非残疾老年患者人群中与肌肉减少症相关的因素

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-01-16 DOI:10.1016/j.regg.2024.101608

Gloria Gabriela Peña Ordóñez , Lilia Patricia Bustamante Montes , José de Jesús Garduño García , Gabriel Gerardo Huitrón Bravo , Paola Conde Higuera , Alfonso J. Cruz-Jentoft

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引用次数: 0

摘要

背景与目的：探讨肌肉减少症与代谢综合征的关系。患者和方法：病例对照研究。地点：梅特佩克老年保健诊所。纳入标准：门诊患者身心独立进行日常生活活动（DLA）。排除标准：需要照顾者帮助的身体或精神残疾、活动性癌症、心脏病和肾脏疾病。患者：124例（59.6%为女性），年龄大于60岁（平均年龄69.7岁，标准差±6.5岁）。测量结果：根据EGWSOP 2019的定义，62例患有肌肉减少症。评估高血压、糖尿病、肥胖和血脂异常，计算病例和对照组中代谢综合征的患病率和比值比（OR）。结果：患有肌肉减少症的参与者更有可能是女性（80%对41.8%），在其他特征上与对照组没有重大差异。46.7%的参与者肥胖，两组中25.8%符合代谢综合征的诊断标准；在定义代谢综合征的项目中，只有高血压、肥胖II级和中心性肥胖与肌肉减少症的存在相关(OR 2.12；分别为3.39和1.93,95% CI)。结论：我们不能证实肌肉减少症与代谢综合征之间的联系，但与肥胖和高血压成分有关。

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Factors associated with sarcopenia in a population of non-disabled older patients

Background and aim

To evaluate the association between sarcopenia and metabolic syndrome.

Patients and methods

A case–control study. Setting. Geriatric Care Clinic of Metepec (México). Inclusion criteria. Outpatients with physical and mental independence to perform daily living activities (DLA). Exclusion criteria. Physical or mental disability requiring assistance from a carer, active cancer, cardiopathies and renal disease.

Patients

124 participants (59.6% women) aged over 60 years (mean age 69.7 years, standard deviation ± 6.5 years).

Measurements

62 with sarcopenia according to the EGWSOP 2019 definition. Hypertension, diabetes, adiposity and dyslipidaemia were assessed, and the prevalence and odds ratio (OR) of metabolic syndrome in cases and controls were calculated.

Results

Participants with sarcopenia were more likely to be female (80% vs. 41.8%), with no major differences from controls in other characteristics. 46.7% of participants were obese and 25.8% in both groups met diagnostic criteria for the metabolic syndrome; of the items defining the metabolic syndrome, only hypertension, obesity grade II and central obesity were associated with the presence of sarcopenia (OR 2.12; 3.39 and 1.93, respectively, with 95% CI).

Conclusions

We could not confirm an association between sarcopenia and the metabolic syndrome, but with the obesity and hypertension components.

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来源期刊

Revista Espanola de Geriatria y Gerontologia Medicine-Medicine (miscellaneous)

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

85 days

期刊介绍： Una revista de gran prestigio por sus artículos originales de investigación y revisiones. Permite cubrir todas las áreas de la medicina pero siempre desde la atención al paciente anciano, y está presente en los más reconocidos índices internacionales.