老年女性肌少症与平衡功能的相关性

doi:10.3969/j.issn.1006-9771.2020.07.020

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (7): 842-846.doi: 10.3969/j.issn.1006-9771.2020.07.020

老年女性肌少症与平衡功能的相关性

江茜¹,段德崇²,张晓丹¹()

1.天津体育学院体育教育与教育科学学院,天津市 301617
2.天津滨海新区新北第二小学,天津市 300451

收稿日期:2019-11-13 修回日期:2020-01-16 出版日期:2020-07-25 发布日期:2020-07-24
通讯作者: 张晓丹 E-mail:zxd331@hotmail.com
作者简介:江茜(1996-),女,汉族,河南焦作市人,硕士研究生,主要研究方向：体质健康促进。|张晓丹(1975-),女,汉族,湖北武汉市人,博士,副教授,硕士生导师,主要研究方向：体质健康促进。
基金资助:
教育部人文社科规划基金项目(17YJAZH121)

Correlation between Sarcopenia and Balance Ability in Old Women

JIANG Xi¹,DUAN De-chong²,ZHANG Xiao-dan¹()

1. School of Physical Education and Educational Sciences, Tianjin University of Sport, Tianjin 301617, China
2. Tianjin Binhai New Area Xinbei No.2 Primary School, Tianjin 300451, China

Received:2019-11-13 Revised:2020-01-16 Published:2020-07-25 Online:2020-07-24
Contact: ZHANG Xiao-dan E-mail:zxd331@hotmail.com
Supported by:
Ministry of Education Humanities and Social Sciences Planning Fund Project(17YJAZH121)

摘要/Abstract

摘要：

目的探讨老年女性肌少症与平衡功能之间的相关性。方法 2017年9月至11月,招募60~70岁老年女性224例,根据肌容量、握力和6米步速分为正常组(n = 198)和肌少症组(n = 26)。比较两组闭眼单足站立时间和5次坐立试验时间;闭眼单足站立时间和5次坐立试验时间分别与肌容量、握力和6米步速行Pearson相关分析。结果老年女性肌容量、握力、6米步速单个指标异常率分别为20.5%、14.3%和2.2%,肌少症发生率11.6%。肌少症组闭眼单足站立时间显著短于正常组(t = 4.072, P < 0.001),5次坐立试验时间显著长于正常组( t = -5.461, P < 0.001);正常组闭眼单足站立时间与6米步速明显正相关( r = 0.675, P < 0.01);肌少症组闭眼单足站立时间与6米步速( r = 0.492)和握力(r = 0.286)均显著正相关(P < 0.001);两组5次坐立时间均与握力( r = 0.351, r = 0.462)、肌容量(r = 0.258, r = 0.321)、6米步速(r = 0.337, r = 0.396)显著正相关(P < 0.001)。结论相对肌肉质量和力量而言,老年女性增龄过程中肌肉功能保持相对较好。患肌少症的老年女性动静态平衡功能均下降。静态平衡主要与肌肉功能关系较大,动态平衡与肌肉质量、力量和功能均有关联。

关键词: 老年女性, 肌少症, 平衡, 肌力, 肌肉质量, 肌肉功能

Abstract:

Objective To explore the correlation between sarcopenia and balance in old women. Methods From September to November, 2017, 224 women aged 60 to 70 were recruited. They were divided into normal group (n = 198) and sarcopenia group (n = 26) according to the results of muscle volume, grip strength and 6-meter walking speed (6MWS), and tested with single foot standing with eyes close (SSEC) and the five times of sit-to-stand (5STS). The correlation of the time of SSEC and 5STS to muscle volume, grip strength and 6MWS were analyzed with Pearson's Correlation Analysis in both groups, respectively. Results The incidence of simple decrease in muscle volume, grip strength and 6MWS was 20.5%, 14.3% and 2.2%, respectively, and the incidence of sarcopenia was 11.6%. The time of SSEC was shorter in the sarcopenia group than in the normal group (t = 4.072, P < 0.001), and the time of 5STS was longer ( t = -5.461, P < 0.001). The time of SSEC correlated with 6MWS in normal group ( r = 0.675, P < 0.01), and it correlated with 6MWS ( r = 0.492) and grip strength (r = 0.286) in the sarcopenia group (P < 0.001). The time of 5STS correlated with muscle volume ( r = 0.258, r = 0.321), grip strength (r = 0.351, r = 0.462) and 6MWS (r = 0.337, r = 0.396) in both groups (P < 0.001). Conclusion Compared with muscle mass and strength, the muscle activities remain well in the old women in the process of aging. Both static and dynamic balance reduce in the old women with sarcopenia. The static balance mainly relates with muscle activities, while the dynamic balance relates with all the muscle mass, strength and activities.

Key words: old woman, sarcopenia, balance, muscle strength, muscle mass, muscle activities

中图分类号:

R592

江茜,段德崇,张晓丹. 老年女性肌少症与平衡功能的相关性[J]. 《中国康复理论与实践》, 2020, 26(7): 842-846.

JIANG Xi,DUAN De-chong,ZHANG Xiao-dan. Correlation between Sarcopenia and Balance Ability in Old Women[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(7): 842-846.

图/表 1

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老年女性肌少症与平衡功能的相关性

Correlation between Sarcopenia and Balance Ability in Old Women

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组别	n	闭眼单足站立	5次坐立试验
正常组	198	10.10±7.30	9.91±1.84
肌少症组	26	2.60±0.40	11.90±1.72
t值		4.072	-5.461
P值		< 0.001	< 0.001

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