Health-related physical fitness and self-rated health status of the elderly with possible sarcopenia
YAO Jia-qin1, REN Meng-ting1, YANG Lin1, WANG Yao-ting2, LI Ling-yan1, WANG Hong-yu3
1. School of Nursing, Bengbu Medical College, Bengbu, Anhui 233030, China; 2. School of Postgraduate, Bengbu Medical College, Bengbu, Anhui 233030, China; 3. Department of Sports and Art, Bengbu Medical College, Bengbu, Anhui 233030, China
摘要目的 分析可能肌少症老年人健康体适能特征,探讨可能肌少症与自评健康状况的关系。方法 2022年3—5月采用便利抽样法,收集蚌埠市762名60岁及以上老年人的基本信息、手握力、自评健康状况以及健康体适能测试结果。根据亚洲肌少症工作组2019(Asia Working Group for Sarcopenia 2019, AWGS2019)的推荐标准将其分为正常组和可能肌少症组。采用Mann Whitney U检验和χ2检验比较两组间的差异,采用二元logistic回归分析探究可能肌少症与自评健康状况的关系。结果 762名老年人中共有173名(22.70%)男性和180名(23.62%)女性患可能肌少症。与正常组相比,男性可能肌少症组肌肉力量、有氧能力、上肢柔韧性、敏捷/动态平衡能力较差(P＜0.05);女性可能肌少症组肌肉力量、有氧能力、上下肢柔韧性、敏捷/动态平衡能力均较差(P＜0.05)。可能肌少症组自评健康“较差”者均较正常组多(男性P=0.007;女性P=0.015)。在未调整的模型和进一步调整年龄与身体活动的模型中,男性可能肌少症组自评健康状况“较差”的分别是正常组的2.31(1.24~4.31)倍和2.72(1.36~5.43)倍;女性可能肌少症组自评健康状况“较差”的分别是正常组的1.94(1.13~3.34)倍和2.87(1.59~5.17)倍。结论 可能肌少症老年人的肌肉力量、有氧能力以及敏捷/动态平衡能力较差,自评健康状况更倾向于“较差”,应及早筛查可能肌少症老年人并为其制定相应的健康管理方案。
Abstract：Objective To analyze the characteristics of health-related physical fitness in the elderly with possible sarcopenia, and to explore the relationship between possible sarcopenia and self-rated health status. Methods From March to May 2022, convenience sampling method was used to collect general information of 762 elderly people aged 60 years and above and their results of testing handgrip strength, self-rated health status and health-related physical fitness. According to the diagnostic criteria suggested by the Asia Working Group for Sarcopenia 2019 (AWGS2019), the elderly were divided into the normal group and the possible sarcopenia group. The Mann-Whitney U test and chi-square test were used to compare the differences between the two groups, and binary logistic regression analysis was employed to explore the relationship between possible sarcopenia and self-rated health status. Results A total of 173 (22.70%) men and 180 (23.62%) women had possible sarcopenia among the 762 elders. Compared with the normal group, the male possible sarcopenia group had poorer muscular strength, aerobic capacity, upper body flexibility, agility and dynamic balance (P<0.05), while the female possible sarcopenia group had poorer muscular strength,aerobic capacity, upper and lower body flexibility, agility and dynamic balance (P<0.05). Compared with the normal group, more elders in the possible sarcopenia group reported poor self-rated health (P=0.007 in men, P=0.015 in women). In the unadjusted model and the model adjusted for age and physical activity, older men in the possible sarcopenia group had a 2.31(1.24-4.31)-fold and 2.72(1.36-5.43)-fold poor self-rated health than those in the normal group, and older women in the possible sarcopeniagroup had a 1.94(1.13-3.34)-fold and 2.87(1.59-5.17)-fold poor self-rated health than those in the normal group. Conclusion The elderly with possible sarcopenia had poorer muscular strength, aerobic capacity and agility and dynamic balance, and they were more likely to report poor self-rated health. Early screening and corresponding health management plan should be carried out in the elderly with possible sarcopenia.
姚佳琴, 任梦婷, 杨琳, 王耀霆, 李灵艳, 王红雨. 可能肌少症老年人健康体适能及自评健康状况研究[J]. 实用预防医学, 2023, 30(4): 395-399.
YAO Jia-qin, REN Meng-ting, YANG Lin, WANG Yao-ting, LI Ling-yan, WANG Hong-yu. Health-related physical fitness and self-rated health status of the elderly with possible sarcopenia. , 2023, 30(4): 395-399.
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2023, Vol. 30 
