【摘要】：目的探討軀體綜合能力評估工具簡易機體功能評估(SPPB)及計時起走測試(TUG)評估老年人肌肉功能、肌力及肌量的價值。方法選取2015年7—10月上海市虹口區(qū)歐陽路街道社區(qū)衛(wèi)生服務(wù)中心老年女性患者106例,對其進行SPPB、TUG評估,SPPB包括串聯(lián)站立測試、2.44 m行走測試、5次坐立測試;并通過日常步速評估肌肉功能、握力評估肌力、雙能X線骨密度儀(DXA)測定并計算相對四肢骨骼肌指數(shù)(RASM)以評估肌量。分析SPPB、TUG與日常步速、握力、RASM的相關(guān)性。結(jié)果 106例老年女性日常步速平均值為(1.32±0.28)m/s,握力為(19.46±3.91)kg,RASM為(5.94±0.82)kg/m~2。SPPB、TUG的測試結(jié)果:串聯(lián)站立測試時間(7.81±3.13)s,2.44 m行走測試時間(1.83±0.44)s,5次坐立測試時間(9.91±3.06)s,TUG時間(8.96±2.34)s。年齡、體質(zhì)指數(shù)(BMI)、2.44 m行走測試時間、5次坐立測試時間、TUG時間與日常步速均呈負相關(guān)(P0.05),串聯(lián)站立測試時間與日常步速無直線相關(guān)性(P0.05);年齡、2.44 m行走測試時間與握力呈負相關(guān)(P0.05),BMI、串聯(lián)站立測試時間、5次坐立測試時間以及TUG時間與握力無直線相關(guān)性(P0.05);BMI、5次坐立測試時間、TUG時間與RASM呈正相關(guān)(P0.05),年齡、串聯(lián)站立測試時間、2.44 m行走測試時間與RASM無直線相關(guān)性(P0.05)。校正年齡及BMI后進行相關(guān)性分析,2.44 m行走測試時間、5次坐立測試時間、TUG時間與日常步速均呈負相關(guān)(P0.05),串聯(lián)站立測試時間與日常步速無直線相關(guān)性(P0.05);2.44 m行走測試時間與握力呈負相關(guān)(P0.05),串聯(lián)站立測試時間、5次坐立測試時間以及TUG時間與握力無直線相關(guān)性(P0.05);串聯(lián)站立測試時間、2.44 m行走測試時間、5次坐立測試時間、TUG時間與RASM無直線相關(guān)性(P0.05)。多元線性回歸分析結(jié)果顯示,2.44 m行走測試時間(β=-0.658,SE=0.024,t=-27.529,P0.001)、TUG時間(β=-0.015,SE=0.005,t=3.254,P=0.002)是影響日常步速的因素;2.44 m行走測試時間(β=-2.422,SE=0.835,t=-2.628,P=0.005)是影響握力的因素。結(jié)論 2.44 m行走測試、TUG可反映肌肉功能,2.44 m行走測試可反映肌力。SPPB、TUG對評估肌量無價值,但可作為評估肌肉功能、肌力的工具。
[Abstract]:Objective to evaluate the value of simple body function assessment (SPPB) and time walking test (TUG) to evaluate the muscle function, muscle strength and muscle mass of the elderly. Methods 106 cases of elderly women in the community health service center of Ouyang Road, Hongkou District, Shanghai, from 7 to October 2015, were selected for their SPPB, TUG assessment, and SPPB including Series standing test, 2.44 m walking test, 5 sitting test, and evaluation of muscle function by daily pace, grip strength assessment muscle strength, dual energy X-ray bone densitometer (DXA) measurement and calculation of skeletal muscle index (RASM) to evaluate muscle mass. Analysis of the correlation between SPPB, TUG and daily pace, grip strength and RASM. Results 106 cases of elderly women's daily pace leveling. The mean value was (1.32 + 0.28) m/s, the grip strength was (19.46 + 3.91) kg, RASM was (5.94 + 0.82) kg/m~2.SPPB, and the test results of TUG were: Series standing test time (7.81 + 3.13) s, 2.44 m walking test time (1.83 + 0.44) s, 5 sitting test time (9.91 +) s, TUG time s. age, body mass index (BMI), walking test time Test time, TUG time and daily pace were negatively correlated (P0.05), series standing test time had no linear correlation with daily pace (P0.05); age, 2.44 m walking test time was negatively correlated with grip strength (P0.05), BMI, series standing test time, 5 sitting test time, TUG time and grip strength without linear correlation (P0.05); BMI, 5 sitting stand. Test time, TUG time and RASM positive correlation (P0.05), age, series standing test time, 2.44 m walking test time without linear correlation with RASM (P0.05). Correction age and BMI after correlation analysis, 2.44 m walking test time, 5 sitting test time, TUG time and daily pace are negatively correlated (P0.05), in series standing test There was no linear correlation with daily pace (P0.05); 2.44 m walking test time was negatively correlated with grip strength (P0.05), series standing test time, 5 sitting test time, and no linear correlation between TUG time and grip strength (P0.05), series standing test time, 2.44 m walking test time, 5 sitting test time, TUG time related to RASM without linear correlation. P0.05. The results of multivariate linear regression analysis showed that 2.44 m walking test time (beta =-0.658, SE=0.024, t=-27.529, P0.001), TUG time (beta =-0.015, SE=0.005, t=3.254, P=0.002) were factors affecting the daily pace, and the factors affecting the grip strength were the 2.44 m walking test time. Conclusion 2.44 walking test, UG can reflect muscle function. 2.44 m walking test can reflect muscle strength.SPPB, TUG has no value in evaluating muscle mass, but it can be used as a tool to evaluate muscle function and muscle strength.
【作者單位】： 上海交通大學附屬第一人民醫(yī)院內(nèi)分泌代謝科;上海市虹口區(qū)歐陽路街道社區(qū)衛(wèi)生服務(wù)中心;
【基金】：上海市自然科學基金資助項目(13ZR1433700)
【分類號】：R592

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