什么是"肌肉健康"? 一个叙事审查和概念框架
Katie L Boncella1,2,3,4, Dustin J Oranchuk1,2, Daniela Gonzalez-Rivera1,2,5
1Muscle Morphology, Mechanics, and Performance Laboratory, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Journal of functional morphology and kinesiology
|October 24, 2025
概括
肌肉健康缺乏标准定义,影响研究和临床实践. 这项研究提出了一个基于国际功能,残疾和健康分类的框架,以标准化肌肉健康评估.
科学领域:
- 老年学是一门学科.
- 生理学 生理学 生理学
- 康复科学 康复科学 康复科学
背景情况:
- 肌肉健康是身体表现和独立性的关键,但尚未定义的概念.
- 目前的研究和临床沟通都缺乏标准化的肌肉健康定义.
- 需要一个基于既定框架的概念模型来推进对肌肉健康的理解和评估.
研究的目的:
- 在临床和研究环境中系统地审查和综合肌肉健康的测量方法.
- 确定用于肌肉健康的共同定义和评估工具.
- 为评估肌肉健康提出一个结构化的框架.
主要方法:
- 在过去5年内发表的临床试验和随机对照试验的系统搜索和叙述综合.
- 在PubMed和CINAHL搜索了明确使用术语"肌肉健康"的研究.
- 分析研究以明确定义肌肉健康,确定结果和测量工具,在国际功能,残疾和健康分类框架内综合发现.
主要成果:
- 在包含的65项研究中,只有29项提供了肌肉健康的操作定义.
- 通常测量的组件包括身体组成/肌肉质量 (92.3%),肌肉性能 (78.5%) 和身体功能 (63.1%).
- 普遍的评估方法是握力 (64.6%),DXA (44.6%) 和步行速度 (27.7%).
结论:
- 在不同研究中,肌肉健康的定义和测量存在显著的变化.
- 功能,残疾和健康的国际分类框架为肌肉健康评估提供了结构化的方法 (形态,功能状态,身体能力) 的领域.
- 使用这些领域标准化的评估可以提高研究和临床实践的一致性.
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