PDF(Pubmed)
Abstract：
UNASSIGNED: In Japan, the number of older adults requiring long-term care insurance (LTCI) is increasing and the cost is becoming a social problem. In these fields, the role of geriatric rehabilitation includes maintaining the physical function and LTCI certification levels. The prevalence of sarcopenia is high among older adults requiring LTCI certification, and there are many opportunities to assess the handgrip strength, walking speed, and muscle mass. This study aimed to identify sarcopenia-related assessments sensitive to transitions in LTCI certification levels and determine cut-off values to predict them.
UNASSIGNED: This prospective cohort study analyzed 98 daycare users (mean age ± standard error: 78.5 ± 0.8 years) between March 2019 and 2023. The participants received LTCI certification before the study, and their levels were renewed between baseline and follow-up (six months later). The measurements included handgrip strength, usual walking speed, body composition, and SARC-F score. Participants were classified into maintenance, deterioration, and improvement groups according to the changes in their LTCI certification levels. We identified factors contributing to the deterioration of LTCI certification levels using baseline and before and after comparisons, multivariate analyses, and receiver operating characteristic analyses.
UNASSIGNED: No significant differences were observed in the baseline data among the groups. Only the deterioration group showed significant changes in the usual walking speed (baseline: 0.64 ± 0.25 m/s, follow-up: 0.53 ± 0.21 m/s, P = 0.008) and body fat percentage (baseline: 29.2 ± 9.9%, follow-up: 27.7 ± 10.3%, P = 0.047). Binomial logistic regression showed that changes in usual walking speed (P = 0.042) and body fat percentage (P = 0.011) were significantly associated with the deterioration of LTCI certification levels, even after adjustment. The cutoff values of change to discriminate the deterioration of LTCI certification levels were -0.14 m/s at the usual walking speed (P = 0.047) and -1.0% for body fat percentage (P = 0.029).
UNASSIGNED: Decreases in usual walking speed and body fat percentage may predict worse certification levels in older adults requiring LTCI.
UNASSIGNED: This prospective cohort study analyzed 98 daycare users (mean age ± standard error: 78.5 ± 0.8 years) between March 2019 and 2023. The participants received LTCI certification before the study, and their levels were renewed between baseline and follow-up (six months later). The measurements included handgrip strength, usual walking speed, body composition, and SARC-F score. Participants were classified into maintenance, deterioration, and improvement groups according to the changes in their LTCI certification levels. We identified factors contributing to the deterioration of LTCI certification levels using baseline and before and after comparisons, multivariate analyses, and receiver operating characteristic analyses.
UNASSIGNED: No significant differences were observed in the baseline data among the groups. Only the deterioration group showed significant changes in the usual walking speed (baseline: 0.64 ± 0.25 m/s, follow-up: 0.53 ± 0.21 m/s, P = 0.008) and body fat percentage (baseline: 29.2 ± 9.9%, follow-up: 27.7 ± 10.3%, P = 0.047). Binomial logistic regression showed that changes in usual walking speed (P = 0.042) and body fat percentage (P = 0.011) were significantly associated with the deterioration of LTCI certification levels, even after adjustment. The cutoff values of change to discriminate the deterioration of LTCI certification levels were -0.14 m/s at the usual walking speed (P = 0.047) and -1.0% for body fat percentage (P = 0.029).
UNASSIGNED: Decreases in usual walking speed and body fat percentage may predict worse certification levels in older adults requiring LTCI.
摘要：
■在日本，需要长期护理保险(LTCI)的老年人数量正在增加，费用正在成为一个社会问题。在这些领域,老年康复的作用包括维持身体功能和LTCI认证水平.在需要LTCI认证的老年人中，肌肉减少症的患病率很高，有很多机会来评估手握力量，步行速度,和肌肉质量。这项研究旨在确定对LTCI认证水平转变敏感的肌肉减少症相关评估，并确定预测它们的截止值。
■这项前瞻性队列研究分析了2019年3月至2023年之间的98名日托使用者（平均年龄±标准误差：78.5±0.8岁）。参与者在研究前获得了LTCI认证，并且其水平在基线和随访期间(6个月后)更新.测量包括握力，通常的步行速度，身体成分,和SARC-F得分。参与者被分类为维护，恶化，并根据其LTCI认证级别的变化进行改进。我们使用基线和比较前后确定了导致LTCI认证水平下降的因素，多变量分析，和接收机工作特性分析。
■组间基线数据没有观察到显著差异。只有恶化组表现出正常步行速度的显着变化（基线：0.64±0.25m/s，随访：0.53±0.21m/s，P=0.008）和体脂百分比（基线：29.2±9.9％，随访：27.7±10.3%，P=0.047)。二项logistic回归显示，通常步行速度（P=0.042）和体脂百分比（P=0.011）的变化与LTCI认证水平的下降显着相关，即使在调整后。区分LTCI认证水平恶化的变化临界值在通常的步行速度下为-0.14m/s（P=0.047），体脂百分比为-1.0％（P=0.029）。
■通常步行速度和体脂百分比的降低可能预示需要LTCI的老年人的认证水平会降低。
■这项前瞻性队列研究分析了2019年3月至2023年之间的98名日托使用者（平均年龄±标准误差：78.5±0.8岁）。参与者在研究前获得了LTCI认证，并且其水平在基线和随访期间(6个月后)更新.测量包括握力，通常的步行速度，身体成分,和SARC-F得分。参与者被分类为维护，恶化，并根据其LTCI认证级别的变化进行改进。我们使用基线和比较前后确定了导致LTCI认证水平下降的因素，多变量分析，和接收机工作特性分析。
■组间基线数据没有观察到显著差异。只有恶化组表现出正常步行速度的显着变化（基线：0.64±0.25m/s，随访：0.53±0.21m/s，P=0.008）和体脂百分比（基线：29.2±9.9％，随访：27.7±10.3%，P=0.047)。二项logistic回归显示，通常步行速度（P=0.042）和体脂百分比（P=0.011）的变化与LTCI认证水平的下降显着相关，即使在调整后。区分LTCI认证水平恶化的变化临界值在通常的步行速度下为-0.14m/s（P=0.047），体脂百分比为-1.0％（P=0.029）。
■通常步行速度和体脂百分比的降低可能预示需要LTCI的老年人的认证水平会降低。
