未经证实:肌肉减少症是影响炎症性肠病(IBD)预后的问题,应通过测量肌肉质量(使用双能X射线吸收法[DXA])进行评估,肌肉力量,和物理性能。DXA有缺点,因为它很贵,没有被国家计划覆盖,需要技术人员.需要其他廉价和简单的检查。目的是探讨大腿围(TC)的分界点和诊断准确性,小腿周长(CC),主观全局评估(SGA),和握力(HGS)来识别IBD患者的肌肉减少症。
UNASSIGNED:该研究于2020年11月至2021年6月在CiptoMangunkusumo医院进行。进行分析以发现TC的截止点和诊断准确性,CC,SGA,和HGS来识别肌肉减少症。
未经评估:根据DXA的评估,60名IBD女性中有7名(11.7%)患有肌少症。使用CC截止值≤31cm,灵敏度,特异性,阳性预测值(PPV),负预测值(NPV),正似然比(PLR),负似然比(NLR)为100%,60.38%,25%,100%,2.52和0。使用TC截止值≤50cm,灵敏度,特异性,PPV,NPV,PLR,NLR是100%,83.02%,43.75%,100%,5.90和0。SGA有灵敏度,特异性,PPV,NPV,PLR,NLR为42.86%,84.91%,27.27%,91.84%,分别为2.84和0.67。HGS的曲线下面积为33.3%。
UNASSIGNED:在这项针对印尼IBD女性的调查中,肌肉减少症的发生率为11.7%。与DXA相比,TC和CC值超过50厘米和31厘米,分别,有助于排除肌少症的诊断。SGA和HGS对于识别肌肉质量减少的价值较低。
UNASSIGNED: Sarcopenia is a problem affecting inflammatory bowel disease (IBD) outcome and should be evaluated by measuring muscle mass (using dual-energy X-ray absorptiometry [DXA]), muscle strength, and physical performance. DXA has drawbacks as it is expensive, not covered by a national program, and requires a technician. Other inexpensive and simple examinations are needed. The objective is to explore cutoff point and diagnostic accuracy of thigh circumference (TC), calf circumference (CC), subjective global assessment (SGA), and handgrip strength (HGS) to identify sarcopenia in IBD patients.
UNASSIGNED: The study was conducted in Cipto Mangunkusumo Hospital during November 2020-June 2021. Analysis was performed to discover the cutoff point and diagnostic accuracy of TC, CC, SGA, and HGS to identify sarcopenia.
UNASSIGNED: As assessed by DXA, 7 of 60 women (11.7%) with IBD had sarcopenia. Using CC cutoff ≤31 cm, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ration (PLR), and negative likelihood ratio (NLR) were 100%, 60.38%, 25%, 100%, 2.52, and 0, respectively. Using TC cutoff ≤50 cm, the sensitivity, specificity, PPV, NPV, PLR, and NLR were 100%, 83.02%, 43.75%, 100%, 5.90, and 0, respectively. SGA has sensitivity, specificity, PPV, NPV, PLR, and NLR of 42.86%, 84.91%, 27.27%, 91.84%, 2.84, and 0.67, respectively. The area under curve of HGS was 33.3%.
UNASSIGNED: In this survey of Indonesian women with IBD, the frequency of sarcopenia was 11.7%. When compared with DXA, TC and CC values over 50 cm and 31 cm, respectively, were helpful to exclude the diagnosis of sarcopenia. SGA and HGS were of lesser value for the identification of a decrease in muscle mass.