Alba Zevallos, Renzo Pajuelo-Vásquez, Kiara Camacho-Caballero, Rodrigo Corcuera-Ciudad, Paola Goicochea-Romero, Wendy Gutiérrez-Baca, Diego Chambergo-Michilot, José F Parodi, Fernando M Runzer-Colmenares
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引用次数: 0
摘要
背景：肌肉疏松症是一种肌肉骨骼疾病，会导致肌肉质量、力量和性能下降。虚弱评估中的手握力（HGS）测量是衰老的重要生物标志物，与功能障碍有关。我们评估了潜在影响因素与秘鲁老年人 HGS 不对称之间的关联：我们使用了位于秘鲁卡亚俄的秘鲁海军医疗中心 "Cirujano Santiago Távara "的数据库。所有被纳入数据库的患者年龄均≥60 岁，并对其惯用手和非惯用手进行了 HGS 测量：在总共 1468 名患者中，74.66% 的人存在 HGS 不对称问题。经调整后，小腿围度减弱（aPR = 1.08，95% CI = 1.01 - 1.15）、跌倒风险（aPR = 1.08，95% CI = 1.02 - 1.16）和劳顿指数改变（aPR = 0.92，95% CI = 0.84 - 0.99）与 HGS 不对称相关：我们的研究结果表明，HGS 不对称应与其他用于评估老年人健康状况的老年评估一起进行测量，以加强健康促进和预防工作，目的是保护老年人的肌肉力量，遏制其功能受限。
Evaluation of Factors Influencing Handgrip Strength Asymmetry in Older Peruvian Adults.
Background: Sarcopenia is a musculoskeletal disease involving the reduction of muscle mass, strength, and performance. Handgrip strength (HGS) measurements included in frailty assessments are great biomarkers of aging and are related to functional deficits. We assessed the association between potential influencing factors and HGS asymmetry in older Peruvian adults.
Methods: We used a database of the Peruvian Naval Medical Center "Cirujano Santiago Távara" located in Callao, Peru. All the patients included were ≥60 years old and had an HGS measurement in the dominant and non-dominant hand.
Results: From a total of 1,468 patients, 74.66% had HGS asymmetry. After adjustment, calf circumference weakness (adjusted prevalence ratio [aPR]=1.08; 95% confidence interval [CI], 1.01-1.15), falls risk (aPR = 1.08; 95% CI, 1.02-1.16), and an altered Lawton index (aPR=0.92; 95% CI, 0.84-0.99) were associated with HGS asymmetry.
Conclusion: Our findings suggest that HGS asymmetry should be measured along with other geriatric assessments used to evaluate health outcomes in the elderly to enhance health promotion and prevention aimed at preserving muscle strength to curb functional limitations in the elderly.
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