高齡者身體組成評量法適用性探討

Applicability of Body Composition Techniques in the Elderly

黃重禎(Chung-Chen Huang) ； 許美智(Mei-Chich Hsu) ； 錢桂玉(Kuei-Yu Chien)

《運動生理暨體能學報》 13輯 (2011/12) Pp. 23-31

https://doi.org/10.6127/JEPF.2011.13.03

摘要

高齡者身上因老化過程所伴隨之肌肉量減少、體脂肪分布改變，此改變與罹患慢性疾病的風險與身體功能衰退息息相關。測量身體組成的改變可運用於篩選、檢查高齡者健康狀態和監控高齡患者病程的改變，同時選擇適切之身體組成評量方法為高齡者健康促進策略重要要素之一。回顧過去文獻可得知近年來採用雙能量X光吸收法測量高齡者身體組成居多，然而但因價位較高而無法普及，而高齡者因老化關係，使得體內液體含量不穩定，進一步造成運用生物電阻抗法檢測身體組成產生了許多限制。故，運用皮下脂肪厚度預測體脂肪量公式，以及超音波身體組成測量工具等，是最適合高齡者身體組成測量方法，也是值得發展研究的方向。

關鍵字

身體組成 ； 老化 ； 脂肪量 ； 骨骼肌

並列摘要

Muscle mass loss and body fat distribution changes are common in the elderly. Those changes are closely related to the cardiovascular disease risk and physical function. Body composition assessments can be used in screening, inspection and monitoring when applied to the management of chronic illnesses. Therefore, selecting suitable tools will be important to body composition assessments in health promotion strategies. Dual-energy X-ray absorptiometry has been widely used for body composition assessments in the elderly. Bioimpendance analysis was a useful tool in clinical practice. However, body-water content and hydration are more unstable occurring in the aged. That is a limitation for body composition application in the elderly. We suggest that it is important to develop the skinfold thickness and ultrasound equation for elderly body composition in the future.

並列關鍵字

body composition ； aging ； fat ； muscle mass

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