天津地区不同性别与年龄老年人肌肉减少症患病率的差异研究

被引：15

作者：

马悦 ^{[1
]}

卞爱琳 ^{[2
]}

王小飞 ^{[2
]}

王俊雄 ^{[1
]}

周信子 ^{[2
]}

机构：

[1] 天津中医药大学

[2] 天津市第一中心医院

来源：

中国全科医学 | 2017年 / 20卷 / 26期

关键词：

老年人; 肌肉减少症; 患病率; 性别因素; 年龄因素;

D O I：

暂无

中图分类号：

R685 [肌肉疾病及损伤];

学科分类号：

摘要：

目的探讨天津地区老年人肌肉减少症患病率的性别、年龄差异。方法选取2014年12月—2016年8月于天津市第一中心医院门诊就诊、查体老年人(年龄≥60岁,n=3 276),以及招募的健康志愿者(年龄18～59岁,n=2 757)共6 033例为研究对象。通过自制的调查问卷调查受试者基本情况,主要内容包括性别、年龄、慢性病病史。采用生物电阻抗分析(BIA)法测量人体成分,记录体质指数(BMI)、脂质量、骨骼肌质量、肌肉质量指数。肌肉力量由握力测定,每只手测量2次,取最高值。肌肉功能由行走4 m步速测定。结果根据亚洲肌肉减少症工作组(AWGS)肌肉减少症的诊断标准,老年人肌肉减少症患病率为12.82%(420/3 276),其中,老年男性、女性肌肉减少症患病率分别为11.10%(258/2 325)、17.03%(162/951)。60～69岁、70～79岁女性肌肉减少症患病率高于男性(P<0.05)。不同性别老年人均随着年龄的增加,肌肉减少症患病率增加(P<0.05)。女性各年龄段BMI比较,差异有统计学意义(P<0.05)。18～44岁、45～59岁、60～69岁男性BMI高于女性(P<0.05)。男性、女性各年龄段脂质量、骨骼肌质量、肌肉质量指数比较,差异均有统计学意义(P<0.05)。各年龄段男性骨骼肌质量、肌肉质量指数均高于女性(P<0.05)。男性、女性各年龄段握力比较,差异均有统计学意义(P<0.05)。各年龄段男性握力均高于女性(P<0.05),70～79岁男性步速大于女性(P<0.05)。男性、女性肌肉减少症患者冠心病、脑梗死后遗症检出率高于无肌肉减少症者(P<0.05)。结论老年人肌肉减少症的发生存在性别、年龄差异,随着年龄的增加,肌肉减少症患病率增加,且女性患病率高于男性。

引用

页码：3267 / 3271

页数：5

共 17 条

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