Sarcopenia and physical activity in older male cardiac patients
Sarcopenia and physical activity in older male cardiac patients
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DOI：
10.1016/j.ijcard.2016.07.167
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发表时间：
2016-11-01
影响因子：
3.5
通讯作者：
Akashi, Yoshihiro J.
中科院分区：
文献类型：
--
作者：
Izawa, Kazuhiro P.;Watanabe, Satoshi;Akashi, Yoshihiro J.
背景：关于老年心脏病患者肌肉减少症与体力活动之间关系的信息很少。本研究根据老年男性心脏病患者是否存在肌肉减少症，确定了体力活动和体力活动截止值的差异。方法和结果：连续招募了 67 名年龄 >= 65 岁患有心脏病的男性。我们使用欧洲老年人肌肉减少症工作组算法来定义肌肉减少症。患者被分为肌肉减少症组 (n = 25) 和非肌肉减少症组 (n = 42)。对患有和不患有肌肉减少症的患者进行体力活动评估，以确定体力活动的临界值。 结果：在调整患者特征后，平均每日步数（3361.43 +/- 793.23 vs. 5991.55 +/- 583.57 步，P = 0.021）和平均每日体力活动能量消耗（71.84 +/- 22.19 vs.肌肉减少症组的热量（154.57 +/- 16.18 kcal，P = 0.009）显着低于非肌肉减少症组。受试者操作特征分析确定体力活动步数为 3551.80 步/天，持续 1 周，敏感性为 0.73，1-特异性为 0.44；体力活动能量消耗的截止值为 85.17 kcal/天，持续 1 周，敏感性为 0.73，1-特异性为 0.27。结论：男性心脏病患者的体力活动肌肉减少症患者的发病率明显低于无肌肉减少症患者。这里报告的截止值可能是有用的值，有助于识别患有肌肉减少症的老年男性心脏病患者。 (C) 2016 Elsevier Ireland Ltd. 保留所有权利。
Background: There is little information on the association of sarcopenia with physical activity in elderly cardiac patients. This study determined differences in physical activity and cutoff values for physical activity according to the presence or absence of sarcopenia in elderly male cardiac patients.Methods and results: Sixty-seven consecutive men aged >= 65 years with cardiac disease were enrolled. We defined sarcopenia using the European Working Group on Sarcopenia in Older People algorithm. Patients were divided into the sarcopenia group (n = 25) and the non-sarcopenia group (n = 42). In the patients with and without sarcopenia of physical activities were evaluated to determine cutoff values of physical activity.Results: After adjusting for patient characteristics, both the average daily number of steps (3361.43 +/- 793.23 vs. 5991.55 +/- 583.57 steps, P = 0.021) and the average daily energy expenditure of physical activity (71.84 +/- 22.19 vs. 154.57 +/- 16.18 kcal, P = 0.009) were significantly lower in the sarcopenia versus non-sarcopenia group. Receiver-operating characteristic analysis identified a cutoff value for steps of physical activity of 3551.80 steps/day for 1 week, with a sensitivity of 0.73 and 1-specificity of 0.44 and a cutoff value for energy expenditure of physical activity of 85.17 kcal/day for 1 week, with a sensitivity of 0.73 and 1-specificity of 0.27.Conclusions: Physical activity in the male cardiac patients with sarcopenia was significantly lower than that in those without sarcopenia. The cutoff values reported here may be useful values to aid in the identification of elderly male cardiac patients with sarcopenia. (C) 2016 Elsevier Ireland Ltd. All rights reserved.