• Title/Summary/Keyword: 근감소

Search Result 2,183, Processing Time 0.029 seconds

Current Research Trends on Prevalence, Correlates with Cognitive Function, and Intervention on Sarcopenia in Community-dwelling Older Adults: Systematic Review (지역사회 거주 노인의 근감소증 유병률, 인지기능과의 관계 및 중재연구 동향: 체계적 문헌고찰)

  • Ahn, Soojung;Chu, Sang Hui;Jung, Hyejeong
    • 한국노년학
    • /
    • v.36 no.3
    • /
    • pp.727-749
    • /
    • 2016
  • This systematic review was performed to investigate relationship between sarcopenia and cognitive function among community-dwelling older adults. Studies which reported prevalence rates of sarcopenia in community-dwelling older adults, relationships between sarcopenia and cognitive dysfunction, or effective interventions in alleviated symptoms of sarcopenia were selected. Of 43 studies reviewed, prevalence rate of sarcopenia ranged from 2.5-42.4% in 25 studies, and 4 studies revealed a significantly positive correlation between sarcopenia and cognitive dysfunction. Among 12 randomized-control trials (RCTs), exercise intervention was used in 2 studies; nutrition intervention in 6; and 4 studies included both the exercise and nutrition interventions. All interventional studies reported positive effects on muscle mass, muscle strength, or physical function. However, only 6 studies met the high quality criteria of Risk of Bias, and there was no study which evaluated cognitive function as an outcome measure. Therefore, this study draws attention to the lack of high-quality RCTs and exclusion of cognitive function as an outcome measure in the research of sarcopenia. A comprehensive and sustained system including standardized sarcopenia screening, assessments of cognitive functioning, and evidence-based intervention programs is needed in order to prevent and manage sarcopenia amongst older adults in the community.

Association between nutritional status, sarcopenia, and frailty in rural elders (농촌 지역 노인의 영양 상태, 근감소증과, 노쇠의 연관성)

  • Lee, Su-Hyeon;Park, Ki-soo
    • Journal of agricultural medicine and community health
    • /
    • v.46 no.1
    • /
    • pp.23-31
    • /
    • 2021
  • Objectives: Frailty and sarcopenia are recent important concepts in elder health care. Sarcopenia is the most important factor influencing frailty, and exercise and nutritional status are known to affect sarcopenia. The purpose of this study was to identify the relationship between nutritional status, sarcopenia, and frailty. Methods: This study was a cross-sectional design. The subjects of this study were 411 elderly people aged 65 or older from 10 villages in Gyeongnam. The survey tools were the K-FRAIL for frailty, the GDS-SF for depression, the SARC-F questionnaire for sarcopenia, and the DETERMINE for nutritional status. Frequency analysis, the chi-square test, and multiple logistic regression analysis were performed using the SPSS 25.0 program. Results: As a result of the chi-square test, there was a significant difference in the nutritional status and the frailty proportion (p<0.001), and there was a significant difference between frailty and suspected sarcopenia (p<0.001). After adjustment, nutritional status was significantly associated with sarcopenia (OR=2.946, p<0.001). In addition, nutritional status was significantly associated with frailty (OR=2.958, p<0.001), and sarcopenia also had a significant effect on frailty (OR=5.898, p<0.001). Finally, even after including sarcopenia, nutritional status had a significant effect on frailty (OR=2.246, p=0.002). Conclusions: Nutritional status can have both a direct effect on frailty and an indirect effect through sarcopenia, and it was found that sarcopenia also affects frailty. Therefore, it is necessary to evaluate sarcopenia and nutritional status and to evaluate their levels in the elderly and to take appropriate interventions.

Data Preprocessing for Predicting Sarcopenia Based on Machine Learning (기계학습 기반 근감소증 예측을 위한 데이터 전처리 기법)

  • Yoon Choi;Yourim Yoon
    • The Journal of the Convergence on Culture Technology
    • /
    • v.9 no.3
    • /
    • pp.737-744
    • /
    • 2023
  • Sarcopenia is an increasingly common disease among the elder that has recently received attention. Although the causes of sarcopenia are diverse, aging, dietary habits, lack of exercise are the one of the major factors. As the causes of sarcopenia are diverse, it is important to develop strategies for prevention and treatment. However, predicting sarcopnia accuartely is difficult due to the variety of factors involved. Here, machine learning can significantly improve the accuracy and convenience of predicting sarcopenia. However, since lifestyle habits and biological data are vast, using data without preprocessing may be inappropriate in terms of time complexity and accuracy. This paper reviews recent literature on sarcopnia and its causes, focusing on preprocessing the data to be used in sarcopnia prediction machine learning accrodingly.

Effect of the Height of Occlusal Appliance on Masticatory Muscles in Various Body Postures (다양한 자세에서 교합장치의 두께가 저작근에 미치는 영향)

  • Park, Kye-Ra;Suh, Bong-Jik
    • Journal of Oral Medicine and Pain
    • /
    • v.26 no.1
    • /
    • pp.51-58
    • /
    • 2001
  • 다양한 자세에서 교합장치의 두께가 저작근에 미치는 영향을 근전도학적으로 평가하고자, 측두하악장애의 징후와 증상이 없고 정상교합을 가진 성인 8명을 대상으로, 교합장치를 장착하지 않은 상태에서와 4.3, 6.0, 8.1mm 두께를 가진 교합장치를 장착한 상태에서 직립위, 식사위 그리고 앙와위에서 최대 이악물기 상태의 좌, 우측 교근 몇 전측두근의 근활성도를 채득, 분석하여 다음과 같은 결과를 얻었다. 1. 전측두근에서는 교합장치를 장착하지 않은 상태보다 교합장치를 장착한 상태에서 근활성이 유의하게 감소하였고 (p<0.05), 교근에서는 차이가 없었다. 2. 직립위에서 전측두근의 근활성은 교합장치를 장착하지 않은 상태보다 8.1mm 두께의 교합장치를 장착한 상태에서 유의하게 감소하였다 (p<0.05). 3. 식사위에서 전측두근의 근활성은 교합장치를 장착하지 않은 상태보다 8.1mm 두께의 교합장치를 장착한 상태에서 유의하게 감소하였다 (p<0.05). 4. 앙와위에서 전측두근의 근활성은 교합장치를 장착하지 않은 상태보다 4.3, 6.0, 8.1mm 두께의 교합장치를 장착한 상태에서 유의하게 감소하였다 (p<0.05).

  • PDF

Effects of Cervical Stabilization Exercise on Cranio Vertebral Angle, Deep Neck Flexor Muscle Endurance and Suboccpital Muscle Tonus in Collage Students with Forward Head Posture (목뼈안정화운동이 전방머리자세 대학생의 머리뼈척추각, 깊은목굽힘근 근지구력과, 뒤통수근 긴장도 미치는 영향)

  • Mi-Seon Ko;Jin-Wook Lee
    • Proceedings of the Korean Society of Computer Information Conference
    • /
    • 2023.07a
    • /
    • pp.305-307
    • /
    • 2023
  • 본 연구는 전방머리자세 대학생을 대상으로 목뼈안정화운동이 머리뼈척추각, 깊은목굽힘근 지구력 및 뒤통수밑근 근긴장도의 변화를 알아보고자 하였다. 이 연구 결과 CSEG에서 CVA, DNFET에서 유의하게 증가하였으며 뒤통수근 근긴장도에서는 경직도에서만 유의하게 감소하였다. 목뼈 안정화운동은 목뼈의 중립자세를 유지하면서 깊은목 굽힘근 활성화되고 근지구력이 향상되었으며, 턱을 당기는 동작으로 튀통수근의 경직이 감소한 것으로 생각된다. 또한 지구력 증가시키고 근 긴장도에 감소는 통증을 조절함에 있어서도 도움이 될 것이다. 따라서 목뼈안정화운동은 깊은목굽힘근과 뒤통수근의 개선을 위한 중재방법임을 확인할 수 있었으며, 전방머리자세 예방하기 위해 필요할 것으로 생각된다.

  • PDF

Development of Image Segmentation Model for Sarcopenia Diagnosis and Its External Validation (근감소증 진단을 위한 영상분할 모델 개발 및 외부검증)

  • Lee, Chung-sub;Lim, Dong-Wook;Kim, Ji-Eon;Noh, Si-Hyeong;Yu, Yeong-Ju;Kim, Tae-Hoon;Jeong, Chang-Won
    • Proceedings of the Korea Information Processing Society Conference
    • /
    • 2022.05a
    • /
    • pp.535-538
    • /
    • 2022
  • 근감소증은 영양부족, 운동량 감소 그리고 노화 등으로 정상적인 근육의 양과 근력 및 근 기능이 감소하는 질환을 말한다. 근감소증은 보편적으로 유럽 근감소증 실무그룹분석(EWGSOP)에서 정의한 측정 방법을 따른다. 본 논문에서는 근감소증 진단을 위한 영상 분할 모델을 개발하고 외부검증하는 방법에 대해서 제안한다. 우리는 CT 영상에서 L3 영역을 선별하여 자동으로 근육, 피하지방, 내장지방을 분할할 수 있는 인공지능 모델을 U-Net을 사용하여 개발하였다. 또한 모델의 성능을 평가하기 위해서 분할영역의 IOU(Intersection over Union)를 계산하여 내부검증을 진행하였으며, 타 병원의 데이터를 이용하여 같은 방법으로 외부검증을 진행한 결과를 보인다. 검증 결과를 토대로 문제점과 해결방안에 대해서 고찰하고 보완하고자 했다.

Elderly Sarcopenia and Vitamin B Deficiency: A Relationship? (비타민 B 결핍에 의한 노인성 근감소증)

  • Kisang Kwon;Hye-Jeong Jang;Sun-Nyoung Yu;Soon-Cheol Ahn;O-Yu Kwon
    • Journal of Life Science
    • /
    • v.33 no.7
    • /
    • pp.574-585
    • /
    • 2023
  • Sarcopenia is a leading cause of increased medical and nursing care costs among the elderly. In Korea, preventive measures for sarcopenia are mostly targeted toward the general elderly population without specific diseases. However, it is also necessary to implement measures for elderly individuals living in nursing homes and hospitals, where the prevalence of sarcopenia is high. Currently, computed tomography and/or magnetic resonance imaging are considered standard diagnostic tools. However, their complexity and time-consuming nature make them unsuitable for clinical use. The exact pathophysiological mechanisms of sarcopenia are unclear, as they involve various molecular biological pathways, including decreased exercise, protein and nutrient intake, changes in testosterone and growth hormone, and inflammation. Sarcopenia symptoms can lead to several diseases, such as osteoporosis, fractures, dementia, diabetes, and cardiovascular disease. Vitamin B deficiency is a significant factor in sarcopenia induction, with B vitamins being directly involved in energy and protein metabolism and nerve function. Vitamin B deficiency can lead to neuromuscular and neurogenic disorders, which often overlap with sarcopenia. Suboptimal intake of B vitamins, malabsorption, and anorexia are common among the elderly. This study aims to provide information on the role of water-soluble B vitamins in preventing and controlling muscle mass loss and deterioration among the elderly with sarcopenia. In addition, we discuss the potential of myokines from the B vitamin family in modulating sarcopenia.

Association Metabolic Syndrome with Sarcopenia in Korean Stroke Patients : Korean National Health and Nutrition Examination Survey Data(2008-2011) (뇌졸중 유병자의 대사증후군과 근감소증의 관련성: 국민건강조사(2008년-2011년)자료를 근거로)

  • Choi, Sook-Hee;Kim, Yun-Hee
    • The Journal of the Korea Contents Association
    • /
    • v.18 no.10
    • /
    • pp.165-174
    • /
    • 2018
  • The purpose of this study was to examine the association metabolic syndrome with sarcopenia in Korean stroke patients. We used the Korean National Health and Nutrition Examination Survey data from 2008 to 2011 and enrolled a total of 316 stroke patients older than 40 years. Data were analyzed by Rao-Scott ${\chi}^2-test$, generalized linear model and composite sample multiple logistic regression. The prevalence of sarcopenia was 47.3% in men and 46.3% in women. The prevalence of metabolic syndrome was 50.3% in men and 73.6% in women. After adjusting for age, smoking status, alcohol consumption, exercise, education, income, sroke sequla and stroke duration, men with sarcopenia had increased risk of metabolic syndrome (95% CI: 2.454-18.482, p<.001). This finding can be used to develop evidence-based health promotion program to prevent stroke reccurance for stroke patients.

Pre-clinical Models and Exercise Effects for Sarcopenia and Frailty (근감소증과 노쇠의 전임상 모델 및 운동 효과)

  • Jee, Hyunseok;Huh, Jung Bin;Kim, Jong-Hee
    • 한국체육학회지인문사회과학편
    • /
    • v.58 no.4
    • /
    • pp.423-433
    • /
    • 2019
  • The purpose of this review is to summarize current knowledge regarding animal sarcopenia and frailty models and their diagnosis indexes. In addition, we introduce the effects of exercise interventions on sarcopenia and frailty syndrome. Data collection and analysis (fifteen published articles from 2005~2017) were conducted by using keywords' sarcopenia index, frailty index, exercise and mice, and so on' in academic search engines such as Google scholar and Pubmed. Sarcopenia and frailty are the representative syndromes in elderly peoples which those symptoms can be effectively prevented or delayed by extremely adjusted long term exercise interventions (The combined oxidative and resistant exercise program might be ideal.).

EMG Power Spectrum Analysis of the Medial Gastrocnemius and the Soleus Under the Fatigued Condition (피로조건하에서의 내측 장딴지근과 가자미근의 근전도 스펙트럼 분석)

  • Cynn, Heonseock
    • Physical Therapy Korea
    • /
    • v.5 no.4
    • /
    • pp.9-19
    • /
    • 1998
  • 연구목적 이 연구의 목적은 피로유발수축후 장딴지근과 가자미근의 근전도 power spectrum 중앙경항치를 비교 검사하는 것이다. 실험대상 열 여섯명의 자원자(남자 10, 여자 6)를 대상으로 하였다. 남자 대상자의 연령범위는 25세에서 33세(평균 $28.6{\pm}2.5$)였고 여자 대상자의 연령범위는 26세에서 31세($27.8{\pm}1.9$)였다. 실험방법 실험대상자는 피로유발수축전후 50% 최대등척성근수축을 수행하였다. 자료수집과 분석을 위해 LabVIEW 소프트웨어를 사용하였다. 결과 t-검정결과 내측 장딴지근에서는 피로유발수축후 주파수의 중위값과 평균이 통계적으로 유의하게 감소하였으나 가자미근에서는 통계적으로 유의한 차이가 없었다. t-검정결과 두 근육간 주파수 감소의 차이는 통계적으로 유의한 차이가 있었다. 토의 및 결론 이 결과들은 피로유발수축후 근전도 power spectrum 중앙경향치가 저주파대역으로 감소함을 나타내었다. 이 연구는 중앙주파수와 평균주파수가 피로지수로서의 신뢰도와 타당도가 뛰어나며 객관적 측정과 훈련효과 평가로 사용할수 있음을 보였다.

  • PDF