Predictive ability of Achilles tendon elastography for frailty in older adults.

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

European Geriatric Medicine Pub Date : 2024-08-01 DOI:10.1007/s41999-024-01023-9

Eda Ceker, Ayse Fadiloglu, Esra Cataltepe, Halit Nahit Sendur, Seriyye Allahverdiyeva, Hacer Dogan Varan

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引用次数: 0

Abstract

Purpose: The Achilles tendon (AT) is the largest and strongest tendon in the human body, and its elasticity is known to be affected by the aging process. However, the relation between AT stiffness and frailty in older individuals remains uncertain. This study aims to explore the potential of Achilles tendon shear wave elastography (AT-SWE) as a tool for assessing physical frailty in older adults.

Methods: A total of 148 patients aged 65 years and over were included in this cross-sectional study. Patients with heart failure, AT injury, stroke history, active malignancy, and claudication were excluded. All patients underwent a comprehensive geriatric assessment. Physical frailty assessment was performed with the fried frailty phenotype. Achilles tendon elastography was measured by ultrasound.

Results: The mean age of the participants was 73.8 years and 62.2% were female. 30.4% of the participants were defined as frail. Achilles tendon shear wave elastography measurements were statistically lower in the frail group (p < 0.05). In the multivariate regression analysis, AT-SWE demonstrated a statistically significant association with frailty independent of confounding factors (OR 0.982, 95% CI 0.965-0.999, p value = 0.038). In the ROC curve analysis, the area under the curve for AT-SWE was 0.647 (95% CI, 0.564-0.724, p < 0.01) and the optimum cut-off point was 124.1 kilopascals.

Conclusion: These findings highlight the value of AT-SWE as a non-invasive and objective tool for predicting frailty in older adults.

Abstract Image

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跟腱弹性成像对老年人虚弱程度的预测能力。

目的：跟腱（AT）是人体最大、最结实的肌腱，其弹性已知会受到衰老过程的影响。然而，跟腱僵硬度与老年人虚弱之间的关系仍不确定。本研究旨在探索跟腱剪切波弹性成像（AT-SWE）作为评估老年人体质虚弱的工具的潜力：这项横断面研究共纳入了 148 名 65 岁及以上的患者。有心力衰竭、AT 损伤、中风史、活动性恶性肿瘤和跛行的患者被排除在外。所有患者都接受了全面的老年病学评估。身体虚弱评估采用的是 "油炸虚弱表型"。通过超声波测量了跟腱弹性：参与者的平均年龄为 73.8 岁，62.2% 为女性。30.4%的参与者被定义为体弱者。跟腱剪切波弹性成像测量结果显示，体弱组的跟腱剪切波弹性成像测量结果较低（P这些研究结果凸显了 AT-SWE 作为一种非侵入性客观工具在预测老年人体弱方面的价值。

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.