在心力衰竭患者中,萨尔科佩尼亚与生活质量之间的关联
Leonor P Silva1, Luciana Silva1, Inês Neves2
1Serviço de Medicina Interna da Unidade Local de Saúde Gaia e Espinho, Vila Nova de Gaia, Portugal.
概括
按手握力 (HGS) 衡量肌肉力量的减少与心力衰竭 (HF) 患者的生活质量 (QoL) 的降低有关. 评估HGS可以帮助管理肉症风险并改善患者的福祉.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 康复医学 康复医学 康复医学
背景情况:
- 肌肉质量和功能丧失的萨尔科佩尼亚,在心力衰竭 (HF) 患者中很常见.
- 萨科佩尼亚会对患者的生活质量 (QoL) 产生负面影响.
研究的目的:
- 调查稳定的HF患者的手握强度 (HGS),肌肉强度的测量,和QoL之间的关联.
- 测试降低HGS是否是较差QoL的独立预测因素.
主要方法:
- 在114名稳定的高风患者的横截面研究中.
- 使用数字动力计评估HGS,并使用性别特定值定义肉症.
- 利用多重线性回归来识别与QOL独立相关的因素,包括人口统计,并发症,HF严重程度,脆弱性和QOL分数 (堪萨斯市心肌病问卷).
主要成果:
- 平均HGS为20.9±8.4公斤,其中54.5%的人可能患有肉症.
- 较高的HGS与QoL (r=0.46,p<0.001) 有正相关性.
- 多变量分析显示,更高的HGS,更年轻的年龄,更低的NYHA类和更低的脆弱性得分独立地与更好的QOL相关. 10公斤的HGS增加预测了8.7点的QOL改善.
结论:
- 手握强度是慢性心力衰竭患者QoL的独立预测指标.
- 定期的HGS评估可以帮助监测肉症风险并优化患者管理.
- 改善HGS可能会改善HF患者的日常功能和QoL.
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