老年住院患者握力和骨骼肌量与营养状况的相关性研究  

A study of the correlation between handgrip strength and skeletal muscle mass and nutritional status in elderly hospitalized patients

作　　者：卢姝妤 陈国婷 毛志锦[2] 黄梦君 许淑芳[2] Shu-Yu LU;Guo-Ting CHEN;Zhi-Jin MAO;Meng-Jun HUANG;Shu-Fang XU(School of Medicine,Jianghan University,Wuhan 430056,China;Department of Clinical Nutrition,Wuhan Central Hospital,Wuhan 430014,China)

机构地区：[1]江汉大学医学院,武汉430056 [2]武汉市中心医院临床营养科,武汉430014

出　　处：《数理医药学杂志》2023年第1期30-35,共6页Journal of Mathematical Medicine

基　　金：武汉市科技计划项目(2020020601012270)。

摘　　要：目的探索老年住院患者握力和骨骼肌量与营养状况的关系。方法对在2020年10月—12月期间于武汉市中心医院全科医学科新入院的142例老年患者进行营养风险筛查(Nutritional Risk Screening 2002,NRS-2002)。测量患者体重、身高、BMI、腰围、小腿围、臀围、上臂围、握力、骨骼肌量和体脂肪。统计患者血液血红蛋白、白蛋白和总蛋白等反映机体营养状况的生化指标。Pearson和Spearman相关分析营养状况与握力及骨骼肌量的相关性。结果老年住院患者NRS-2002评分显示营养不良风险(评分≥3分)构成比为12.6%(18/142),营养不良风险组的握力明显低于无营养不良风险组(评分<3分)[(18.45±10.330)kg/m^(2)vs.(23.49±8.796)kg/m^(2),P=0.028]。营养不良风险组小腿围低于无营养不良风险组[(32.06±3.809)cm vs.(33.91±3.069)cm,P=0.022]。相关性分析显示,握力与NRS-2002评分呈显著负相关,与臀围、小腿围、骨骼肌量、血红蛋白呈正相关,与年龄呈显著负相关。骨骼肌量与NRS-2002评分无明显相关,与握力呈明显的正相关,与腰围、小腿围、臀围、上臂围、血红蛋白、白蛋白呈正相关。结论握力、骨骼肌量可作为老年住院患者的营养筛查指标。Objective To explore the relationship between the nutritional status of elderly inpatients and the handgrip strength and skeletal muscle mass.Method Nutritional risk screening(NRS-2002)was performed on 142 elderly inpatients who were newly admitted to the General Practice Department of Central Hospital of Wuhan from October2020 to December 2020.The weight,height,BMI,waist circumference,Crus circumference,hip circumference,arm circumference,grip strength,skeletal muscle and body fat were measured.The blood hemoglobin,albumin,total protein and other biochemical indicators reflecting the nutritional status of the body were counted.Pearson correlation and Spearman correlation were used to analyze the correlation of nutritional status with HGS and SMM.Result The NRS-2002 score of elderly inpatients showed that the proportion of malnutrition risk(score≥3)was 12.6%(18/142),and the grip strength of malnutrition risk group was significantly lower than that of non-nutrition risk group(score<3)[(18.45±10.330)kg/m^(2) vs.(23.49±8.796)kg/m^(2),P=0.028].The crus circumference of malnutrition risk group was lower than that of non-nutrition risk group[(32.06±3.809)cm vs(33.91±3.069)cm,P=0.022].Conclusion Analysis showed that grip strength was negatively correlated with NRS-2002score,positively correlated with hip circumference,calf circumference,hemoglobin and SMM,and negatively correlated with age.Skeletal muscle mass was positively correlated with grip strength,but not with NRS-2002 score,and positively correlated with waist circumference,hip circumference,upper arm circumference,calf circumference,hemoglobin and albumin Conclusion handgrip strength and skeletal muscle mass can be used as nutritional screening methods for elderly inpatients.

关 键 词：老年住院患者 握力 骨骼肌量 营养风险 营养状况 

分 类 号：R197.323[医药卫生—卫生事业管理]