根据2023年韩国萨科佩尼亚标准工作组的萨科佩尼亚患病率和跌倒风险
Minjung Kim1, Seongmin Choi2, Dong Hwan Yun3
1Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul 03080, Republic of Korea.
Medicina (Kaunas, Lithuania)
|June 27, 2025
概括
根据2023年韩国麻症工作组 (KWGS) 的标准,麻症在老年人中很常见. 功能性sarcopenia在女性中更为频繁,而步行速度预测男性的跌倒,而功能性sarcopenia预测女性的频繁跌倒.
科学领域:
- 老年学是一门学科.
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 标志着与年龄相关的肌肉质量和功能丧失的萨尔科佩尼亚是老年人倒的重要危险因素.
- 修订后的2023年韩国萨尔科佩尼亚工作组 (KWGS) 的定义包括功能性萨尔科佩尼亚,识别了尽管肌肉质量正常,但力量/表现较低的个体.
研究的目的:
- 根据2023年KWGS标准,调查萨尔科佩尼亚,严重的萨尔科佩尼亚和功能性萨尔科佩尼亚的流行率.
- 检查这些肉症定义与跌倒风险之间的关联,按性别和跌倒频率分层.
主要方法:
- 从韩国脆弱和衰老队列研究中对2061名70-84岁的韩国成年人进行横截面分析.
- 根据肌肉质量,握力和身体性能测试 (例如步行速度) 进行了萨科佩尼亚分类.
- 通过自我报告收集的摔倒数据 (过去一年≥1,≥2,≥4次摔倒);用于性别特定分析的后勤回归.
主要成果:
- 麻症的患病率:男性为32.9%,女性为21.5%. 严重的肉症:男性10.1%,女性5.0%.
- 功能性sarcopenia在女性 (10.5%) 比男性 (5.1%) 更为普遍.
- 在男性中,步行速度定义的肉症强烈预测了跌倒风险 (OR 2.28-5.64). 在女性中,步行速度定义的肉与≥1次跌倒有关 (OR1.72),功能性肉与频繁跌倒有关 (OR3.79-3.87).
结论:
- 2023年KWGS指导方针揭示了萨科佩尼亚患病率和跌倒风险关联的重要性别特异性差异.
- 步行速度是老年男性中跌倒风险的一个关键预测因素,而功能性肉症在老年女性中频繁跌倒更相关.
- 研究的局限性包括横截面设计和自我报告的跌倒数据,需要对回忆偏差保持谨慎.
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