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題 名 | 臺灣老年男性慢性阻塞性肺病之呼吸與肌肉功能相關性之初報=Preliminary Report on Cross-sectional Relationship between Respiratory and Muscle Function in Older Male Taiwanese with Chronic Obstructive Pulmonary Disease |
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作 者 | 王冠元; 張永裕; 林子傑; 黃明賢; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷 期 | 10:2 2015.05[民104.05] |
頁 次 | 頁123-133 |
分類號 | 417.735 |
關鍵詞 | 老年族群; 慢性阻塞性肺病; 肌少症; 呼吸功能; Chronic obstructive pulmonary disease; Older adults; Sarcopenia; Respiratory function; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:過去研究發現華人的老年慢性阻塞性肺病病患,臨床上呈現出肌肉量下降的情況,因為身體組成亦受到種族的影響,本篇研究的目的在於探討台灣老年男性慢性阻塞性肺病病患其呼吸功能、營養狀態與肌少症的相關性。方法:於高雄醫學大學附設醫院胸腔內科門診,經醫師篩選60歲以上符合臨床診斷標準之慢性阻塞性肺病的病患後,實施包括體位測量(以生物電組分析儀測量身體質量指數及身體肌肉組成)、肌力測驗(以測力器測量慣用手之握力)、日常生活表現(以中文版巴氏量表測量)、營養狀態(以台灣版本的簡式迷你營養評估表測量)、呼吸功能(以肺量計測量用力呼氣之一秒量及一秒率)、全身性生物指標(測量血清高靈敏度C反應蛋白、白蛋白的濃度)及慢性阻塞性肺病評估問卷(CAT)與修改版醫學研究委員會(mMRC)呼吸困難程度計分的檢測。結果:共收入27位病情穩定之老年慢性阻塞性肺病男性病患,年齡分佈在63至97歲之間,其中有4位符合亞洲肌少症工作共識小組(AWGS)的標準,皆無落在營養不良的風險範圍內。四肢肌肉質量指數(ASMI)為8.26±1.14(公斤/公尺2),而握力最大值的平均值為30.76±5.02公斤。受測者平均之用力呼氣之一秒量為1.37±0.61 升。首先依斯皮爾曼等級相關係數分析,發現握力與年齡、身體質量指數、四肢肌肉質量指數、log除脂體重指數、用力呼氣之一秒量、log 高靈敏度C反應蛋白、白蛋白的濃度及迷你營養評估分數呈線性相關(p<.05)。進一步分別以身體質量、四肢肌肉質量指數與log除脂體重指數作多變項線性迴歸分析時,發現僅有用力呼氣之一秒量始終與握力呈正相關變化(p<.05)。結論:本次研究初步發現,呼吸功能相較於身體組成分析,在營養狀態良好且功能獨立之慢性阻塞性肺病的男性老年病患身上,可能視為一項預測握力表現的重要因子。因此,我們推測藉由用力呼氣之一秒量之測量,可以做為評估此一族群身體功能的參考之用。 |
英文摘要 | Objectives: The aim of this study was to include nutritional and respiratory function assessment in older male chronic obstructive pulmonary disease (COPD) patients and determine the association with body composition and grip strength. Methods: We recruited 27 older male patients (aged 63-97 years) with stable COPD attending the pulmonary medicine outpatient clinic of Kaohsiung Medical University Hospital. Muscle strength was determined by handgrip strength (HS), using a hand dynamometer. Body mass index (BMI), fat-free mass index (FFMI) and appendicular skeletal muscle mass index (ASMI) were measured by bioelectrical impedance analysis (BIA) device. The nutritional status was evaluated with the measurement of serum albumin level and the short-form Mini-nutritional assessment (MNA)-Taiwan Version. Obstruction of airways was measured by the forced expiratory volume in one second (FEV1). Symptom level was assessed by using the modified Medical Research Council (mMRC) dyspnea scale and the COPD Assessment Test (CAT). C-reactive protein (CRP) level was determined and log transformed to normalize the distributions. Results: The average of the ASMI and HS were 8.26±1.14 (kg/m^2) and 30.76±5.02 (kg) respectively. Four patients (15%) meet the AWGS criteria of sarcopenia. None of the subjects were at risk of malnutrition. The average of FEV1 in the subjects was 1.37±.61 (L). Spearman's correlation analysis showed HS was significantly associated with age, FEV1, BMI, ASMI, logFFMI, CRP, albumin and MNA score (p<.05). FEV1 consistently showed to be significantly and positively associated with HS as BMI, ASMI and log FFMI were included in the linear regression analysis separately (p<.05). Conclusion: Our results showed that respiratory function is a stronger independent predictor of grip strength compared with the body composition parameters in well-nourished elderly male COPD outpatients. The measurement of FEV1 could be used as a possible surrogate of physical function. |
本系統中英文摘要資訊取自各篇刊載內容。