The present situation and related factors of sarcopenia in elderly hypertensive patients in community
ZHANG Ke1 WANG Yuanxiao1 LI Qian1 CHE Yajie1 LU Yaoqin2 ZHANG Qinghua3 YAN Ping1
1.College of Nursing, Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China;
2.the Center for Disease Control and Prevention of Urumqi, Xinjiang Uygur Autonomous Region, Urumqi 830000, China;
3.College of Nursing, Huzhou Medical University, Zhejiang Province, Huzhou 313000, China
Abstract:Objective To investigate the detection rate of sarcopenia in elderly hypertensive patients in community and to explore the related factors of sarcopenia in elderly hypertensive patients. Methods From August to October 2019, a total of 555 hypertensive patients over 60 years old in three communities of Urumqi were selected for the study by convenient sampling method. The sarcopenia patients were screened by Ishii scale, and they were divided into sarcopenia group and non-sarcopenia group, while the age, exercise, grip strength, walking speed and other data were collected for statistical analysis. Results A total of 209 cases of sarcopenia were detected in 555 elderly hypertensive patients, and the detection rate was 37.66%. There were statistically significant differences in age, education level and weekly exercise frequency between the two groups (P < 0.05). The sarcopenia group was older than the non-sclerosis group, while the grip strength, pace, waist circumference, hip circumference, calf circumference, upper arm circumference, and the body mass index (BMI) were lower than the non-sclerosis group, and the differences were statistically significant (P < 0.05). Multivariate logistic regression analysis showed that age, education, grip strength, calf circumference and BMI were the influencing factors of sarcopenia in hypertensive patients (P < 0.05). Conclusion The prevalence of sarcopenia is high in the elderly hypertensive patients in Urumqi, and the grip strength, calf circumference and BMI are the important related factors of sarcopenia in hypertensive patients in the community.
张可1 王元肖1 李倩1 车雅洁1 卢耀勤2 张庆华3 颜萍1. 社区老年高血压患者少肌症现状及相关因素[J]. 中国医药导报, 2020, 17(18): 68-71.
ZHANG Ke1 WANG Yuanxiao1 LI Qian1 CHE Yajie1 LU Yaoqin2 ZHANG Qinghua3 YAN Ping1. The present situation and related factors of sarcopenia in elderly hypertensive patients in community. 中国医药导报, 2020, 17(18): 68-71.
[1] 王玉川,李柏志.基于人口老龄化现状对医疗服务管理的挑战及对策[J].中国老年学杂志,2019,39(13):3341-3343.
[2] 李艳红.个体化延续护理在老年高血压患者中的应用[J].齐鲁护理杂志,2014,20(15):48-49.
[3] Sions JM,Tyrell CM,Knarr BA,et al. Age-and stroke-related skeletal muscle changes:a review for the geriatric clinician [J]. Geriatr Phys Ther,2012,35(3):155-161.
[4] Yang M,Liu Y,Zuo Y,et al. Sarcopenia for predicting falls and hospitalization in community-dwelling older adults:EWGSOP versus EWGSOP2 [J]. Sci Rep,2019,9:17636.
[5] 赵旭冉,高金娥,海荣,等.少肌症与老年高血压的相关性临床研究[J].中华老年心脑血管病杂志,2017,19(6):604-607.
[6] 中国高血压防治指南修订委员会,高血压联盟(中国)中华医学会心血管病学分会,中国医师协会高血压专业委员会,等.中国高血压防治指南(2018年修订版)[J].中国心血管杂志,2019,24(1):24-56.
[7] Chen LK,Woo J,Assantachai P,et al. Asian Working Group for Sarcopenia:2019 Consensus Update on Sarcopenia Diagnosis and Treatment [J]. J Am Med Dir Assoc,2020,21(3):300-307.
[8] Ishii S,Tanaka T,Shibasaki K,et al. Development of a simple screening test for sarcopenia in older adults [J]. Geriatr Gerontol Int,2014,14(Suppl 1):93-101.
[9] 李敏,宋瑰琦,任海燕,等.Ishii评分在社区老年人少肌症筛查中的应用[J].中国护理管理,2018,18(8):1034-1038.
[10] 程群,郑丽丽,章振林.肌症流行病学及发病机出制[J].中华骨质疏松和骨矿盐疾病杂志,2016,9(3):228-235.
[11] Park SJ,Ryu SY,Park J,et al. Association of Sarcopenia with Metabolic Syndrome in Korean Population Using 2009-2010 Korea National Health and Nutrition Examination Survey [J]. Metab Syndr Relat Disord,2019,17(10):494-499.
[12] Figuera A,Alvareaz-Alvarado S,Jaime SJ,et al. Influence of low and normal appendicularlean mass on central blood pressscle metaboreflex activation in postmenopausal women [J]. Clin Exp Pharmacol Physiol,2016,43(12):1243-1209.
[13] Han K,Park YM,Kwon HS,et al. Sarcopenia as a Determinant of Blood Pressure in Older Koreans:Findings from the Korea National Health and Nutrition Examination Surveys(KNHANES)2008-2010 [J]. PLoS One,2014, 9(1):e86902.
[14] Volpato S,Bianchi L,Cherubini A,et al. Prevalence and clinical correlates of sarcopeniain community-dwelling older people:application of the EWGSOP definition and diagnostic algorithm [J]. J Gerontol A Biol Sci Med Sci,2014,69(4):438-446.
[15] Xu HQ,Shi JP,Shen C,et al. Sarcopenia-related features and factors associated with low muscle mass,weak muscle strength,and reduced function in Chinese rural residents:a cross-sectional study [J]. Arch Osteoporos,2018,14(1):2.
[16] 张健华.2型糖尿病对骨骼肌减少症影响的研究[D].锦州:锦州医科大学,2016.
[17] Kim KM,Gang HC,Lim S. Differences among skeletal muscle mass indices derived from height-,weight-,and body mass index-adjusted models in assessing sarcopenia [J]. Korean J Inter Med,2016,31:643-650.
[18] Hashimoto Y,Kaji A,Sakai R,et al. Sarcopenia is associated with blood pressure variability in older patients with type 2 diabetes:A cross-sectional study of the KAMOGAWA-DM cohort study [J]. Geriatr Gerontol Int,2018,18:1345-1349.
[19] Kim H,Suzuki T,Kim M,et al. Incidence and predictors of sarcopenia onset in community-dwelling elderly Japanese women:4-year follow-up study [J]. Am Med Dir Assoc,2015,16(1):85.e81-e88.
[20] 许雪娟,陈景娴,栾晓军,等.中老年少肌症与非酒精性脂肪肝的关联研究[J].中国医学创新,2018,15(13):1-6.
[21] 杨盼盼.中老年T2DM患者少肌症发生的现况调查[D].南昌:南昌大学,2019.