The predictive capacity of adductor pollicis muscle thickness for physical frailty in older adults.

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

European Geriatric Medicine Pub Date : 2024-08-01 Epub Date: 2024-03-28 DOI:10.1007/s41999-024-00966-3

Esra Cataltepe, Ayse Fadiloglu, Eda Ceker, Nermin Karakurt, Hacer Dogan Varan

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引用次数: 0

Abstract

Purpose: There is a need for an easily measurable and reliable surrogate marker for physical frailty. This study aims to investigate the predictive capacity of adductor pollicis muscle thickness (AMPT), which can be easily measured externally and minimally influenced by subcutaneous adipose tissue, for physical frailty.

Methods: A total of 589 patients (16.3% physically frail, 54.7% pre-frail, 29% robust) were included. Comprehensive geriatric assessments and anthropometric measurements of the patients were performed. APMT was assessed with a skinfold caliper. Physical frailty was diagnosed using the fried frailty phenotype. The predictive ability of APMT for the diagnosis of frailty was examined.

Results: Of all the participants, 64.3% were women, and the average age was 74 ± 5.9 years. There was no significant difference in waist and hip circumference, or body mass index between the frail and non-frail groups. APMT, handgrip strength, gait speed, and calf circumference were significantly lower in frail patients than in non-frail ones (p < 0.01). The area under the curve (AUC) of APMT for physical frailty was determined to be 0.627 (95% confidence interval [CI] 0.58-0.66; p < 0.001). The best cut-off value for APMT was ≤ 18.5 mm for all individuals.

Conclusion: Adductor pollicis muscle thickness can be a useful anthropometric marker for evaluating the risk of physical frailty.

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内收肌厚度对老年人身体虚弱的预测能力。

目的：目前需要一种易于测量且可靠的体质虚弱替代标志物。本研究旨在探讨内收肌厚度（AMPT）对体质虚弱的预测能力：方法：共纳入 589 名患者（16.3% 身体虚弱，54.7% 身体虚弱前期，29% 身体健壮）。对患者进行了全面的老年学评估和人体测量。用皮褶卡尺对 APMT 进行了评估。体质虚弱是通过 "油炸体质虚弱表型 "诊断出来的。研究了 APMT 对虚弱诊断的预测能力：在所有参与者中，64.3% 为女性，平均年龄为 74 ± 5.9 岁。虚弱组和非虚弱组在腰围、臀围和体重指数方面没有明显差异。体弱患者的 APMT、手握力、步速和小腿围明显低于非体弱患者（P 结论：体弱患者的 APMT、手握力、步速和小腿围明显低于非体弱患者：内收肌厚度是评估体质虚弱风险的有用人体测量指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Geriatric Medicine GERIATRICS & GERONTOLOGY-

CiteScore

6.70

自引率

2.60%

发文量

114

审稿时长

6-12 weeks

期刊介绍： European Geriatric Medicine is the official journal of the European Geriatric Medicine Society (EUGMS). Launched in 2010, this journal aims to publish the highest quality material, both scientific and clinical, on all aspects of Geriatric Medicine. The EUGMS is interested in the promotion of Geriatric Medicine in any setting (acute or subacute care, rehabilitation, nursing homes, primary care, fall clinics, ambulatory assessment, dementia clinics..), and also in functionality in old age, comprehensive geriatric assessment, geriatric syndromes, geriatric education, old age psychiatry, models of geriatric care in health services, and quality assurance.