Utility of SARC-F for Assessing Physical Function in Elderly Patients With Cardiovascular Disease

被引：77

作者：

Tanaka, Shinya ^{[1
]}

Kamiya, Kentaro ^{[2
]}

Hamazaki, Nobuaki ^{[1
,2
]}

Matsuzawa, Ryota ^{[2
]}

Nozaki, Kohei ^{[2
]}

Maekawa, Emi ^{[3
]}

Noda, Chiharu ^{[3
]}

Yamaoka-Tojo, Minako ^{[1
,4
]}

Matsunaga, Atsuhiko ^{[1
,4
]}

Masuda, Takashi ^{[1
,4
]}

Ako, Junya ^{[1
,3
]}

机构：

[1] Kitasato Univ, Grad Sch Med Sci, Dept Cardiovasc Med, Sagamihara, Kanagawa, Japan

[2] Kitasato Univ Hosp, Dept Rehabil, Sagamihara, Kanagawa, Japan

[3] Kitasato Univ, Dept Cardiovasc Med, Sch Med, Sagamihara, Kanagawa, Japan

[4] Kitasato Univ, Sch Allied Hlth Sci, Dept Rehabil, Sagamihara, Kanagawa, Japan

来源：

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION | 2017年 / 18卷 / 02期

关键词：

Sarcopenia; screening; SARC-F; physical function; elderly; cardiovascular disease; RESPIRATORY MUSCLE STRENGTH; CHRONIC HEART-FAILURE; OLDER-ADULTS; SARCOPENIA; DISABILITY; PREDICTOR; MORTALITY; ASSOCIATION; PERFORMANCE; PROGNOSIS;

D O I：

10.1016/j.jamda.2016.10.019

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

030301 [社会学]; 100201 [内科学];

摘要：

Objectives: A simple and inexpensive tool for screening of sarcopenia would be helpful for clinicians. The present study was performed to determine whether the SARC-F questionnaire is useful in screening of patients with cardiovascular disease (CVD) for impaired physical function. Design: Cross-sectional study. Setting: Single university hospital. Participants: A total of 235 Japanese patients >= 65 years old admitted to our hospital for CVD. Measurements: SARC-F, handgrip strength, leg strength, respiratory muscle strength, standing balance, usual gait speed, Short Physical Performance Battery (SPPB) score, and 6-minute walking distance were measured before discharge from hospital. The patients were divided into 2 groups according to SARC-F score: SARC-F < 4 (nonsarcopenia group) and SARC-F >= 4 ( sarcopenia group). Results: The sarcopenia prevalence rate was 25.5% and increased with age (P trend <.001). The sarcopenia group ( SARC-F score >= 4) had significantly lower handgrip strength, leg strength, and respiratory muscle strength, poorer standing balance, slower usual gait speed, lower SPPB score, and shorter 6-minute walking distance compared to the nonsarcopenia group (SARC-F score < 4). Patients in the sarcopenia group had consistently poorer physical function even after adjusting for covariates. Conclusion: The SARC-F questionnaire is a useful screening tool for impaired physical function in elderly CVD patients. These findings support the use of the SARC-F for screening in hospital settings. (C) 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

引用

页码：176 / 181

页数：6

共 38 条

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