少症的患者组平均年龄为39.50(19 - 65)岁,无SP组平均年龄为37.00(21 - 65)岁。精神分裂症患者中可能患有肌肉减少症的比例为36.1%(n = 26),而SP和严重SP的比例均为0.0%。与非肌肉减少症组相比,可能患有SP的组中全身水含量(TBW)(37.60对43.90)和骨矿物质密度(2.70对3.10)值显著更低(分别为P = .011和P = .025)。然而,发现与非肌肉减少症组相比,可能患有SP的组中肌肉质量(kg)(51.05对58.65)和肌肉力量(kg/kg)(20.70对33.15)显著更低(分别为P = .042和P = .001)。与非肌肉减少症组相比,可能患有SP的组中患者锻炼次数更少(4对9,P = .001),而可能患有SP的组中步行速度(m/s)在统计学上更快(6.74对5.98,P = .010)。

结论

这是第一项调查精神分裂症患者中SP的研究。发现精神分裂症患者中肌肉减少症的发生率高于一般人群。

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The Prevalence of Sarcopenia in Patients with Schizophrenia.精神分裂症患者中肌肉减少症的患病率
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