Physical Activity and Sarcopenia in Community-Dwelling Older Adults with Long-Term Care Insurance.
Physical Activity and Sarcopenia in Community-Dwelling Older Adults with Long-Term Care Insurance.
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DOI：
10.3390/ejihpe11040114
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发表时间：
2021-12-08
期刊：
影响因子：
--
通讯作者：
Fujioka K
中科院分区：
文献类型：
--
作者：
Kitamura M;Izawa KP;Ishihara K;Matsuda H;Okamura S;Fujioka K
本研究旨在阐明社区居住老年人长期护理保险（LTCI）中肌肉减少症导致的身体活动（PA）差异。这是一项横断面研究，调查了2018年11月至2019年5月期间在日本一家日托中心接受康复治疗的97名连续居住在日本社区的LTCI老年人的数据。肌少症是根据亚洲肌少症工作组的标准确定的。采用非配对t检验、Mann-Whitney U检验、卡方检验和协方差分析比较老年骨骼肌减少症患者与非老年骨骼肌减少症患者的特征和临床参数。构建受试者工作特征（ROC）曲线，确定肌少症患者PA的临界值。肌少症组（n = 20）的体重指数（BMI）、骨骼肌质量指数（骨骼肌质量指数）、步速、PA均显著低于无肌少症组（n = 28） （p < 0.05）。调整BMI和性别后，肌少症组的PA明显低于无肌少症组。结果显示，经ROC曲线分析，肌少症PA的临界值为1494.4步/天（p < 0.05）；该值可能有助于识别老年LTCI患者的肌肉减少症。
The present study aimed to clarify the difference in physical activity (PA) due to sarcopenia in community-dwelling older adults with long-term care insurance (LTCI). This was a cross-sectional study that investigated data of 97 consecutive community-dwelling older Japanese adults with LTCI who underwent rehabilitation at one day care center in Japan from November 2018 to May 2019. Sarcopenia was determined according to criteria of the Asian Working Group for Sarcopenia. Unpaired t-test, Mann-Whitney U test, chi-square test and analysis of covariance were used to compare participant characteristics and clinical parameters between the older adults with and without sarcopenia. A receiver operating characteristic (ROC) curve was constructed to determine the cut-off value of PA for sarcopenia. The sarcopenia group (n = 20) had significantly lower body mass index (BMI), skeletal muscle mass index, gait speed, and PA than those in the no sarcopenia group (n = 28) (p < 0.05). After adjustment for BMI and sex, the sarcopenia group showed significantly lower PA than the no sarcopenia group. Findings showed that the cut-off value of PA indicating sarcopenia by ROC curve analysis was 1494.4 steps/day (p < 0.05); this value may aid in identifying sarcopenia in older adults with LTCI.
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影响因子：
--
作者：
Kimura, Misaka;Mizuta, Chinatsu;Yamada, Yosuke;Okayama, Yasuko;Nakamura, Eitaro
通讯作者：
Nakamura, Eitaro
影响因子：
3.5
作者：
Izawa, Kazuhiro P.;Watanabe, Satoshi;Akashi, Yoshihiro J.
通讯作者：
Akashi, Yoshihiro J.
DOI：
10.1016/j.jamda.2018.04.001
发表时间：
2018-08-01
影响因子：
7.6
作者：
Ida, Satoshi;Kaneko, Ryutaro;Murata, Kazuya
通讯作者：
Murata, Kazuya
影响因子：
3
作者：
Park, Hyuntae;Park, Sungjin;Aoyagi, Yukitoshi
通讯作者：
Aoyagi, Yukitoshi
影响因子：
4
作者：
Choi, Jung-Kyu;Joung, Euisin
通讯作者：
Joung, Euisin