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在中年和老年中国成年人中识别手握强度不对称时,不同计算方法的准确性
Yilin Wang1, Jing Wang2,3, Binyou Wang1
1Department of Geriatric Medicine, Zigong Mental Health Center, the Zigong Affiliated Hospital of Southwest Medical University, Zigong, Sichuan Province, China.
PloS one
|March 28, 2024
概括
这项研究表明,使用平均握力 (HGS) 值,而不是最大值,对识别HGS不对称有适度的影响. 方法B (平均HGS) 显示了良好的准确性,但与方法A (最大HGS) 只有适度的一致性.
科学领域:
- 老年学是一门学科.
- 生物医学工程 生物医学工程
- 运动学 运动学
背景情况:
- 手握强度 (HGS) 非对称性是临床评估中的一个相关指标.
- 目前用于识别HGS不对称性的方法缺乏标准化的方法,依赖于最大或平均HGS值.
- 这种模糊性影响了跨研究和种群的HGS不对称性测量的可靠性和可比性.
研究的目的:
- 批判性地评估使用平均HGS值 (方法B) 与最大HGS值 (方法A) 相比用于识别HGS不对称性的准确性.
- 确定不同计算方法对不同年龄和性别群体的HGS不对称性患病率的影响.
- 为研究和临床实践中评估HGS不对称性的最佳方法提供见解.
主要方法:
- 分析了一大群12163个人 (47.61%是男性).
- 使用两种方法评估HGS不对称性:方法A (两个试验的最大HGS) 作为参考和方法B (两个试验的平均HGS).
- 统计指标包括灵敏度,特异性,曲线下的面积 (AUC) 和卡帕统计数据用于比较这些方法.
主要成果:
- 根据使用的方法,HGS不对称的患病率因年龄和性别而异.
- 方法B在识别HGS不对称性方面表现出很好的准确性,AUC值在0.844到0.877.7之间.
- 然而,在方法A和方法B之间观察到适度一致 (卡帕值在0.661和0.766之间),表明不对称性分类中的差异.
结论:
- 使用最大值或平均值之间的选择显著影响HGS不对称性的识别和流行.
- 虽然平均HGS (方法B) 提供了良好的诊断准确性,但其与最大HGS方法 (方法A) 的适度一致性需要仔细考虑.
- 需要进一步标准化,以建立HGS不对称性评估的统一方法,以确保一致的临床和研究结果.
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