Utility of SARC-F for Assessing Physical Function in Elderly Patients With Cardiovascular Disease

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• 作者：Shinya Tanaka ; PT ; MSc^a ; Kentaro Kamiya ; PT ; PhD^b ; ^{k-kamiya@kitasato-u.ac.jp} ; Nobuaki Hamazaki ; PT ; MSc^a ; ^b ; Ryota Matsuzawa ; PT ; PhD^b ; Kohei Nozaki ; PT ; MSc^b ; Emi Maekawa ; MD ; PhD^c ; Chiharu Noda ; MD ; PhD^c ; Minako Yamaoka-Tojo ; MD ; PhD^a ; ^d ; Atsuhiko Matsunaga ; PT ; PhD^a ; ^d ; Takashi Masuda ; MD ; PhD^a ; ^d ; Junya Ako ; MD ; PhD^a ; ^c
• 关键词：Sarcopenia ; screening ; SARC-F ; physical function ; elderly ; cardiovascular disease
• 刊名：Journal of the American Medical Directors Association
• 出版年：2017
• 出版时间：1 February 2017
• 年：2017
• 卷：18
• 期：2
• 页码：176-181
• 全文大小：523 K
• 卷排序：18

文摘

A simple and inexpensive tool for screening of sarcopenia would be helpful for clinicians. The present study was performed to determine whether the SARC-F questionnaire is useful in screening of patients with cardiovascular disease (CVD) for impaired physical function.DesignCross-sectional study.SettingSingle university hospital.ParticipantsA total of 235 Japanese patients ≥65 years old admitted to our hospital for CVD.MeasurementsSARC-F, handgrip strength, leg strength, respiratory muscle strength, standing balance, usual gait speed, Short Physical Performance Battery (SPPB) score, and 6-minute walking distance were measured before discharge from hospital. The patients were divided into 2 groups according to SARC-F score: SARC-F < 4 (nonsarcopenia group) and SARC-F ≥ 4 (sarcopenia group).ResultsThe sarcopenia prevalence rate was 25.5% and increased with age (P trend < .001). The sarcopenia group (SARC-F score ≥ 4) had significantly lower handgrip strength, leg strength, and respiratory muscle strength, poorer standing balance, slower usual gait speed, lower SPPB score, and shorter 6-minute walking distance compared to the nonsarcopenia group (SARC-F score < 4). Patients in the sarcopenia group had consistently poorer physical function even after adjusting for covariates.ConclusionThe SARC-F questionnaire is a useful screening tool for impaired physical function in elderly CVD patients. These findings support the use of the SARC-F for screening in hospital settings.