Daly Robin M, Scott David, Kiss Nicole, Tieland Michael, Baguley Brenton, Fyfe Jackson J, Manocha Ramesh
Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Burwood, Melbourne, Victoria, Australia.
Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Burwood, Melbourne, Victoria, Australia.
Arch Gerontol Geriatr. 2025 Oct;137:105923. doi: 10.1016/j.archger.2025.105923. Epub 2025 Jun 6.
To explore Australian general practitioners' (GPs) and practice nurses' (PNs) awareness, understanding, knowledge, beliefs, attitudes current practices, perceptions of responsibility, confidence, barriers and enablers to identification and management of sarcopenia.
A national, anonymous 33-item, online purpose-designed survey covering the topics in the aims was conducted from March-May 2024.
1364 participants (97 % GPs, 62 % female) participated. Two-thirds were familiar with sarcopenia and recognised it included low muscle mass (89 %), strength (66 %) and function (53 %), but 35 % incorrectly identified low physical fitness. Knowledge on common signs/symptoms, risk factors, consequences, and treatments was generally high, but only 10-18 % recognised stiff/inflexible muscles, cramps and persistent muscle pain are not signs/symptoms, and only 9-12 % recognised any form or aerobic exercise and eating more fruits/vegetables are ineffective treatments. Most (>80 %) believed they should play an active role in sarcopenia identification/treatment, but only 23 % screened/assessed for it. Most indicated education (90 %) and screening/assessment (86 %) should be prioritized in primary care, but lack of priority (68 %), time (47 %) and confidence/knowledge (23 %) were obstacles to address sarcopenia in practice. Lack of referral options and access to appropriate tools were key barriers and protocol implementation and access to relevant training were the main enablers to identification/treatment.
Primary care clinicians in Australia are familiar with and have some intuitive understanding of, and positive attitudes/beliefs toward sarcopenia, recognising they should play a key role in identifying/managing it, but report it's not a priority, they lack knowledge, confidence, referral options, appropriate tools and time to address it in practice.
探讨澳大利亚全科医生（GP）和执业护士（PN）对肌肉减少症的识别和管理的意识、理解、知识、信念、态度、当前实践、责任认知、信心、障碍和促进因素。
2024年3月至5月进行了一项全国性的、匿名的、包含33个条目的在线专项调查，涵盖了目标中提到的主题。
1364名参与者（97%为全科医生，62%为女性）参与了调查。三分之二的人熟悉肌肉减少症，并认识到它包括低肌肉量（89%）、力量（66%）和功能（53%），但35%的人错误地将低身体素质识别为肌肉减少症。对常见体征/症状、风险因素、后果和治疗方法的了解总体较高，但只有10 - 18%的人认识到肌肉僵硬/不灵活、抽筋和持续性肌肉疼痛不是体征/症状，只有9 - 12%的人认识到任何形式的有氧运动和多吃水果/蔬菜是无效的治疗方法。大多数人（>80%）认为他们应该在肌肉减少症的识别/治疗中发挥积极作用，但只有23%的人进行了筛查/评估。大多数人表示，初级保健中应优先进行教育（90%）和筛查/评估（86%），但缺乏优先级（68%）、时间（47%）和信心/知识（23%）是在实践中解决肌肉减少症的障碍。缺乏转诊选择和获得适当工具是关键障碍，而方案实施和获得相关培训是识别/治疗的主要促进因素。
澳大利亚的初级保健临床医生熟悉肌肉减少症，并对其有一些直观的理解，以及积极的态度/信念，认识到他们应该在识别/管理肌肉减少症中发挥关键作用，但报告称这不是优先事项，他们缺乏知识、信心、转诊选择、适当工具和时间在实践中解决这一问题。
