德国老年日间诊所中肌肉减少症和肌肉减少性肥胖的患病率。

IF 3.3 Q2 GERIATRICS & GERONTOLOGY
Basel Habboub, Emmanuel Oludowole, Robert Speer, Johanna Masuch, Ursula Berger, Markus Gosch, Katrin Singler
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引用次数: 0

摘要

目的:肌肉减少症和肌肉减少性肥胖的定义是肌肉力量和质量的损失。这两种疾病对全球构成了日益严峻的挑战。他们的患病率在不同的研究人群中有所不同。本研究的目的是估计参加老年门诊的社区居住老年人中肌肉减少症和肌肉减少性肥胖的患病率。方法:对Paint-II数据(关于艺术治疗效果的单中心随机对照试验)进行二次分析,以估计肌肉减少症和肌肉减少性肥胖的患病率。此外,机器学习模型预测了与这两种疾病相关的因素。结果:我们获得了409名Paint-II参与者中255人的身体成分信息。平均年龄81±5岁,女性占78%。根据阑尾骨骼肌质量(ASM)的定义,使用ASM/ high2或绝对ASM,肌肉减少症的患病率分别在10%至24%之间。肌肉减少型肥胖的患病率为15%。体重是最具影响力的预测因素,体重高与肌肉减少性肥胖有关,体重低与肌肉减少症有关。结论:在参加老年门诊的社区老年人中,肌肉减少症和肌肉减少性肥胖的患病率高于普通老年人群。肌肉减少症的患病率有显著差异,这取决于肌肉质量是绝对测量还是根据体型调整。不同的推荐截止值使诊断更加复杂。我们支持简化和标准化诊断标准的努力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The prevalence of sarcopenia and sarcopenic obesity in a German geriatric day clinic.

The prevalence of sarcopenia and sarcopenic obesity in a German geriatric day clinic.

The prevalence of sarcopenia and sarcopenic obesity in a German geriatric day clinic.

Purpose: Sarcopenia and sarcopenic obesity are defined by the loss of muscle strength and mass. Both diseases pose a growing global challenge. Their prevalences vary between studied populations. The aim of this study is to estimate the prevalences of sarcopenia and sarcopenic obesity in sample of community-dwelling older adults attending a geriatric day clinic.

Methods: A secondary analysis of the Paint-II Data (single-center randomized controlled trial on the effects of art therapy) was used to estimate the prevalence of sarcopenia and sarcopenic obesity. Furthermore, a machine learning model predicted factors associated with both diseases.

Results: We had body composition information on 255 of the 409 Paint-II participants. Their mean age was 81 ± 5 years and 78 % were female. Depending on the appendicular skeletal muscle mass (ASM) definition, the prevalence of sarcopenia ranged between 10 % and 24 % using ASM/height2 or absolute ASM respectively. The prevalence of sarcopenic obesity was 15 %. Weight was the most influential predictor, with higher weight being linked to sarcopenic obesity and lower weight associated with sarcopenia.

Conclusions: The prevalence of sarcopenia and sarcopenic obesity among community-dwelling older adults attending geriatric day clinics is higher than among the general geriatric population. There is a significant discrepancy in sarcopenia prevalence depending on whether muscle mass is measured absolutely or adjusted for body size. Diagnosis is further complicated by varying recommended cut-offs. We support efforts to simplify and standardize the diagnostic criteria.

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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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