有跌倒风险的老年人肌肉质量与体育锻炼水平之间的相关性:FITNESS研究

IF 3.3 Q2 GERIATRICS & GERONTOLOGY
J-B Gauvain, S Mandigout, M Pambet, M Monseu, P Gillain, J Gautier, C Annweiler, F Puisieux
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引用次数: 0

摘要

背景:本研究调查了跌倒或高跌倒风险老年人客观和主观测量的肌肉质量与体力活动水平之间的关系:该研究调查了跌倒或有跌倒高风险的老年人客观和主观测量的肌肉质量与体力活动水平之间的相关性:FITNESS(针对新发肌少症社会的跌倒兴趣)是一项多中心(法国昂热、里尔、利摩日和奥尔良的大学医院)、横断面、观察性研究,针对法国多学科医院会诊中的常规护理。纳入标准为:年龄≥ 75 岁,在家居住,因跌倒或步态障碍就诊。在纳入患者时进行了标准化老年病学评估、阻抗测量法肌肉质量评估、连续运动测量法(5 天)体力活动以及偶然和计划运动问卷调查(IPEQ):共有 170 名 75 岁及以上的老人参与了 FITNESS 研究(平均年龄为 82.9 ± 4.7 岁,女性占 72.9%)。肌肉质量(全身和下肢)与主动能量消耗(AEE,ρ全身=0.32,P值<0.001;ρ下肢=0.25,P值=0.003)相关,但与每日步数和IPEQ评分无关。对全身肌肉质量的多变量分析表明,AEE与白蛋白水平呈显著正相关,下肢肌肉质量与AEE和Charlson呈显著正相关:本研究表明,在跌倒和/或跌倒高风险的老年人群中,肌肉质量的损失与体力活动的减少有关。因此,跌倒或跌倒高危人群是一个特殊群体,对他们来说,消除久坐不动的生活方式和保持体育锻炼应是双重优先事项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation between Muscle Mass and Physical Activity Level in Older Adults at Risk of Falling: The FITNESS Study.

Background: The study investigates the correlation between muscle mass and physical activity level measured objectively and subjectively in older adults who fall or are at high risk of falling.

Methods: FITNESS (Fall Interest to Target Newly Sarcopenic Society) is a multi-center (French university hospitals of Angers, Lille, Limoges and Orléans), cross-sectional, observational study of routine care within a French multidisciplinary hospital consultation. Inclusion criteria were ≥ 75 years old, living at home and consulting for fall or gait disorder. A standardized geriatric assessment, muscle mass evaluation by impedancemetry, physical activity by continuous actimetry (5 days) and Incidental and Planned Exercise Questionnaire (IPEQ) were performed at patient inclusion.

Results: 170 people aged 75 and over were included in the FITNESS study (mean age 82.9 ±4.7 years, women 72.9%). Muscle mass (whole body and lower limbs) correlated with active energy expenditure (AEE, ρ whole body = 0.32, p-value < 0.001; ρ lower limbs = 0.25, p-value = 0.003), but not with number of daily steps, nor with IPEQ score. Multivariate analysis of whole-body muscle mass showed a positive and significant association with AEE and albumin levels and for lower limb muscle mass, a positive association with AEE and Charlson.

Conclusion: This study suggests that in the particular population of older adults who fall and/or are at high risk of falling, loss of muscle mass correlates with reduced physical activity. So subjects who fall or at high risk of falling constitute a special group for whom the fight against sedentary lifestyles and the maintenance of physical activity should be a dual priority.

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来源期刊
Journal of Frailty & Aging
Journal of Frailty & Aging GERIATRICS & GERONTOLOGY-
CiteScore
5.90
自引率
7.70%
发文量
54
期刊介绍: The Journal of Frailty & Aging is a peer-reviewed international journal aimed at presenting articles that are related to research in the area of aging and age-related (sub)clinical conditions. In particular, the journal publishes high-quality papers describing and discussing social, biological, and clinical features underlying the onset and development of frailty in older persons.          The Journal of Frailty & Aging is composed by five different sections: - Biology of frailty and aging In this section, the journal presents reports from preclinical studies and experiences focused at identifying, describing, and understanding the subclinical pathophysiological mechanisms at the basis of frailty and aging. - Physical frailty and age-related body composition modifications Studies exploring the physical and functional components of frailty are contained in this section. Moreover, since body composition plays a major role in determining physical frailty and, at the same time, represents the most evident feature of the aging process, special attention is given to studies focused on sarcopenia and obesity at older age. - Neurosciences of frailty and aging The section presents results from studies exploring the cognitive and neurological aspects of frailty and age-related conditions. In particular, papers on neurodegenerative conditions of advanced age are welcomed. - Frailty and aging in clinical practice and public health This journal’s section is devoted at presenting studies on clinical issues of frailty and age-related conditions. This multidisciplinary section particularly welcomes reports from clinicians coming from different backgrounds and specialties dealing with the heterogeneous clinical manifestations of advanced age. Moreover, this part of the journal also contains reports on frailty- and age-related social and public health issues. - Clinical trials and therapeutics This final section contains all the manuscripts presenting data on (pharmacological and non-pharmacological) interventions aimed at preventing, delaying, or treating frailty and age-related conditions.The Journal of Frailty & Aging is a quarterly publication of original papers, review articles, case reports, controversies, letters to the Editor, and book reviews. Manuscripts will be evaluated by the editorial staff and, if suitable, by expert reviewers assigned by the editors. The journal particularly welcomes papers by researchers from different backgrounds and specialities who may want to share their views and experiences on the common themes of frailty and aging.The abstracting and indexing of the Journal of Frailty & Aging is covered by MEDLINE (approval by the National Library of Medicine in February 2016).
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