Suggestions for assessment of muscle mass in primary care setting
Suggestions for assessment of muscle mass in primary care setting
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初级保健机构中肌肉质量评估的建议
DOI：
10.1080/13685538.2017.1311856
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
G. Bahat
中科院分区：
文献类型：
--
作者：
O. Yilmaz;G. Bahat
摘要肌肉减少症是一种常见的老年综合征，严重影响老年人的身体机能。肌肉减少症的诊断需要记录肌肉质量减少和肌肉力量或身体功能下降。在最近的一篇辩论论文中，提出了可用于评估现实生活中肌肉减少症的用户友好和廉价方法的含义。对于肌肉质量评估，生物电阻抗分析（BIA）和双能X射线吸收测定法（DXA）被描述为在适用性方面具有相同的肌肉质量评估的简易性。然而，BIA更容易执行，具有更大的可用性，便宜，并且不需要经过专业培训的工作人员。作者建议使用DXA作为初级保健环境中评估肌肉质量的主要工具。然而，BIA被EWGSOP推荐为研究和临床实践中的一线方法。关于其更容易的适用性，我们得出结论，BIA是一个更实用的方法，在初级保健设置比DXA的肌肉质量评估。因此，我们建议，BIA可能是在初级保健设置的肌肉质量评估的方法的选择。
Abstract Sarcopenia is one of the prevalent geriatric syndromes that adversely affects the functionality in the older adults. The diagnosis of sarcopenia requires documentation of decreased muscle mass and decreased muscle strength or physical function. The implication of user-friendly and inexpensive methods that could be used to assess sarcopenia in real-life settings is suggested in a recent debate paper. For muscle mass assessment, bioelectric impedance analysis (BIA), and dual-energy X-ray absorptiometry (DXA) were described as having the same ease for muscle mass assessment in terms of applicability. However, BIA is easier to perform, has greater availability, inexpensive, and does not require specialist trained staff. The authors proposed the use of DXA as primary tool to assess muscle mass in the primary care setting. However, BIA is recommended as a first-line method both in research and clinical practice by EWGSOP. Regarding its much easier applicability, we conclude that BIA is a more practical method for muscle mass assessment in the primary care setting than the DXA. Thus, we suggest that BIA could be the method of choice for muscle mass assessment in the primary care setting.