{"title":"评估老年慢性腰痛患者手握力不对称以评价其肌肉疏松症：一项回顾性横断面研究。","authors":"H J Kim, S H Kim","doi":"10.14283/jfa.2024.64","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Handgrip strength (HGS) is a crucial measurement for diagnosing sarcopenia, and HGS asymmetry indicates functional impairment and correlates with adverse health outcomes. Although chronic low back pain (CLBP) often coexists with sarcopenia in older people, the association between HGS asymmetry and sarcopenia in that population has not been investigated.</p><p><strong>Objectives: </strong>This study examines the association between HGS asymmetry and sarcopenia in older patients with CLBP and explores differences in the proportion of sarcopenia and severe sarcopenia according to the severity of HGS asymmetry.</p><p><strong>Design: </strong>A retrospective observational study.</p><p><strong>Setting: </strong>The study included patients who visited the outpatient department for pain management at a university hospital.</p><p><strong>Participants: </strong>Ambulatory patients 65 years and older with CLBP assessed for sarcopenia per the Asian Working Group for Sarcopenia (AWGS) 2019 protocol were enrolled.</p><p><strong>Measurements: </strong>HGS asymmetry was categorized into three groups (< 10%, 10-20%, and > 20%) based on the difference between the hands.</p><p><strong>Results: </strong>A total of 575 CLBP patients aged 65-90 years was analyzed. In females, physical performance scores declined as HGS asymmetry severity increased (p < 0.001), alongside a proportional rise in the proportion of sarcopenia (p = 0.006) and severe sarcopenia (p = 0.002). Conversely, males showed no such association. Moreover, patients with low HGS (meeting the AWGS 2019 criteria) had a higher proportion of sarcopenia (p = 0.019) and severe sarcopenia (p = 0.017) as HGS asymmetry severity increased. The multivariable analysis identified > 20% HGS asymmetry as an independent predictor of sarcopenia (adjusted odds ratio (OR) 3.296, 95% confidence interval (CI) 1.595-6.811, p = 0.001) and severe sarcopenia (adjusted OR 3.092, 95% CI 1.467-6.517, p = 0.003) exclusively in females.</p><p><strong>Conclusions: </strong>Severe HGS asymmetry was associated with poor physical performance and a higher proportion of sarcopenia in older female patients with CLBP.</p>","PeriodicalId":51629,"journal":{"name":"Journal of Frailty & Aging","volume":"13 4","pages":"421-426"},"PeriodicalIF":3.3000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluation of Handgrip Strength Asymmetry to Assess Sarcopenia in Older Patients with Chronic Low Back Pain: A Retrospective Cross-Sectional Study.\",\"authors\":\"H J Kim, S H Kim\",\"doi\":\"10.14283/jfa.2024.64\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Handgrip strength (HGS) is a crucial measurement for diagnosing sarcopenia, and HGS asymmetry indicates functional impairment and correlates with adverse health outcomes. Although chronic low back pain (CLBP) often coexists with sarcopenia in older people, the association between HGS asymmetry and sarcopenia in that population has not been investigated.</p><p><strong>Objectives: </strong>This study examines the association between HGS asymmetry and sarcopenia in older patients with CLBP and explores differences in the proportion of sarcopenia and severe sarcopenia according to the severity of HGS asymmetry.</p><p><strong>Design: </strong>A retrospective observational study.</p><p><strong>Setting: </strong>The study included patients who visited the outpatient department for pain management at a university hospital.</p><p><strong>Participants: </strong>Ambulatory patients 65 years and older with CLBP assessed for sarcopenia per the Asian Working Group for Sarcopenia (AWGS) 2019 protocol were enrolled.</p><p><strong>Measurements: </strong>HGS asymmetry was categorized into three groups (< 10%, 10-20%, and > 20%) based on the difference between the hands.</p><p><strong>Results: </strong>A total of 575 CLBP patients aged 65-90 years was analyzed. In females, physical performance scores declined as HGS asymmetry severity increased (p < 0.001), alongside a proportional rise in the proportion of sarcopenia (p = 0.006) and severe sarcopenia (p = 0.002). Conversely, males showed no such association. Moreover, patients with low HGS (meeting the AWGS 2019 criteria) had a higher proportion of sarcopenia (p = 0.019) and severe sarcopenia (p = 0.017) as HGS asymmetry severity increased. The multivariable analysis identified > 20% HGS asymmetry as an independent predictor of sarcopenia (adjusted odds ratio (OR) 3.296, 95% confidence interval (CI) 1.595-6.811, p = 0.001) and severe sarcopenia (adjusted OR 3.092, 95% CI 1.467-6.517, p = 0.003) exclusively in females.</p><p><strong>Conclusions: </strong>Severe HGS asymmetry was associated with poor physical performance and a higher proportion of sarcopenia in older female patients with CLBP.</p>\",\"PeriodicalId\":51629,\"journal\":{\"name\":\"Journal of Frailty & Aging\",\"volume\":\"13 4\",\"pages\":\"421-426\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Frailty & Aging\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.14283/jfa.2024.64\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Frailty & Aging","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14283/jfa.2024.64","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Evaluation of Handgrip Strength Asymmetry to Assess Sarcopenia in Older Patients with Chronic Low Back Pain: A Retrospective Cross-Sectional Study.
Background: Handgrip strength (HGS) is a crucial measurement for diagnosing sarcopenia, and HGS asymmetry indicates functional impairment and correlates with adverse health outcomes. Although chronic low back pain (CLBP) often coexists with sarcopenia in older people, the association between HGS asymmetry and sarcopenia in that population has not been investigated.
Objectives: This study examines the association between HGS asymmetry and sarcopenia in older patients with CLBP and explores differences in the proportion of sarcopenia and severe sarcopenia according to the severity of HGS asymmetry.
Design: A retrospective observational study.
Setting: The study included patients who visited the outpatient department for pain management at a university hospital.
Participants: Ambulatory patients 65 years and older with CLBP assessed for sarcopenia per the Asian Working Group for Sarcopenia (AWGS) 2019 protocol were enrolled.
Measurements: HGS asymmetry was categorized into three groups (< 10%, 10-20%, and > 20%) based on the difference between the hands.
Results: A total of 575 CLBP patients aged 65-90 years was analyzed. In females, physical performance scores declined as HGS asymmetry severity increased (p < 0.001), alongside a proportional rise in the proportion of sarcopenia (p = 0.006) and severe sarcopenia (p = 0.002). Conversely, males showed no such association. Moreover, patients with low HGS (meeting the AWGS 2019 criteria) had a higher proportion of sarcopenia (p = 0.019) and severe sarcopenia (p = 0.017) as HGS asymmetry severity increased. The multivariable analysis identified > 20% HGS asymmetry as an independent predictor of sarcopenia (adjusted odds ratio (OR) 3.296, 95% confidence interval (CI) 1.595-6.811, p = 0.001) and severe sarcopenia (adjusted OR 3.092, 95% CI 1.467-6.517, p = 0.003) exclusively in females.
Conclusions: Severe HGS asymmetry was associated with poor physical performance and a higher proportion of sarcopenia in older female patients with CLBP.
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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