三种肌少症评估工具筛查社区老年人肌少症效果比较
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女,硕士,副教授,外科护理教研室主任

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山西省高等学校大学生创新创业训练计划重点项目(2019816);山西省吕梁市科技计划项目(2020SHFZ70)


Comparison of three sarcopenia screening tools in community-dwelling older adults
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    目的 探讨适用于社区老年人肌少症筛查的工具,为早发现、早干预提供依据。方法 对山西省吕梁市13个县市城区社区的1 455名老年人,分别采用肌肉减少症五条目(SARC-F)量表、肌肉减少症五条目联合小腿围(SARC-CalF)量表、肌肉减少症五条目结合老龄和体重指数(SARC-F+EBM)量表进行测量,以2019年亚洲肌少症工作组肌少症诊断标准为依据,计算SARC-F、SARC-CalF、SARC-F+EBM的敏感度、特异度、阳性预测值、阴性预测值及ROC曲线下面积(AUC)。结果 社区老年人肌少症发病率为18.69%。SARC-F、SARC-CalF及SARC-F+EBM诊断敏感度分别为 21.32%、66.67%、43.75%,特异度分别为86.19%、92.73%、87.24%,阳性预测值分别为25.89%、66.70%、44.07%,阴性预测值分别为 82.62%、91.65%、87.09%,AUC分别为0.665、0.755、0.752。结论 SARC-CalF、SARC-F+EBM比SARC-F具有更好的诊断性,可作为我国社区老年人肌少症的快速筛查工具。

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    Objective To identify a sarcopenia screening tool for community-dwelling older adults, and to provide evidence for early detection and intervention. Methods A total of 1 455 older adults were selected from urban communities of 13 counties in Lvliang City of Shanxi Province and were screened for sarcopenia by utilizing the SARC-F, SARC-CalF and SARC-F+EBM. The sensitivity, specificity,positive predictive value (PPV),negative predictive value (NPV) and the area under the receiver operating characteristic (ROC) curve (AUC) of SARC-F,SARC-CalF and SARC-F+EBM were calculated by using the Asian Working Group for Sarcopenia (AWGS) 2019 consensus as the "gold standard". Results The prevalence of sarcopenia was 18.69% in community-dwelling older adults according to the AWGS 2019 criteria. The sensitivity of SARC-F, SARC-CalF and SARC-F+EBM was 21.32%, 66.67% and 43.75% respectively. The specificity was 86.19%, 92.73% and 87.24% respectively. The PPV was 25.89%, 66.70% and 44.07% respectively. The NPV was 82.62%, 91.65% and 87.09% respectively. The AUC was 0.665,0.755 and 0.752, respectively. Conclusion The SARC-CalF and SARC-F+EBM were more accurate for screening sarcopenia compared with the SARC-F,which can be used as rapid sarcopenia screening tools for community-dwelling older adults in China.

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薛晓燕,秦泰然,武琪,郭艳,杨玉静,赵敏.三种肌少症评估工具筛查社区老年人肌少症效果比较[J].护理学杂志,2021,36(20):10-14

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  • 收稿日期:2021-05-28
  • 最后修改日期:2021-07-10
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  • 在线发布日期: 2022-09-16