Differences in Health-Related Quality of Life in Older People with and without Sarcopenia Covered by Long-Term Care Insurance.
Differences in Health-Related Quality of Life in Older People with and without Sarcopenia Covered by Long-Term Care Insurance.
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DOI：
10.3390/ejihpe12060040
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发表时间：
2022-05-26
期刊：
影响因子：
--
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中科院分区：
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背景：由于长期护理保险（LTCI）覆盖的老年人的增加，预防肌肉减少症和维持和改善健康相关生活质量（HRQOL）已成为重要的主题。本研究旨在阐明有和无LTCI覆盖的肌少症老年人HRQOL的差异，以及HRQOL与身体功能之间的相关性。方法：参与者为101名日本日托中心的LTCI老年人。我们使用EuroQol五维三级问卷（EQ-5D-3L）调查临床因素。采用非配对t检验、Mann-Whitney U检验、卡方检验、协方差分析、Pearson相关系数、Spearman秩相关系数进行分析。结果：与无肌少症组（n = 40）相比，肌少症组（n = 24）的体重指数、骨骼肌质量指数、步速、EQ-5D-3L、校正EQ-5D-3L均显著降低（p < 0.05）。肌少症组EQ-5D-3L与握力显著相关（p = 0.02），未肌少症组EQ-5D-3L与步态速度、单腿站立时间显著相关（p = 0.01）。结论：我们明确了LTCI覆盖的老年人有和没有肌肉减少症的HRQOL的差异。这些关于HRQOL和身体功能之间相互关系的信息可能有助于维持和改善这些人的HRQOL。
Background: As a result of the increase in older people covered by long-term care insurance (LTCI), prevention of sarcopenia and maintenance and improvement of health-related quality of life (HRQOL) have become important themes. This study aimed to clarify both the differences in HRQOL in older people with and without sarcopenia covered by LTCI and the correlation between HRQOL and physical function. Methods: Participants were 101 older people with LTCI at a daycare center in Japan. We investigated clinical factors using the EuroQol five-dimension three-level questionnaire (EQ-5D-3L). Analysis was by unpaired t-test, Mann–Whitney U test, chi-square test, analysis of covariance, Pearson’s correlation coefficient, and Spearman’s rank correlation coefficient. Results: Compared to the no sarcopenia group (n = 40), the sarcopenia group (n = 24) had significantly lower body mass index, skeletal muscle mass index, gait speed, EQ-5D-3L, and adjusted EQ-5D-3L (p < 0.05). The EQ-5D-3L showed a significant correlation with handgrip strength in the sarcopenia group (p = 0.02) and significant correlations with gait speed and one-leg standing time (both, p = 0.01) in the no sarcopenia group. Conclusion: We clarified differences in HRQOL in older people with and without sarcopenia covered by LTCI. This information on the interrelationship between HRQOL and physical function may help maintain and improve HRQOL in these people.
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DOI：
10.1002/jcsm.12801
发表时间：
2021-12
期刊：
Journal of cachexia, sarcopenia and muscle
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10.3390/ejihpe11040114
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