Prevalence and Diagnostic Agreement of Sarcopenia Based on Handgrip Strength and 5-Time Chair-Stand Test Among Chinese Community-Dwelling Older Adults

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2024-08-07 DOI:10.1111/opn.12635

Yu-Hua Li, Xiu-Hua Wang, Shi Ya

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引用次数: 0

Abstract

Introduction

Handgrip strength and the 5-time chair-stand test are the two important muscle strength measures run through the whole sarcopenia diagnosis algorithm. There is a lack of evidence to confirm which muscle strength measures have a higher detection rate of sarcopenia among Chinese older adults, which is a challenge for community workers to choose the muscle strength measures and to identify more sarcopenia in clinical practice.

Objective

We aimed to investigate the prevalence and diagnostic agreement of sarcopenia based on handgrip strength and the 5-time chair-stand test among Chinese community-dwelling older adults.

Methods

This cross-sectional study sampled 1027 community-dwelling older adults from Hunan, China. We used handgrip strength and the 5-time chair-stand test to assess participants' muscle strength and used gait speed and bioimpedance analysis (BIA) to assess physical performance and skeletal muscle mass, respectively. The kappa values of the agreement test were used to evaluate the agreement of handgrip strength and 5-time chair-stand tests in the assessment of sarcopenia.

Results

A total of 1027 participants were included in this analysis including 337 males and 690 females with an average age of 70.35 ± 7.24 years. The prevalence of possible sarcopenia, confirmed sarcopenia and severe sarcopenia based on handgrip strength was 50.8%, 20.3% and 14.5% respectively, while the corresponding prevalence for using the 5-time chair-stand test was 27.6%, 10.8% and 10.9%. The kappa value of the consistency test between handgrip strength and 5-time chair-stand test in the assessment of possible sarcopenia, confirmed and severe sarcopenia was 0.26, 0.51 and 0.62, respectively (p < 0.001 for all).

Conclusions

The prevalence of possible sarcopenia, confirmed sarcopenia and severe sarcopenia based on handgrip strength was significantly higher than that of the 5-time chair-stand test. We recommend handgrip strength as the preferred method of muscle strength measurement for Chinese community-dwelling older adults and use 5-time chair-stand tests when handgrip strength is not available.

Implications for Practice

The findings provide information and suggestions to healthcare providers for choosing the muscle strength measures to detect more sarcopenia in clinical practice. Compared with the 5-time chair-stand test, handgrip strength has a better performance to identify sarcopenia in Chinese community-dwelling older adults.

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基于手握强度和 5 次椅子站立测试的中国社区老年人 "肌肉疏松症 "患病率和诊断一致性。

简介手握力和五次椅站试验是贯穿整个肌肉疏松症诊断算法的两个重要肌力指标。目前尚缺乏证据证实哪种肌力指标在中国老年人中具有更高的肌少症检出率，这对社区工作者选择肌力指标以及在临床实践中识别更多的肌少症是一个挑战：方法：本横断面研究在中国社区老年人中抽取了 10 个样本，以手握肌力和 5 次椅子站立测试为基础，探讨肌肉疏松症的患病率和诊断一致性：这项横断面研究从中国湖南抽取了 1027 名社区老年人。我们使用手握力和五次椅子站立测试评估参与者的肌肉力量，并使用步速和生物阻抗分析（BIA）分别评估体能和骨骼肌质量。在评估肌肉疏松症时，使用了一致性检验的卡帕值来评估手握力量和五次椅站测试的一致性：结果：共有 1027 名参与者参与了此次分析，其中包括 337 名男性和 690 名女性，平均年龄为 70.35 ± 7.24 岁。根据手握力，可能患有、确诊患有和严重患有肌肉疏松症的比例分别为 50.8%、20.3% 和 14.5%，而使用 5 次椅子站立测试的相应比例分别为 27.6%、10.8% 和 10.9%。在评估可能的肌肉疏松症、确诊的肌肉疏松症和严重的肌肉疏松症时，手握力和五次椅站试验的一致性检验卡帕值分别为 0.26、0.51 和 0.62（p 结论：在评估可能的肌肉疏松症、确诊的肌肉疏松症和严重的肌肉疏松症时，手握力和五次椅站试验的一致性检验卡帕值分别为 0.26、0.51 和 0.62：根据握力评估可能的肌少症、确诊的肌少症和严重的肌少症的患病率明显高于五次椅站试验。我们建议将手握力作为中国社区老年人肌肉力量测量的首选方法，并在无法获得手握力的情况下使用 5 次椅子站立测试：研究结果为医护人员在临床实践中选择肌力测量方法以检测更多的肌肉疏松症提供了信息和建议。与五次椅立测试相比，手握力在识别中国社区老年人肌肉疏松症方面有更好的表现。

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

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.