萨科佩尼定义与功能恶化的纵向关联:一项比较研究
Gulistan Bahat1, Meris Esra Bozkurt2, Serdar Ozkok2
1Division of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Capa, Istanbul, Turkey. gbahatozturk@yahoo.com.
Aging clinical and experimental research
|July 24, 2023
概括
对可能的肉类的特定人口值,而不是标准值,更好地预测老年门诊患者的功能衰退. 这凸显了针对老年人肉症的定制诊断标准的重要性.
科学领域:
- 老年学是一门学科.
- 临床医学 临床医学
- 公共卫生 公共卫生
背景情况:
- 可能的肉是已知的功能限制在老年人的预测器.
- 萨科佩尼亚的最佳诊断门,标准与人口特异性,对于预测功能障碍仍然不清楚.
研究的目的:
- 为了比较标准的预测准确度 (EWGSOP2) 和与功能恶化相关的可能的肉类的特定人群值.
- 在老年门诊患者中使用不同的值来确定可能的肉类的患病率.
主要方法:
- 一项对1970年老年门诊患者进行的回顾性纵向随访研究.
- 手握强度 (HGS) 用Jamar动力计进行测量.
- 每日生活活动 (ADL) 和仪器ADL (IADL) 用卡茨和劳顿尺度进行评估.
- 根据年龄,性别和营养状况进行调整的考克斯回归模型.
主要成果:
- 可能发生的肉类的患病率为8.7% (标准) 和35.4% (特定人群).
- 与标准值不同的是,特定人群的值与ADL和IADL恶化有显著的相关性 (p < 0.001).
- 在多变量分析中,根据特定人群的切断值定义的可能的肉症独立预测了IADL损伤.
结论:
- 诊断可能的肉类的特定人口值是老年门诊患者纵向功能衰退的更可靠的预测指标.
- 证据支持在临床实践中使用特定人群切断点来诊断肉类病.
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