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对泰国2型糖尿病患者在门诊环境中的 Sarcopenia查方法的比较分析

Ornpicha Laohajaroensombat¹, Thanapat Limpaarayakul¹, Nattapol Sathavarodom¹

¹Division of Endocrinology, Department of Medicine, Phramongkutklao HospitalPhramongkutklao Hospital and College of Medicine, Bangkok, 10400, Thailand.

|May 16, 2025

概括

牛犊周长是查2型糖尿病患者肉症的最有效工具. 子周长是一个有希望的替代方案,支持在临床环境中早期检测人类测量措施.

科学领域:

内分泌学在内分泌学.
老年病的医生老年病的医生
代谢疾病代谢疾病

背景情况:

2型糖尿病 (T2DM) 与肉症密切相关,导致健康风险增加.
在T2DM患者中缺乏验证的,可访问的查工具,导致诊断不足和治疗延迟.
这项研究解决了对T2DM门诊患者有效查方法的需求.

研究的目的:

评估和比较T2DM门诊患者中各种 Sarcopenia查工具的诊断准确度.
在这个人群中确定最有效的肉症查工具.
为有前途的选工具提出最佳切断值.

主要方法:

进行了一项涉及329名T2DM门诊患者的横截面研究.
八种不同的肉病查工具与2019年亚洲肉病工作组 (AWGS 2019) 的标准进行了比较.
用接收器操作特征 (ROC) 曲线分析和Youden指数来确定最佳切断界限来评估诊断准确性.

主要成果:

麻症的患病率为23.7%.
牛犊周长显示出最高的诊断准确度 (AUC:0.892),男性 (<37.0厘米) 和女性 (<36.0厘米) 的最佳切断值,显示出高灵敏度和可接受的特异性.
子周长 (AUC:0.741) 和SARC-CalF (AUC:0.789) 也显示出诊断效用,而手握强度 (AUC:0.716) 是最准确的体力表现测试.

结论:

牛犊周长是T2DM患者肉症的最有效的查工具.
子周长呈现了一个可行的,简单的,在优化切割值的新选项查.
这些发现倡导将人体测量措施纳入常规临床实践中,用于对肉类的查,特别是在门诊环境中.

关键词:

萨尔科佩尼亚是什么意思萨尔科佩尼亚查工具查工具敏感度敏感度敏感度具体性具体性具体性 2型糖尿病糖尿病类型 2型糖尿病

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