Comparison of Screening Tools for Sarcopenia in Older Patients With Type 2 Diabetes Mellitus.

IF 2 4区医学 Q2 NURSING

Western Journal of Nursing Research Pub Date : 2025-07-01 Epub Date: 2025-05-01 DOI:10.1177/01939459251332244

Rui Zhang, Yao Wang, Yazhuo Liu, Lixia Chen, Daihong Ji

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引用次数: 0

Abstract

Background: The prevalence of sarcopenia is high in older patients with type 2 diabetes mellitus (T2DM).

Objectives: We evaluated the accuracy of the Strength, Assistance in Walking, Rise from a Chair, Climb Stairs, and Falls (SARC-F) questionnaire, the SARC-F combined with the Calf Circumference (SARC-CalF) questionnaire, the SARC-F incorporating Elderly and Body Mass Index Information (SARC-F+EBM) questionnaire, the MiniSarcopenia Risk Assessment 5-item (MSRA-5) questionnaire, the MiniSarcopenia Risk Assessment 7-item (MSRA-7) questionnaire, and the Ishii test score (Ishii) as screening tools for sarcopenia in older patients with T2DM.

Methods: Patients with T2DM aged 60 years and older were enrolled. The Asian Working Group for Sarcopenia 2019 diagnostic criteria were used to determine the presence of sarcopenia in patients. The accuracy of the 6 screening methods was assessed using sensitivity, specificity, and area under the receiver operating characteristic curve (AUC).

Results: In total, 225 older patients (111 men; 114 women) with T2DM participated in the study. The overall prevalence of sarcopenia was 24%, with 34.23% in men and 14.04% in women. Among all participants, the sensitivity of the 6 screening tools for sarcopenia was 18.52% to 92.59%, the specificity was 31.58% to 92.98%, and the AUC was 0.588 to 0.863. Among the 6 screening tools, the Ishii test has the highest AUC for screening both men and women, and its sensitivity and specificity are relatively balanced, both above 75%.

Conclusions: Of the 6 screening tools, the Ishii test proved to be the most suitable for early sarcopenia screening within this population.

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老年2型糖尿病骨骼肌减少症筛查工具的比较

背景：老年2型糖尿病（T2DM）患者中肌肉减少症的患病率较高。目的:我们评估了力量、辅助行走、从椅子上站起来、爬楼梯和跌倒（SARC-F）问卷、SARC-F与小腿围度（SARC-CalF）问卷、SARC-F结合老年人和身体质量指数信息（SARC-F+EBM）问卷、mini - copenia风险评估5项（MSRA-5）问卷、mini - copenia风险评估7项（MSRA-7）问卷的准确性。和Ishii测试评分（Ishii）作为老年T2DM患者肌肉减少症的筛查工具。方法：入选年龄在60岁及以上的T2DM患者。使用亚洲肌少症工作组2019诊断标准来确定患者是否存在肌少症。通过灵敏度、特异度和受试者工作特征曲线下面积（AUC）评估6种筛选方法的准确性。结果：共225例老年患者(男性111例；114名患有2型糖尿病的女性参与了这项研究。肌肉减少症的总体患病率为24%，其中男性为34.23%，女性为14.04%。在所有参与者中，6种筛查工具对肌肉减少症的敏感性为18.52% ~ 92.59%，特异性为31.58% ~ 92.98%，AUC为0.588 ~ 0.863。在6种筛查工具中，Ishii试验对男性和女性的AUC均最高，其敏感性和特异性相对平衡，均在75%以上。结论：在6种筛查工具中，Ishii试验被证明最适合于该人群的早期肌少症筛查。

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

Western Journal of Nursing Research 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).