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ワカバヤシ ヒデタカ
Wakabayashi Hidetaka
若林 秀隆 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Association between sarcopenia and urinary dysfunction in patients with dysphagia. |
| 掲載誌名 | 正式名：Archives of gerontology and geriatrics 略 称：Arch Gerontol Geriatr ISSNコード：18726976/01674943 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 127,pp.105577 |
| 著者・共著者 | Kakehi Shingo, Wakabayashi Hidetaka, Isono Eri, Takemura Ryohei, Sato Yuka, Otsuka Yukiko, Nagai Takako, Nishioka Shinta, Momosaki Ryo |
| 担当区分 | 2nd著者,責任著者 |
| 発行年月 | 2024/07 |
| 概要 | INTRODUCTION:The objective was to determine the relationship between sarcopenia and urinary dysfunction in patients with dysphagia.MATERIAL AND METHODS:A cross-sectional study was conducted on 460 Japanese Sarcopenic Dysphagia Database participants. Urinary dysfunction was defined as either urinary incontinence or urethral catheter use. Sarcopenia was diagnosed according to the Asian Working Group for Sarcopenia 2019 criteria. Univariate and multivariate analyses assessed the association between urinary dysfunction and sarcopenia, calf circumference (CC), handgrip strength (HGS), and Barthel Index (BI). Logistic regression analysis was performed for urinary dysfunction adjusted for age, sex, setting, and CCI in addition to BI and HGS or CC or sarcopenia (model 1) or FILS and BI (model 2).RESULTS:The mean age was 80.8 ± 10.5 years and urinary dysfunction in 137 participants. Urinary dysfunction was not associated with sarcopenia (123 versus 281, p = 0.440) but was associated with CC (27.4 ± 4.2 versus 28.5 ± 3.9, p = 0.009), HGS (9.7 ± 7.9 versus 14.4 ± 9.3, p < 0.001), and BI (19.9 ± 0.3 versus 20.3 ± 0.2, p < 0.001). Logistic regression analysis showed urinary dysfunction was associated with HGS (OR: 0.968, CI: 0.938, 0.998) and BI (OR: 0.955, CI: 0.943, 0.966). The cutoff was 19 kg for men (sensitivity 0.786, specificity 0.56, Area Under Curve (AUC) 0.689) and 6.1 kg for women (sensitivity 0.493, specificity 0.774, AUC 0.639) in HGS and 27.5 points in BI (sensitivity 0.781, specificity 0.604, AUC 0.740).CONCLUSION:Sarcopenia was not associated with urinary dysfunction. However, HGS and BI were related to urinary dysfunction. |
| DOI | 10.1016/j.archger.2024.105577 |
| PMID | 39032316 |