摘要
目的 探讨老年肌少症测量工具的内容和心理测量特性.方法 采用《国际功能、残疾和健康分类》(ICF)联系和编码规则,对7种老年肌少症测量工具,包括力量、行走协助、从椅子起立、上楼梯和跌倒量表(SARC-F),Ishii测试,小型肌肉萎缩风险评估-7(MSRA-7),6分钟步行测试(6MWT),Barthel指数(BI),简易体能状况量表(SPPB)和世界卫生组织残疾评估量表(WHODAS 2.0)的测量项目进行内容分析与编码,并探讨各测量工具的心理测量特性.结果 根据ICF将7种测量工具分为身体功能和结构类、活动和参与类以及两类都涉及的综合类.SARC-F对应的编码涉及肌肉力量功能(b730)、步行(d450)和改变身体的基本姿势(d410)等.Ishii测试对应的编码涉及肌肉力量功能(b730)和体重维持功能(b530).MSRA-7对应的编码包括步行(d450)、不随意运动反应功能(b755)和肌肉耐力功能(b740)等.6MWT对应的编码为步行(d450).SPPB对应的编码涉及改变身体的基本姿势(d410)、随意运动控制功能(b760)和步行(d450).BI对应的编码包括吃(d550)、喝(d560)、盥洗自身(d510)和护理身体各部(d520)等.WHODAS 2.0对应的编码涉及注意力功能(b140)、掌握技能(d155)、交流-接收-口头讯息(d310)和社区生活(d910)等.SARC-F敏感性较低～中等,特异性中等～优秀.Ishii测试敏感性中等～良好,特异性一般～良好,诊断效果良好.MSRA-7敏感性中等～良好,特异性一般,诊断效果一般～中等;MSRA-5敏感性一般～良好,特异性一般,诊断效果中等.6MWT敏感性、诊断效果均为一般～中等,特异性一般.SPPB敏感性一般,特异性一般～中等,诊断效果一般～优秀.BI信度良好.WHODAS 2.0信度优秀.结论 肌少症测量工具分为身体功能和结构类、活动和参与类以及综合类.7种测量工具的心理测量特性敏感性范围较低～优秀,特异性范围为一般～优秀.
Abstract
Objective To explore the content and psychometric properties of sarcopenia measurements for older adults.Methods Using the International Classification of Functioning,Disability and Health(ICF)linking and coding rules,a content analysis were conducted on the seven types of measurement tools for geriatric sarcopenia,including Strength,Assistance with walking,Rising from a chair,Climbing stairs,and Falls(SARC-F);Ishii Test;Mini Sar-copenia Risk Assessment-7(MSRA-7);6-minute walk test(6MWT);Barthel Index(BI);Short Physical Perfor-mance Battery(SPPB);and World Health Organization Disability Assessment Schedule 2.0(WHODAS 2.0),and psychometric property was explored.Results The seven measurement tools can be categorized into body functions and structures,activities and participation,and comprehensive categories.ICF coding for SARC-F involved muscle power functions(b730),walking(d450),changing basic body position(d410),etc.Ishii Test involved muscle power functions(b730)and weight maintenance functions(b530).MSRA-7 involved walking(d450),involuntary movement reaction functions(b755),muscle endurance functions(b740),etc.ICF coding for 6MWT involved walking(d450).SPPB involved changing basic body position(d410),control voluntary movement functions(b760),and walking(d450).BI in-volved eating(d550),drinking(d560),washing oneself(d510),caring for body parts(d520),etc.WHODAS 2.0 involved attention functions(b140),acquiring skills(d155),communication-receiving-verbal messages(d310),community life(d910),etc.SARC-F was low to medium in sensitivity,and medium to excellent in specificity.Ishii Test was medium to good in sensitivity,average to good in specificity,and good in diagnostic performance.MSRA-7 was medium to good in sensitivity,average in specificity,and average to medium in diagnostic perfor-mance,while MSRA-5 was average to good in sensitivity,average in specificity,and medium in diagnostic per-formance.6MWT was average to medium in sensitivity,and average in specificity.SPPB was average in sensitiv-ity,average to medium in specificity,and average to excellent in diagnostic performance.BI was good in reliabili-ty,and WHODAS 2.0 was excellent in reliability.Conclusion The measurement tools for sarcopenia can be categorized into body functions and structures,activities and participation,and comprehensive assessment tools combining the above.The psychometric properties of the sev-en measurement tools are low to excellent in sensitivity and average to excellent in specificity.
基金项目
湖北省高等学校优势特色学科建设项目(十四五)(鄂教研[2021]5号)
武汉体育学院中青年科研创新团队项目(21KT14)
维普
万方数据