A comparative study of the sarcopenia screening in older patients with interstitial lung disease.
A comparative study of the sarcopenia screening in older patients with interstitial lung disease.
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DOI：
10.1186/s12890-022-01840-3
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发表时间：
2022-01-25
影响因子：
3.1
通讯作者：
Kozu R
中科院分区：
文献类型：
--
作者：
Hanada M;Sakamoto N;Ishimoto H;Kido T;Miyamura T;Oikawa M;Nagura H;Takeuchi R;Kawazoe Y;Sato S;Hassan SA;Ishimatsu Y;Takahata H;Mukae H;Kozu R
2019年亚洲肌肉减少症工作组（AWGS 2019）是亚洲人群肌肉减少症的金标准诊断标准。2019年AWGS使用小腿围（CalF）、力量、行走、从椅子上站起来、爬楼梯和福尔斯时的辅助（SARC-F）和SARC-CalF问卷进行肌肉减少症筛查。本研究的目的是评估这三种肌肉减少症筛查工具在间质性肺病患者中的准确性。在这项横断面研究中，入组了稳定的间质性肺病患者。将用于间质性肺病患者的SARC-F、SARC-CalF和CalF与AWGS 2019提出的诊断标准进行了比较。使用灵敏度和特异性比较筛选工具的准确性。此外，还计算了受试者工作特征曲线下面积（AUC）。对78例患者进行了分析，根据AWGS 2019标准，在25例（32.1%）间质性肺病患者中确定了肌肉减少症。CalF的敏感性最高（96%）的三个筛选工具，而特异性为60%。SARC-F和SARC-CalF的敏感性分别为24%和68%，特异性分别为92%和66%。所有患者的CalF、SARC-F和SARC-CalF的AUC分别为0.78、0.58和0.67。CalF最适合筛查间质性肺病患者的肌减少症，而SARC-F和SARC-CalF则不适合。
The Asian Working Group for Sarcopenia 2019 (AWGS 2019) is the gold standard diagnostic criteria for sarcopenia in Asian populations. The calf circumference (CalF), the strength, assistance in walking, rising from a chair, climbing stairs, and falls (SARC-F) and the SARC-CalF questionnaires for sarcopenia screening have been used by AWGS 2019. The aim of this study was to assess accuracy of these three sarcopenia screening tools in patients with interstitial lung disease. In this cross-sectional study, stable patients with interstitial lung disease were enrolled. The SARC-F, SARC-CalF, and CalF, used in patients with interstitial lung disease, were compared to the diagnostic criteria proposed by AWGS 2019. The accuracy of screening tools was compared using sensitivity and specificity. Moreover, areas under the receiver operating characteristic curves (AUC) were computed. Seventy eight patients were analyzed, and sarcopenia was identified in 25 (32.1%) patients with interstitial lung disease by the AWGS 2019 criteria. The sensitivity of the CalF was highest (96%) of the three screening tools, while the specificity was 60%. The sensitivity of SARC-F and SARC-CalF were 24% and 68%, while the specificity were 92% and 66%, respectively. The AUCs of CalF, SARC-F, and SARC-CalF in all patients were 0.78, 0.58, and 0.67, respectively. The CalF is most suitable for screening sarcopenia in patients with interstitial lung disease, while SARC-F and SARC-CalF are not.
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