Screening efficacy of PhA and MNA-SF in different stages of sarcopenia in the older adults in community

BMC Geriatrics

Research

Xinying Dong¹  Xiaoli Zhu¹  Shugang Li¹  Li Wang²  Xueting Lao²  Hao Wu³ 

[1] Department of Child, Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, No.10 YOU’anmenwai Xitoutiao, Fengtai District, 100069, Beijing, China;Fangzhuang Community Health Center, Capital Medical University, 100078, Beijing, China;School of general practice and continuing education, Capital Medical University, No.10 YOU’anmenwai Xitoutiao, Fengtai District, 100069, Beijing, China;

关键词: Community;    The older adults;    Sarcopenia;    The phase angle;    MNA-SF;   

DOI  :  10.1186/s12877-022-03716-x

 received in 2022-07-19, accepted in 2022-12-23,  发布年份 2022

来源: Springer

【 摘 要 】

ObjectiveTo compare the screening ability of the phase Angle (PhA) and the Short-Form Mini Nutritional Assessment (MNA-SF) alone and combined detection in the different stages of sarcopenia among the older adults in the community.MethodsThe older adults aged 65 and above were enlisted during community outpatient service and their nutritional status was evaluated by MNA-SF scale. PhA was measured by bioelectrical impedance analysis (BIA). AWGS2019 and EWGSOP2010 were used to define the different stages of sarcopenia. We measured skeletal mass index (SMI) and grip strength with BIA and electronic grip apparatus and measured body function with 6-m pace, SPPB test, and standing test.ResultsThe AUC of PhA in the screening of possible sarcopenia was 0.640, the sensitivity was 58.49%, the specificity was 66.67%, and the cut-off value was 4.5. The AUC of the combined PhA and MNA-SF for possible sarcopenia was 0.642, the sensitivity was 57.55%, and the specificity was 70.00%. The AUC of MNA-SF for the screening of pre-sarcopenia was 0.805, the sensitivity was 66.67%, the specificity was 85.83%, and the cut-off value was 12. The AUC of the combined PhA and MNA-SF was 0.826, the sensitivity was 75.00%, and the specificity was 85.00%. The AUC of PhA in the screening of sarcopenia (common type) was 0.808, the sensitivity was 82.35%, the specificity was 73.33%, the cut-off value was 4.4. The AUC of the combined PhA and MNA-SF for sarcopenia (common type) was 0.835, the sensitivity was 76.47% and the specificity was 81.67%. The AUC of PhA and for the screening of severe sarcopenia was 0.935, the sensitivity was 93.33%, the specificity was 92.50%, and the cut-off value was 4.1. The AUC of the combined PhA and MNA-SF was 0.943, the sensitivity was 86.67%, and the specificity was 93.33%.ConclusionThe screening ability of PhA alone or in combination was higher than that of MNA-SF in the screening of possible sarcopenia. The screening ability of the combined detection was higher than that of PhA alone in the screening of pre-sarcopenia. The combination of PhA and MNA-SF or PhA alone all performed better value in the screening of sarcopenia (common type). Compared to MNA-SF, the PhA performed better in the screening of severe sarcopenia, which provided references for identifying patients with different stages of sarcopenia in the community.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 1

42004_2022_800_Article_IEq97.gif

40249_2022_1049_Article_IEq7.gif

Fig. 6