How common is sarcopenia associated with frailty? Diagnosis using the Kihon Checklist.

IF 0.7 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

JOURNAL OF MEDICAL INVESTIGATION Pub Date : 2025-01-01 DOI:10.2152/jmi.72.139

Yuki Niida, Hidenori Onishi, Tomoko Okamoto, Osamu Yamamura

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引用次数: 0

Abstract

Purpose: We aimed to determine the association between sarcopenia and frailty in Japan's hyperaged society.

Methods: We investigated the incidence of sarcopenia and frailty among 423 community-dwelling older adults (304 women and 119 men ; mean age : 77.0 years). Interviews, Kihon Checklist (KCL) assessments, physical function tests, and anthropometric measurements were performed at baseline. Sarcopenia was defined according to the Asian Working Group for Sarcopenia 2019 criteria, with a KCL score of ≥7 indicating frailty.

Results: Eight patients (1.9%) had sarcopenia alone, 113 (26.7%) had frailty alone, and 26 (6.1%) had both sarcopenia and frailty. The instrumental activities of daily living (IADL) scores were significantly higher in all groups. Logistic regression analysis showed the association of sarcopenia and frailty with IADL. The receiver operating characteristic curves of the total KCL and IADL scores were analyzed to determine the cutoff value for assessing sarcopenia with frailty. The cutoff value for the total KCL score was 7.000, while that for the KCL-IADL score was 2.000.

Conclusion: Approximately 6.1% of patients were diagnosed with sarcopenia with frailty using the KCL. These conditions were found to impair IADL. Hence, interventions addressing both frailty and sarcopenia may help prevent the decline in IADL. J. Med. Invest. 72 : 139-147, February, 2025.

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肌肉减少症与虚弱有多常见？使用Kihon检查表进行诊断。

目的：我们旨在确定日本高老龄化社会中肌肉减少症与虚弱之间的关系。方法：我们调查了423名居住在社区的老年人(304名女性，119名男性；平均年龄：77.0岁)。访谈、基洪检查表（KCL）评估、身体功能测试和人体测量在基线进行。骨骼肌减少症是根据亚洲骨骼肌减少症工作组2019标准定义的，KCL评分≥7表示虚弱。结果：单纯肌少症8例（1.9%），单纯虚弱113例（26.7%），肌少症合并虚弱26例（6.1%）。日常生活工具活动（instrumental activities of daily living， IADL）评分均显著高于对照组。Logistic回归分析显示肌肉减少症和虚弱与IADL相关。分析KCL总分和IADL总分的受试者工作特征曲线，确定评估肌少症伴虚弱的临界值。KCL总分的临界值为7.000，KCL- iadl总分的临界值为2.000。结论：使用KCL，大约6.1%的患者被诊断为肌少症伴虚弱。这些情况都损害了IADL。因此，针对虚弱和肌肉减少症的干预措施可能有助于预防IADL的下降。中华医学杂志，2015,32(2):379 - 379。

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来源期刊

JOURNAL OF MEDICAL INVESTIGATION MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

1.20

自引率

0.00%

发文量