基于人体成分分析研究住院患者肌少症的发生率及影响因素  

To study the incidence and influencing factors of sarcopenia in hospitalized patients based on bioelectrical impedance analysis

作　　者：万润 尚轶[1] 万滢 赵思华 WAN Run;SHANG Yi;WAN Ying;ZHAO Sihua(The first general surgery ward of the Second Hospital of Lanzhou University,Lanzhou 730030;Department of Respiratory Medicine,No.940 Joint Logistics Support Hospital,Lanzhou 730050;The First Hospital of Lanzhou University,Lanzhou 730022,China)

机构地区：[1]兰州大学第二医院普外一病区,730030 [2]联勤保障第940医院呼吸内科一病区,730050 [3]兰州大学第一医院,730022

出　　处：《中国老年保健医学》2023年第4期59-63,共5页Chinese Journal of Geriatric Care

基　　金：甘肃省自然科学基金(编号:23JRRA0945)。

摘　　要：目的探讨住院患者肌少症的发生状况及影响因素。方法选取甘肃省某三级甲等医院收治的住院患者进行单中心横断面研究,采用2019版亚洲肌肉减少症工作组诊断标准,通过人体成分分析仪检测肌肉质量,同时收集研究对象的基本资料,根据结果分为肌少症组和非肌少症组,并进一步采用Logistic回归分析肌少症的危险因素。结果共纳入1483例住院患者作为研究对象,其中肌少症450例,非肌少症1033例,患病率为30%,两组的基线资料具有统计学差异,多因素回归分析显示男性、胆道疾病、有内脏肥胖、体内水分是住院患者肌少症发生的危险性因素(P<0.05,OR>1),去脂体重、体脂肪是住院患者肌少症发生的保护性因素(P<0.05,OR<1)。结论住院患者肌少症的发生与男性、胆道疾病、有内脏肥胖、体内水分、体脂肪和去脂体重有关。临床工作人员需要早期识别影响肌少症的危险因素,针对性地开展健康教育,改善患者的营养状况及机体条件预防肌少症的发生。Objective To investigate the incidence and influencing factors of sarcopenia in hospitalized patients.Methods A single center cross-sectional study was conducted on hospitalized patients admitted to a hospital in Gansu Province.Using the 2019 Asian Working Group on sarcopenia diagnostic criteria,muscle mass was measured using a body composition analyzer,and basic data on the subjects were collected.According to the results,they were divided into sarcopenia group and non-sarcopenia group.Logistic regression analysis was further used to analyze the risk factors for sarcopenia.Results A total of 1483 hospitalized patients were included in the study,450 patients had sarcopenia,1033 patients had non-sarcopenia,the prevalence was 30%,the baseline data of the two groups were statistically different,multivariate regression analysis showed that male gender,biliary disease,having visceral obesity,body water were risk factors for the development of sarcopenia in hospitalized patients(P<0.05,OR>1),and delipidated body weight,body fat were protective factors for the development of sarcopenia in hospitalized patients(P<0.05,OR<1).Conclusion The occurrence of sarcopenia in hospitalized patients is related to male,biliary tract disease,visceral obesity,body water,body fat and fat-free weight.Clinical staff need to identify the risk factors affecting sarcopenia early,carry out targeted health education,improve the nutritional status and body conditions of patients to prevent the occurrence of sarcopenia.

关 键 词：肌少症 发生率 影响因素 

分 类 号：R685[医药卫生—骨科学]