确定土耳其儿童腹部骨肌部位的参考值
Tuğba Aydın1,2, Eda Cingöz3, Amine Durmuş3
1Physical Therapy and Rehabilitation Department, Istanbul Physical Therapy Rehabilitation Training and Research Hospital, Istanbul, Turkiye.
Journal of back and musculoskeletal rehabilitation
|December 22, 2025
概括
这项研究确定了土耳其儿童腹部骨肌区域的关键年龄和性别特定的参考值. 这些基准有助于早期识别低肌肉质量,支持儿科健康评估.
科学领域:
- 儿科成像和身体组成分析.
- 肌肉骨健康和肉症研究.
- 临床参考标准的制定.
背景情况:
- 标志着肌肉软弱和肌肉质量低的萨尔科佩尼亚会影响儿童的健康,通常与慢性疾病和营养不良有关.
- 计算机断层扫描 (CT) 是肌肉质量评估的黄金标准,但对于腹部骨肌面积 (aSMA) 的儿科参考值很少,并且取决于人口.
- 对于腰部水平的儿科aSMA存在有限的数据,这阻碍了准确的诊断和监测.
研究的目的:
- 为土耳其儿童的aSMA创建特定年龄和性别的参考值和百分位曲线.
- 为了确定 L3,L3-L4 和 L4-L5 级别的 psoas 肌肉区域 (PMA),副脊髓肌肉区域 (PSMA) 和总骨肌肉区域 (TSMA) 的规范性数据.
- 为儿童医学中标准化腹部骨肌肉评估提供特定人群的基准.
主要方法:
- 对2166名土耳其儿童 (0-18岁) 的腹部CT扫描进行了回顾性分析.
- aSMA,PMA,PSMA和TSMA在三个腰部水平上进行测量.
- 用Lambda-Mu-Sigma方法计算百分位曲线,并确定 ±2 SD 间隔.
主要成果:
- 对于PMA,PSMA和TSMA,生成了特定于年龄和性别的百分位数值 (第3至第97位) 和±2 SD范围.
- 与其他族群相比,观察到显著的人口间差异.
- 在L3-L4时PMA的规范性数据在第50百分位数中从3.3-15.4厘米2 (女孩) 和3.3-27.2厘米2 (男孩) 之间.
结论:
- 对土耳其儿童 (0-18岁) 的PMA,PSMA和TSMA建立了特定水平的规范图表 (第3至第97百分位数,±2 SD).
- 这些特定人群的基准标准标准化了腹部骨肌肉评估.
- 促进儿童群体中低肌肉质量的早期识别.
相关概念视频
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