与虚弱相关的萨尔科佩尼亚有多常见? 使用Kihon检查清单进行诊断
Yuki Niida1, Hidenori Onishi1, Tomoko Okamoto2,3
1Department of Community Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
The journal of medical investigation : JMI
|April 23, 2025
概括
在日本老龄化人口中,6.1%的老年人患有石症和虚弱,这些疾病与日常生活活动受损有关. 解决这两种问题可以防止功能衰退.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 日本面临着一个过度老龄化的社会,与年龄相关的疾病的患病率正在增加.
- 麻症和虚弱是影响老年人健康的重大老年综合征.
- 了解肉症和虚弱的并发症对于有效的干预至关重要.
研究的目的:
- 为了确定在日本社区生活的老年人中 Sarcopenia 和虚弱之间的关联.
- 为了调查缩症和虚弱的发病率及其联合影响.
- 为了识别潜在的诊断标志物与虚弱的萨尔科佩尼亚.
主要方法:
- 研究了一组423名居住在社区的老年人 (平均年龄为77.0岁).
- Sarcopenia 的定义是使用亚洲 Sarcopenia 2019 工作组的标准来定义的.
- 使用Kihon检查清单 (KCL) 评价脆弱性,得分≥7,并评估日常生活的工具活动 (IADL).
主要成果:
- 单独的肉类症的患病率为1.9%,单独的脆弱性为26.7%,两种情况在6.1%的参与者中都存在.
- 肉症和脆弱性都与较低的IADL分数有显著的关联.
- 确定了KCL (7.000) 和KCL-IADL (2.000) 评分的临界值,以评估具有脆弱性的肉症.
结论:
- 大约6.1%的老年人被诊断为使用KCL的软骨症与脆弱性.
- 肉症和虚弱的存在显著损害了日常生活的仪器活动 (IADL).
- 建议针对石症和脆弱性的干预措施,以防止老年人IADL下降.
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