Possible sarcopenia and its risk factors in a home for seniors in Shanghai.

IF 1.3 4区 医学 Q4 NUTRITION & DIETETICS
Jianqin Sun, Wuke Yuan, Min Chen, Yanqiu Chen, Danfeng Xu, Zhen Li, Huijing Bai, Qi Xu, Yuanrong Jiang, Jie Gu, Shengqi Li, Chenxi Su, Lili Gu, Jiaxin Fang, Xinyao Zhu
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Abstract

Background and objectives: The Asian Working Group for Sarcopenia (AWGS) recommended various measures for identifying patients with possible sarcopenia in its 2019 consensus. The present survey aimed to assess older adults in a senior home to determine the prevalence and associated factors for possible sarcope-nia and to compare the differences between various assessment pathways based on AWGS 2019 criteria.

Methods and study design: This cross-sectional study examined 583 participants of a senior home. Patients with possible sarcopenia were determined through the following four pathways: [I] calf circumference (CC) + handgrip strength (HGS); [II] SARC-F+HGS; (III) SARC-CalF+HGS; and (IV) CC, SARC-F, and/or SARC-CalF+HGS.

Results: The four assessment pathways revealed a high prevalence of possible sarcopenia in the older adults in the senior home ([I]=50.6%; [II]=46.8%; [III]=48.2%; [IV]=65.9%). There is significant difference in prevalence between pathway IV and the other pathways (p<0.001). A multivariate analysis revealed that advanced age, risk of malnutrition, malnutrition, high level of care, an exercise frequency of <3 times per week, and osteoporosis were correlated with a higher risk of possible sarcopenia. By contrast, oral nutritional supplements (ONS) reduced the risk of possible sarcopenia.

Conclusions: This survey reported a high prevalence of possible sarcopenia in the older adults of the senior home and determined the associated influencing factors. Furthermore, our findings suggested that pathway IV is the most suitable pathway for the examined older adults which enabled the detection and early intervention of more possible sarcopenia.

上海某养老院可能出现的肌肉减少症及其危险因素。
背景和目的:亚洲肌肉减少症工作组(AWGS)在其2019年共识中推荐了多种方法来识别可能的肌肉减少症患者。本调查旨在评估养老院的老年人,以确定可能的肌痛的患病率和相关因素,并比较基于AWGS 2019标准的各种评估途径之间的差异。方法与研究设计:本横断面研究调查了583名老人之家的参与者。通过以下四种途径确定可能的肌少症患者:[1]小腿围(CC) +握力(HGS);(二)SARC-F +硫化汞;(3) SARC-CalF +硫化汞;(IV) CC、SARC-F和/或SARC-CalF+HGS。结果:四种评估途径显示,老年之家老年人中可能存在肌肉减少症的患病率较高([I]=50.6%;[2] = 46.8%;[3] = 48.2%;[IV] = 65.9%)。结论:本调查报告了老年之家老年人中可能存在的肌少症的高患病率,并确定了相关的影响因素。此外,我们的研究结果表明,途径IV是最适合被检查的老年人的途径,它可以发现和早期干预更多可能的肌肉减少症。
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
CiteScore
2.50
自引率
7.70%
发文量
58
审稿时长
6-12 weeks
期刊介绍: The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board
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