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肝硬化患者的肌肉减少症和衰弱:单中心队列研究中患病率及危险因素的评估

Sarcopenia and Frailty in Cirrhotic Patients: Evaluation of Prevalence and Risk Factors in a Single-Centre Cohort Study.

作者信息

Atay Kadri, Aydin Seval, Canbakan Billur

机构信息

Department of Gastroenterology, Mardin Research and Training Hospital, Mardin 47100, Türkiye.

Division of Biochemistry, Cerrahpasa Faculty of Medicine, İstanbul 34098, Türkiye.

出版信息

Medicina (Kaunas). 2025 Apr 29;61(5):821. doi: 10.3390/medicina61050821.

DOI:10.3390/medicina61050821
PMID:40428779
Abstract

: Sarcopenia and frailty adversely affect morbidity and mortality in patients with liver cirrhosis. This study aimed to investigate the prevalence of sarcopenia and frailty in cirrhotic patients and to identify the contributing factors. : This study was conducted in adult patients diagnosed with cirrhosis in a single-center cohort study who were under follow-up in the gastroenterology outpatient clinic. Patients were evaluated using the SARC-F questionnaire, FRAIL index, handgrip strength measurements, and various biochemical parameters. : Of the 100 patients included in the study, 58.7% were male, with a median age of 66.5 years. The prevalence of sarcopenia was 32%. Patients with sarcopenia had significantly lower body mass index (BMI) and higher model for end-stage liver disease (MELD)-Na and Child-Turcotte-Pugh (CTP) scores. According to the FRAIL scale, pre-frailty was highly prevalent among patients (60%). Significant negative correlations were observed between the SARC-F score and BMI, handgrip strength, albumin, vitamin D, and sodium levels. Conversely, significant positive correlations were identified between the SARC-F score and age, CTP score, MELD-Na score, bilirubin, AST, ALT, and ferritin levels. : This study demonstrated a high prevalence of sarcopenia and frailty among cirrhotic patients. These findings warrants further investigation in longitudinal studies for hard clinical outcome and mortality.

摘要

肌肉减少症和衰弱对肝硬化患者的发病率和死亡率有不利影响。本研究旨在调查肝硬化患者中肌肉减少症和衰弱的患病率,并确定相关影响因素。本研究在一项单中心队列研究中对诊断为肝硬化的成年患者进行,这些患者在胃肠病门诊接受随访。使用SARC-F问卷、衰弱指数、握力测量和各种生化参数对患者进行评估。在纳入研究的100例患者中,58.7%为男性,中位年龄为66.5岁。肌肉减少症的患病率为32%。肌肉减少症患者的体重指数(BMI)显著较低,终末期肝病模型(MELD)-钠和Child-Turcotte-Pugh(CTP)评分较高。根据衰弱量表,患者中衰弱前期非常普遍(60%)。SARC-F评分与BMI、握力、白蛋白、维生素D和钠水平之间存在显著负相关。相反,SARC-F评分与年龄、CTP评分、MELD-钠评分、胆红素、AST、ALT和铁蛋白水平之间存在显著正相关。本研究表明肝硬化患者中肌肉减少症和衰弱的患病率很高。这些发现值得在纵向研究中进一步调查其对严重临床结局和死亡率的影响。

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