小腿围测量在社区老年人肌少症筛查中的应用  

Application of calf circumference measurement in sarcopenia screening among community-dwelling older adults

作　　者：莫懿晗 董欣 钟静 苏义冬 邓文与 王小清[2] 王秀华[1] MO Yihan;DONG Xin;ZHONG Jing;SU Yidong;DENG Wenyu;WANG Xiaoqing;WANG Xiuhua(Xiangya Nursing School of Central South University,Changsha,410013,China;不详)

机构地区：[1]中南大学湘雅护理学院,长沙市410013 [2]中南大学湘雅二医院老年科

出　　处：《中国护理管理》2021年第2期191-194,共4页Chinese Nursing Management

基　　金：湖南省重点研发计划项目(2018SK21312);湖南省财政厅教科文资助项目(2050204-30299);中南大学研究生创新课题(2019zzts1036)

摘　　要：目的:评价小腿围测量在中国社区老年人肌少症筛查中的准确性,为社区医护工作人员早期识别老年肌少症患者提供参考。方法:以简单随机抽样方法纳入202例社区老年人,以亚洲肌少症工作组2019年推荐的肌少症诊断标准为参考标准,使用灵敏度、特异度及受试者工作特征(ROC)曲线评价小腿围测量在社区老年人肌少症筛查中应用的准确性。结果:男性小腿围的ROC曲线下面积(AUC)为0.884(95%CI:0.819〜0.948),以34.6 cm为截点时约登指数值最大;女性小腿围AUC为0.902(95%CI:0.838〜0.966),以33.4 cm为截点时约登值最大。结论:小腿围测量在社区老年人肌少症筛查中具有较高的筛检价值。Objective: To evaluate the accuracy of calf circumference measurement in sarcopenia screening among Chinese community-dwelling older adults, and to provide reference for community medical workers in early identification of older adults with sarcopenia. Methods: A total of 202 community-dwelling older adults were included in this study. With the diagnostic criteria recommended by the Asian Working Group on Sarcopenia in Older People(AWGS) in 2019 as the reference standard, the accuracy of calf circumference measurement in sarcopenia screening among community-dwelling older adults was evaluated by sensitivity, specificity and Receiver Operating Characteristic(ROC) curves. Results: The Area Under ROC Curve(AUC) of calf circumference in elderly male was 0.884(95%CI: 0.819-0.948). The AUC of calf circumference in elderly female was 0.902(95%CI: 0.838-0.966). Calf circumference 34.6 cm was the cut-off point for elderly male when the Youden’s index reached the highest level, while 33.4 cm for elderly female. Conclusion: Calf circumference measurement is of high value in sarcopenia screening among community-dwelling older adults.

关 键 词：肌少症 小腿围 老年 筛查 

分 类 号：R47[医药卫生—护理学]