城市和农村的不同,在撒科佩尼亚的流行率和相关因素:一个系统的审查和元分析
Xiaoyan Li1, Rongyun Wang1, Zhuoer Hou1
1School of Nursing, Zhejiang Chinese Medical University, Hangzhou, China.
Archives of gerontology and geriatrics
|March 9, 2024
概括
随着年龄的增长而导致的肌肉损失 - - 肉症在农村地区比城市地区更为普遍. 关键因素包括年龄,性别,BMI,营养,体力活动和多药.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 标记着与年龄相关的肌肉损失的萨尔科佩尼亚缺乏标准化的诊断标准.
- 新兴研究表明,建筑环境 (城市与农村) 与肉类的发生之间存在联系.
- 较少的研究全面检查了城市和农村环境中萨科佩尼亚患病率的全球变化.
研究的目的:
- 为了调查全球城市和农村人口中 Sarcopenia 的患病率.
- 为了确定与皮病发生的城乡差异相关的因素.
- 通过元分析来综合现有证据.
主要方法:
- 在主要数据库 (PubMed, Web of Science, Embase, CNKI) 进行了系统的文献搜索,截至2023年2月.
- 纳入标准侧重于在城乡人口中使用CT,BIA或DXA评估肌肉质量的观察性研究.
- 使用STATA 11.0进行了元分析,以分析流行率和相关因素,并根据诊断标准和评估工具对子组进行了分析.
主要成果:
- 分析了包括433,091名参与者的66篇文章.
- 萨科佩尼亚的整体综合流行率为0.18 (95% CI 0.14-0.22),具有显著的异质性.
- 与城市群体 (0.16) 相比,农村 (0.20) 和城市-农村 (0.21) 群体的肉类的患病率更高.
- 重要相关因素包括年龄,性别,BMI,营养不良,体力活动和多药.
结论:
- 与城市人口相比,萨科佩尼亚在农村人口中更为普遍.
- 确定的主要影响因素是年龄,性别,BMI,营养状况,体力活动水平和多药.
- 制定标准化诊断标准对于推进肉病的研究和评估至关重要.
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