中国全科医学2025,Vol.28Issue(36):4517-4534,18.DOI:10.12114/j.issn.1007-9572.2025.0150
社区老年人肌肉减少症筛查专家共识
Expert Consensus on Sarcopenia Screening in Community-dwelling Older Adults
摘要
Abstract
Sarcopenia is an age-related geriatric syndrome characterized by decreased muscle mass,reduced muscle strength,and/or impaired physical function.It is closely associated with adverse health outcomes such as frailty,falls,fractures,disability,and even death.In community-dwelling populations,sarcopenia often presents in early or subclinical stages,making it easy to overlook and resulting in missed opportunities for timely intervention.Standardized screening for sarcopenia among older adults in the community is of great significance for early detection,targeted intervention,delaying functional decline,preventing and mitigating disability,reducing healthcare costs,and responding to the challenges of an aging society.However,there is currently a lack of evidence-based expert consensus on community-based sarcopenia screening for older adults in China.To bridge the gap,the China Rehabilitation Science Institute,Community-Based Rehabilitation Committee of the China Association of Rehabilitation of Disabled Persons,Geriatric Rehabilitation Committee of Chinese Association of Geriatric Research,Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences)/Southern Medical University and the Guangzhou Association of Rehabilitation Medicine led the development of this consensus.Using the Delphi method to form a list of key questions and recommendations,the GRADE system to assess the quality of evidence and strength of recommendations,and the RIGHT checklist to standardize reporting,a total of 14 evidence-based recommendations were established.This expert consensus on community-based sarcopenia screening in older adults provides a scientific and feasible screening pathway,supports the construction of an early detection,early identification,and early intervention system for sarcopenia prevention and control in the community,and ultimately aims to improve the health and quality of life of the older population.关键词
老年人/肌少症/社区筛查/肌肉质量/肌肉力量/身体功能/专家共识Key words
Older adults/Sarcopenia/Community screening/Muscle mass/Muscle strength/Physical function/Expert consensus分类
医药卫生引用本文复制引用
中国康复科学所,中国残疾人康复协会社区康复专业委员会,中国老年保健医学研究会老年康复分会,南方医科大学附属广东省人民医院(广东省医学科学院,广州市康复医学会,刘巧艳,白文芳..社区老年人肌肉减少症筛查专家共识[J].中国全科医学,2025,28(36):4517-4534,18.基金项目
中国康复科学所中央级公益性科研院所基本科研业务费项目(CRSI2024CZ-25) (CRSI2024CZ-25)
广东省人民医院横项课题(20181cpx06) (20181cpx06)