在韩国老年男性中评估呼吸道肌肉强度的萨尔科佩尼亚查:回顾性分析
Tae Sung Park1,2, Sa-Eun Park3, Ki-Hun Kim3
1Department of Convergence Medical Institute of Technology, Pusan National University Hospital, Busan, Korea.
The world journal of men's health
|September 27, 2024
概括
呼吸道肌肉强度,包括最大吸入压力 (MIP) 和最大呼出压力 (MEP),可以有效地选老年男性的肉症. 对于MIP (65.50 cmH2O) 和MEP (84.50 cmH2O) 的新切割值被建议用于此选.
科学领域:
- 老年学是一门学科.
- 呼吸系统医学 呼吸系统医学
- 肌肉骨健康 肌肉骨健康
背景情况:
- 标志着肌肉质量和力量的损失的萨尔科佩尼亚在老年人中很普遍.
- 传统的查方法包括手握强度 (HGS) 和骨肌肉质量指数 (SMI).
- 呼吸道肌肉强度还没有被充分探索为sarcopenia的查工具.
研究的目的:
- 评估呼吸肌肉强度 (MIP和MEP) 在识别老年男性肉类的有效性.
- 为了比较呼吸道肌肉强度的诊断潜力与传统的 Sarcopenia查措施 (HGS,SMI).
- 为了确定MIP和MEP的切割值,用于 Sarcopenia查.
主要方法:
- 追溯分析了282名65岁以上的男性患者.
- 测量包括最大吸入压力 (MIP),最大呼出压力 (MEP),HGS和SMI.
- 统计分析包括t测试和ROC曲线来确定灵敏度和特异性.
主要成果:
- 接收器操作特征 (ROC) 曲线分析确定了对 Sarcopenia 查的截止值.
- 对MIP的最佳截止值为65.50cmH2O (AUC=0.70,敏感性=0.63,特异性=0.61).
- 对于MEP的最佳切割值是84.50cmH2O (AUC=0.74,敏感性=0.66,特异性=0.68).
结论:
- 呼吸道肌肉强度 (MIP和MEP) 是老年男性肉症查的一个有价值的工具.
- 拟议的选截止值为MIP的65.50cmH2O和MEP的84.50cmH2O.
- 呼吸道肌肉强度可以预测肉症,即使HGS和SMI测量是不可行的.
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