The prevalence of sarcopenia and related factors in a community-dwelling elders Thai population.
The prevalence of sarcopenia and related factors in a community-dwelling elders Thai population.
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DOI：
10.1016/j.afos.2016.05.001
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发表时间：
2016-06-01
影响因子：
2
通讯作者：
Kuptniratsaikul, Vilai
中科院分区：
文献类型：
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作者：
Khongsri, Nisakorn;Tongsuntud, Sureeporn;Kuptniratsaikul, Vilai
背景：肌肉减少症是世界范围内老年人的常见问题之一。要确定社区居住的老年人泰国population.METHODS：这项横断面研究进行了243名年龄超过60岁的受试者的肌肉减少症和相关因素的患病率。所有参与者通过测力计评估握力，通过步行6米距离评估步态速度。通过生物阻抗分析（BIA）评估具有异常握力和/或步态速度的受试者的肌肉质量。计算肌肉减少症的患病率，并分析与肌肉减少症相关的因素。结果：平均年龄为69.7 ±6.9岁，女性占四分之三。大约60%的受试者超重。有74名参与者（30.5%，（95%CI：25.0%-36.5%））具有异常的握力、步态速度和肌肉质量。男性的患病率高于女性（分别为33.9%和29.3%）。男女患病率均随着年龄的增长而升高（男性青年、中老年和高龄组分别为17.9%、41.4%和80.0%;女性分别为11.5%、49.1%和65.0%）。经多因素分析，年龄、体重指数（BMI）和股四头肌力量与肌肉减少症显著相关，校正比值比为15.47（95% CI：4.93，48.54）、12.84（95% CI：3.85，42.82）和3.77（95% CI：1.70，8.37）。由于患病率高，应在社区居住的老年人中进行肌肉减少症的筛查，特别是年龄较大，体重不足和股四头肌力量较低的受试者。
BACKGROUND: Sarcopenia is one of common problems among elderly worldwide.OBJECTIVES: Sarcopenia is one of common problems among elderly worldwide. To determine the prevalence of sarcopenia and related factors in community-dwelling elders Thai population.METHODS: This cross-sectional study was performed in 243 subjects aged over 60 years. All participants were evaluated for handgrip strength by dynamometer and for gait speed by walking a 6-mdistance. The muscle mass for subjects who had abnormal grip strength and/or gait speed was evaluated by bioimpedance analysis (BIA). The prevalence of sarcopenia was calculated and factors related to sarcopenia were also analyzed.RESULTS: The mean age was 69.7±6.9 years with three-fourths female participants. Approximate 60% of subjects were overweight. There were 74 participants (30.5%, (95% CI: 25.0%-36.5%)) with abnormal grip strength; gait speed and muscle mass. Males had more prevalence than females (33.9% vs. 29.3% respectively). There is higher prevalence with increasing age among both genders (17.9%, 41.4% and 80.0% in young old, middle old, and the very old groups respectively in male; and 11.5%, 49.1%, and 65.0% in female). After using multivariate analysis, age, body mass index (BMI), and quadriceps strengths were significantly related to sarcopenia with the adjusted odds ratio of 15.47 (95% CI: 4.93, 48.54), 12.84 (95% CI: 3.85, 42.82) and 3.77 (95% CI: 1.70, 8.37) respectively.CONCLUSIONS: Thirty percent of the community-based elderly experienced sarcopenia. As the prevalence is high, the screening for sarcopenia should be performed in community-dwelling elders especially older age, underweight subjects and lower quadriceps strength.