心血管疾病老年患者内在能力和肌肉强度和质量之间的相关性:一项跨部门研究
Xiyan Yu1, Difei Wu2, Fangzhou Li3
1The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, People's Republic of China.
Clinical interventions in aging
|October 21, 2024
概括
心血管疾病患者表现出内在能力 (IC),肌肉强度和质量降低. 在患有心血管疾病的老年人中,早期识别IC衰退对于干预至关重要.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 肌肉生理学 肌肉生理学
背景情况:
- 心血管疾病 (CVD) 是全球主要的死亡原因.
- 高肌肉质量与降低心血管疾病发病率和死亡率有关.
- 内在能力 (IC) 的下降越来越被认为是老年人健康的一个因素.
研究的目的:
- 探索心血管疾病 (CVD) 的老年患者内在容量 (IC),肌肉强度和肌肉质量下降之间的关系.
- 提供一种方法,以便在患有心血管疾病的老年人中早期识别IC衰退.
主要方法:
- 对475名老年人的横截面研究.
- 综合老年学评估 (CGA) 和生物电阻分析 (BIA).
- 统计分析包括t测试,曼-惠特尼测试和ROC曲线分析以确定切断值.
主要成果:
- 与非心血管疾病患者相比,心血管疾病患者的IC显著降低.
- 年龄,Fried分数和GDS-5随IC衰退严重程度的增加而增加.
- 日常生活活动 (ADL),迷你精神状态检查 (MMSE),迷你营养评估-简短形式 (MNA-SF),SARC-Calf,腰围和肌肉质量随IC下降而下降.
结论:
- 患有心血管疾病 (CVD) 和内在能力受损 (IC) 的患者表现出较低的手握力和肌肉质量,与保留IC的患者相比.
- 对于手握强度,腰围和肌肉质量的确定的切断值可以帮助识别患有心血管疾病的老年人中的IC下降.
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