在衰老的血液透析患者中,萨科佩尼亚的特定阶段的患病率和进展:一个多中心的横截面研究
Frontiers in public health
|November 24, 2025
概括
麻症影响了超过一半的接受维持血液透析 (MHD) 的老年人. 营养,体力活动和自我效能等关键因素影响其发病和进展,建议进行干预的目标.
科学领域:
- 老年学是一门学科.
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
背景情况:
- 萨科佩尼亚是人口老龄化中的一个重大健康问题.
- 维护血液透析 (MHD) 患者患上肉症的风险增加.
- 了解MHD中特定阶段的sarcopenia进展对于干预至关重要.
研究的目的:
- 为了确定老年MHD患者的肉症的患病率和进展模式.
- 为了确定可修改的风险和保护因素,在这个队列中,为sarcopenia.
- 为MHD患者健康老龄化提供早期公共卫生干预信息.
主要方法:
- 这是一项多中心的横截面研究,涉及448名患有MHD的老年人 (≥60岁).
- 使用2019年亚洲肉病工作组 (AWGS) 标准进行肉病评估.
- 后勤回归分析,以确定与肉症发病和进展相关的因素.
主要成果:
- 麻症的患病率为54.0% (可能:25.0%,确诊:19.6%,严重:9.4%).
- 保护因素包括女性性别,更高的BMR,BMI和自我效能;风险因素包括体力活动低,糖尿病,更长时间的透析年份和营养不良.
- 进展与降低的BMI,蛋白质质量,自我有效性和增加的BMR,身体不活动有关.
结论:
- 在老年MHD患者中,肉症的流行率很高,具有明显的特定阶段的进展.
- 鉴定了萨尔科佩尼亚发病和进展的关键可修改因素.
- 建议早期查和针对营养,体力活动和自我有效性的干预措施.
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