A PILOT STUDY OF THE SARC-F SCALE ON SCREENING SARCOPENIA AND PHYSICAL DISABILITY IN THE CHINESE OLDER PEOPLE

A PILOT STUDY OF THE SARC-F SCALE ON SCREENING SARCOPENIA AND PHYSICAL DISABILITY IN THE CHINESE OLDER PEOPLE
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DOI:
10.1007/s12603-013-0410-3
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发表时间:
2014-03-01
影响因子:
5.8
通讯作者:
Dong, B.
Dong, B.
中科院分区:
医学3区
文献类型:
--
作者:
Cao, L.;Chen, S.;Dong, B.

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简介:SARC-F量表是一种新开发的诊断肌肉减少症的工具,可满足测量肌肉质量的需要。SARC-F>= 4定义为肌肉减少症。SARC-F的问题涵盖针对肌肉减少症的身体功能或肌肉减少症的初始表现。本研究旨在探讨SARC-F在中国人群中的应用。研究方法:采用SARC-F量表、PSMS、Lawton IADL和国际缩短版福尔斯疗效量表(简称FES-I)对230例65岁以上中国老年人进行评定。对住院情况进行了调查。测量身体性能和强度。分析SARC-F与其他量表或测验的相关性。结果如下:身体机能差和握力与SARC-F ≥ 4独立相关(P = 4,检验的截止点为0.391至0.635)。短FES-I与SARC-F评分相关(斯皮尔曼相关系数0.692)。PSMS和Lawton IADL评分差与SARC-F>= 4相关(P = 0. 000),SARC-F>= 4与过去2年的住院相关(P = 0. 000)。结论:SARC-F量表能较好地识别老年人肌肉减少症。SAARC-F判断反映了对跌倒的恐惧,预示着住院事件,并与日常生活能力相关。因此,SARC-F可能是一个简单而有用的工具,用于筛选身体功能受损的个体。对中国人SARC-F的研究具有重要意义。
Introduction: The SARC-F scale is a newly developed tool to diagnose sarcopenia and obviate the need for measurement of muscle mass. SARC-F >= 4 is defined as sarcopenia. The questions of SARC-F cover physical functions targeting sarcopenia or initial presentation for sarcopenia. The aim of the study is to explore the application of SARC-F in the Chinese people. Methods: Two hundred thirty Chinese people over 65 years old were assessed by the SARC-F scale, PSMS, Lawton IADL and the shortened version of the falls efficacy scale-international( the short FES-I). Hospitalization was investigated. Physical performance and strength were measured. The association of SARC-F with other scales or tests was analyzed. Results: Poor physical performance and grip strength were associated with SARC-F >= 4 independently (P= 4 and cutoff points of tests were 0.391 to 0.635. The short FES-I were correlated to SARC-F scores (Spearman's coefficient 0.692). Poor PSMS and Lawton IADL scores were associated with SARC-F >= 4(P=0.000) and SARC-F >= 4 was associated with hospitalization in the past 2 years (P=0.000). Conclusion: The SARC-F scale can identify old Chinese people with impaired physical function who may suffered from sarcopenia. SARC-F judgment reflects fear of falling, indicates the hospitalization events and is associated with ability of daily life. Thus, SARC-F may be a simple and useful tool for screening individuals with impaired physical function. Further studies on SARC-F in Chinese people would be worthy.