- 學位論文
屏東縣長者肌少症檢測調查分析─以亞洲版肌少症檢測法為例
A Study of Diagnosis and Assessment of Sarcopenia in the Elderly at Pingtung County Using AWGS's Criterion
摘要
背景：高齡化社會來臨，因老化衍伸之肌少症此一疾病，對長者健康不良影響甚鉅，亦造成醫療資源、健康照護龐大支出，若能及早實施肌少症篩檢，積極介入治療，並重視提升長者生活品質，減緩醫療照顧成本，將有助實踐成功老化之理念。目的：本研究主要推估屏東縣長者肌少症盛行率，並分析不同背景變項下，長者盛行率之關聯情形。方法：召募屏東縣五鄉鎮340位長者進行肌少症篩檢，檢測採用AWGS 2019判斷標準，其中男性71人、女性269人，年齡分佈於65 ~ 107歲，所得資料將以描述性統計、卡方檢定進行分析。結果：（一）本研究全體盛行率「疑似肌少症」者達46.50%、「肌少症」者9.1%、「嚴重肌少症」達13.8%。若不分嚴重程度，則全體盛行率為22.9%。（二）不同背景變項（性別、年齡別、體位別）之長者肌少症盛行率有顯著關聯。結論：（一）屏東縣長者肌少症盛行率較高，應鼓勵長者進行篩檢，早期介入有效治療。（二）使用新判定標準，篩檢「疑似肌少症」族群，將是活躍老化的重要步驟。
並列摘要
Background: Facing an “aged society”, Sarcopenia, a disease derived from aging, has a huge impact on the health of the elderly. It also causes huge expenditures on medical resources and health care. If we could provide screening for the sarcopenia and intervention in the earlier stage, it might reduce the cost of medical care, therefore, to improve the quality of life among elderly. Purpose: The purposes of this study were to estimates the prevalence of sarcopenia in the elderly in Pingtung County, and to analyzes the relevance of the elderly under different background variables. Method: The researcher adopted the AWGS 2019 criteria for sarcopenia screening. Additionally, the researcher has recruited 340 community-dwelling elders from five townships in Pingtung County, which included 71 males and 269 females, aged 65 to 107 years old. The data analyzed by descriptive statistics and chi-square test. Result: (1) Prevalence of Possible sarcopenia was 46.50%, Sarcopenia was 9.1% and Severe sarcopenia was 13.8%. If the severity is not distinguished, the total prevalence rate of sarcopenia was 22.9%. (2) There were significant relationships between sarcopenia and different background variables, such as sex, age and BMI. Conclusion: (1) The prevalence of sarcopenia in the elderly in Pingtung County was relatively high. (2) Use AWGS 2019 new criteria to screen the population of possible sarcopenia and provide related treatment in time, will be a critical step on active ageing.