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患有多发性硬化症的老年人中的肉类:一个横截面研究
Tobias Gaemelke1, Ida S Pedersen2, Ulrik Dalgas1
1Exercise Biology, Department of Public Health, Aarhus University, Aarhus, Denmark.
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|December 4, 2024
概括
在患有多发性硬化症 (pwMS) 的老年人中诊断肉类是使用下肢测试更准确的. 这种方法更好地识别了肌肉质量和力量的减少,这对于管理这种人群中的肉症至关重要.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 运动学 运动学
背景情况:
- 患有多发性硬化症 (pwMS) 的老年人占MS人口的三分之一以上.
- 衰老和多发性硬化症的症状可能会增加肉症的风险,其特点是肌肉损失和软弱.
- 麻症对老年PWMS的影响还没有得到充分的研究.
研究的目的:
- 为了确定老年PWMS患者的肉类症诊断如何受到影响,使用上肢与下肢测试.
- 使用EWGSOP2标准,比较不同诊断方法对老年PWMS中肉类的敏感性.
主要方法:
- 一项横截面研究分析了41名老年PWMS和27名健康对照 (HC) 的数据.
- 使用欧洲老年人肉病工作组2 (EWGSOP2) 诊断工具评估了肉病.
- 具体包括下肢肌肉强度测试.
主要成果:
- 较老的pwMS与HC相比,其下肢的肌肉质量和强度明显较低.
- 虽然15%的老年 pwMS 具有 Sarcopenic 肌肉质量,但只有5%的患者被诊断为 Sarcopenia.
- 在5%的老年PWMS患者中发现上肢力量降低,下肢力量降低7%.
结论:
- 在使用下肢强度测试时,老年PWMS患者的肉类症诊断更为敏感.
- 建议在评估老年PWMS患者的肉症时进行下肢评估,因为它们的影响更大.
- 这凸显了针对这一特定人口群体的有针对性的诊断工具的重要性.
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