阶段角度和舌头压力之间的关联在老年住院患者与结缔组织疾病
Toshiyuki Moriyama1,2, Mizuki Tokunaga3, Ryoko Hori3
1Department of Rehabilitation Medicine, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanisihi-ku, Kitakyushu, Fukuoka, 807-8555, Japan. mori-re-ha2018@med.uoeh-u.ac.jp.
Dysphagia
|February 5, 2025
概括
阶段角 (PhA) 与结缔组织疾病 (CTD) 的老年人中舌头压力 (TP) 有关. 较低的PhA可能表明TP减少,有助于早期检测CTD患者的潜在问题.
科学领域:
- 老年学是指老年学的学科.
- 类风湿病学 类风湿病学
- 营养科学 营养科学
背景情况:
- 连接组织疾病 (CTD) 可以影响老年人的肌肉功能和营养状况.
- 舌头压力 (TP) 是口肌肉强度的关键指标,对吞和整体健康至关重要.
- 由生物阻抗分析得出的相角 (PhA) 反映了细胞完整性和营养状况.
研究的目的:
- 为了检查舌头压力 (TP) 和相角 (PhA) 之间的关系,在被诊断为结缔组织疾病 (CTD) 的老年患者中.
- 为了确定潜在的相角 (PhA) 截止值,可以预测这种特定患者群体的舌头压力 (TP) 低.
主要方法:
- 一项回顾性横截面研究,涉及189名65岁及以上的CTD住院患者.
- 使用专门设备测量舌头压力 (TP);通过生物阻抗分析计算相角 (PhA).
- 使用多变量线性回归和接收器运行特征 (ROC) 曲线分析来确定关联和预测截止值.
主要成果:
- 在对混因子进行调整后,在更高的相角 (PhA) 和更大的舌压 (TP) (β = 0.387,p < 0.001) 之间发现了显著的关联.
- 与正常TP (4.3°) 患者相比,低TP患者的平均PhA值 (3.5°) 显着较低.
- 预测低TP的确定的PhA截止值为男性3.9°,女性3.5°.
结论:
- 阶段角 (PhA) 与CTD老年住院患者的舌头压力 (TP) 独立相关.
- 识别的PhA截止值可以作为一种非侵入性工具,用于早期查下降的舌头压力 (TP).
- 这一发现突显了PhA在监测老年CTD患者的肌肉功能和营养状况方面的潜在实用性.
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