The utility of bioelectrical impedance analysis in the diagnosis of sarcopenia: a systematic review.

Q3 Health Professions
Ben Csiernik, Michael Edgar, Chris DeGraauw, Scott Howitt, Sheilah Hogg-Johnson
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引用次数: 0

Abstract

Context: Sarcopenia is a prevalent syndrome that has seen increased awareness in the last twenty years.

Objective: To systematically assess and evaluate the utility of bioelectrical impedance analysis (BIA) in the diagnosis of sarcopenia in adults over the age of 60.

Methods: An electronic search strategy of databases was conducted, including Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, CINAHL, and SportDiscus. Included articles were evaluated using The Quality Appraisal for Reliability Studies (QAREL) checklist.

Results: Seven articles (1336 participants) met the inclusion criteria of evaluating the diagnostic ability of BIA. Results indicate that that there is a high degree of heterogeneity in how BIA is used to diagnose sarcopenia. While BIA is an affordable and easy to use measurement tool, it does not consistently demonstrate high levels of diagnostic sensitivity.

Conclusion: The current evidence does not consistently support the utility of BIA as an accurate diagnostic tool for sarcopenia in adults over 60. If utilizing BIA, clinicians should select a validated BIA equation for their patient's demographics. Clinicians should also consider the use of functional tests and validated screening questionnaires. This systematic review was registered at https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=211586.

生物电阻抗分析在肌肉减少症诊断中的应用:系统综述。
背景:骨骼肌减少症是一种普遍的综合征,在过去的二十年中,人们对它的认识有所提高。目的:系统评价生物阻抗分析(BIA)在60岁以上成人肌少症诊断中的应用价值。方法:采用电子检索策略检索数据库,包括Cochrane Central Register of Controlled Trials (Central)、MEDLINE、EMBASE、CINAHL和SportDiscus。采用可靠性研究质量评估(QAREL)检查表对纳入的文章进行评估。结果:7篇文章(1336名受试者)符合BIA诊断能力评估的纳入标准。结果表明,在如何使用BIA诊断肌肉减少症方面存在高度的异质性。虽然BIA是一种负担得起且易于使用的测量工具,但它并没有始终显示出高水平的诊断灵敏度。结论:目前的证据并不一致地支持BIA作为60岁以上成人肌少症的准确诊断工具。如果使用BIA,临床医生应该根据患者的人口统计选择一个经过验证的BIA方程。临床医生还应考虑使用功能测试和有效的筛查问卷。本系统综述已在https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=211586上注册。
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来源期刊
Journal of the Canadian Chiropractic Association
Journal of the Canadian Chiropractic Association Health Professions-Chiropractics
CiteScore
0.90
自引率
0.00%
发文量
16
期刊介绍: The Journal of the Canadian Chiropractic Association (JCCA) publishes research papers, commentaries and editorials relevant to the practice of chiropractic.
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