未选择住院的老年癌症患者肌肉减少症风险与食物摄入的相关性

G. Pimentel, T. C. Borges, T. L. Gomes
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摘要

目的:最近,SARC-F(力量、辅助行走、从椅子上站起来、爬楼梯和跌倒)问卷被开发出来,以筛查老年患者肌肉减少症的风险。然而,没有研究调查过SARC-F是否与食物摄入有关。本研究旨在评估老年住院非选择性癌症患者的SARC-F与食物摄入的关系。方法:横断面研究纳入53例未选择住院的老年癌症患者。SARC-F评分用于识别肌肉功能丧失(SARC-F≥4)或肌肉减少风险[SARC-F +小腿围(CC)≥11]。Pearson相关性用于评估SARC-F与食物摄入之间的关系。结果:我们发现51%的患者表现为SARC-F≥4,56.6%的患者表现为SARC-F + CC≥11。虽然这些患者的卡路里摄入量较低(22.4±11.9 kcal/kg/天),但他们的宏量营养素分布充足。我们发现SARC-F分数与卡路里和大量营养素的摄入呈负相关。然而,SARC-F + CC与卡路里和碳水化合物无关,仅与脂质和蛋白质摄入量相关。结论:大约一半的未选择的癌症患者表现为肌肉功能丧失(SARC-F≥4)或肌肉减少风险(SARC-F + CC≥11)。此外,我们发现SARC-F与食物摄入之间呈弱负相关,但SARC-F + CC与卡路里和碳水化合物之间没有负相关,这表明SARC-F问卷在筛选肌肉功能丧失和与食物消耗的相关性时可能需要谨慎使用。
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Correlation between Sarcopenia Risk and Food Intake in Older Hospitalized Unselected Cancer Patients
Objectives: Recently, the SARC-F (Strength, Assistance for walking, Rise from a chair, Climb stairs, and Falls) questionnaire was developed to screen for the risk of sarcopenia in older patients. However, no study has investigated whether SARC-F is linked to food intake. This study aimed to evaluate the relationship between SARC-F and food intake in older hospitalized unselected cancer patients. Methods: A cross-sectional study included 53 older hospitalized unselected cancer patients. The SARC-F score was used to identify muscle function loss (SARC-F ≥ 4) or sarcopenia risk [SARC-F + calf circumference (CC) ≥ 11]. Pearson’s correlation was used to assess the relationship between SARC-F and food intake. Results: We found that 51% of patients presented with SARC-F ≥ 4 and 56.6% with SARC-F + CC ≥ 11. Although these patients had a lower calorie intake (22.4 ± 11.9 kcal/kg/day), they had an adequate distribution of macronutrients. We found a negative correlation between the SARC-F score and the calorie and macronutrient intake. However, SARC-F + CC was not correlated with calories and carbohydrates, only with lipid and protein intake. Conclusions: Approximately half of unselected cancer patients presented with muscle function loss (SARC-F ≥ 4) or sarcopenia risk (SARC-F + CC ≥ 11). In addition, we showed an inverse weak correlation between SARC-F and food intake, but not between SARC-F + CC and calories and carbohydrates, suggesting that the SARC-F questionnaire may be used with caution to screen for muscle function loss and correlation with food consumption.
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