老年骨科患者肌肉减少症对步态独立性的影响：两种诊断算法的比较

IF 2.5 4区医学 Q1 REHABILITATION

Journal of Rehabilitation Medicine Pub Date : 2025-03-28 DOI:10.2340/jrm.v57.42051

Taiki Ikemoto, Mitsunori Tokuda, Yuki Morikawa, Kotoha Kuroda, Naoki Nakayama, Naho Terada, Misuzu Niina, Daisuke Matsumoto

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引用次数: 0

摘要

目的：本研究旨在利用国际物理与康复医学学会肌肉减少症特别兴趣小组（ISarcoPRM）和亚洲肌肉减少症工作组2019 （AWGS2019）算法，比较老年骨科患者肌肉减少症对步态恢复的影响。设计：前瞻性观察性研究。患者：共153例骨科患者(78.4%为女性；平均年龄（79.3±6.7岁）。方法：入院时使用ISarcoPRM和AWGS2019算法定义肌肉减少症。在入院前和出院时评估功能行走类别的步态独立性。使用多变量logistic回归分析评估肌肉减少症对出院时步态独立性恶化的影响。结果：与基于AWGS2019的肌肉减少症（患病率=36.6%）不同，基于ISarcoPRM算法的肌肉减少症（患病率=56.2%）与步态独立性恶化显著相关（优势比：3.94,95%置信区间：1.51-10.25,p = 0.005）。结论：ISarcoPRM算法评估的骨骼肌减少症与老年骨科患者出院时步态独立性恶化有关。

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Impact of sarcopenia on gait independence in older orthopaedic patients: a comparison of 2 diagnostic algorithms.

Objective: This study aimed to compare the impact of sarcopenia on gait recovery using the Sarcopenia Special Interest Group of the International Society of Physical and Rehabilitation Medicine (ISarcoPRM) and the Asian Working Group for Sarcopenia 2019 (AWGS2019) algorithms in older orthopaedic patients.

Design: A prospective observational study.

Patients: A total of 153 orthopaedic patients (78.4% women; average age 79.3 ± 6.7 years) were included during hospitalization.

Methods: Sarcopenia was defined using the ISarcoPRM and AWGS2019 algorithms on admission. Functional ambulation categories assessed gait independence before admission and on discharge. The impact of sarcopenia on worsened gait independence on discharge was evaluated using multivariate logistic regression analysis.

Results: Sarcopenia based on the ISarcoPRM algorithm (prevalence=56.2%) was significantly associated with worsened gait independence (odds ratio: 3.94, 95% confidence interval: 1.51-10.25, p = 0.005), unlike sarcopenia based on AWGS2019 (prevalence=36.6%).

Conclusion: Sarcopenia assessed using the ISarcoPRM algorithm was associated with worsened gait independence on discharge in older orthopaedic patients.

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来源期刊

Journal of Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.