1. 血浆鸢尾素、生长分化因子 -8 在老年肌肉减少症患者中的表达 及其诊断价值分析.
- Author
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王 枚, 张玉婷, 侯静雯, 许慧娟, and 张 玲
- Subjects
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RECEIVER operating characteristic curves , *PEARSON correlation (Statistics) , *MUSCLE mass , *OLDER patients , *IRISIN , *CANCER cell differentiation - Abstract
Objective: To analyze the expression and diagnostic value of plasma irisin and growth differentiation factor-8 in elderly patients with sarcopenia. Methods: A total of 620 elderly patients who received physical examination in our hospital from April 2020 to April 2022 were selected as the study subjects, including 238 patients with sarcopenia as the observation group and 382 patients without sarcopenia as the control group. The expression levels of plasma irisin and growth differentiation factor-8 in the two groups were detected to observe the differences of plasma irisin and growth differentiation factor-8 in elderly patients with different degrees of sarcopenia. Pearson correlation was used to analyze the relationship between plasma irisin, growth differentiation factor-8 and total skeletal muscle mass, limb skeletal muscle mass, relative skeletal muscle index,grip strength and walking speed, and the diagnostic efficacy of plasma irisin and growth differentiation factor-8 in senile sarcopenia was evaluated by area under receiver operating characteristic curve (AUC). Results: The expression level of plasma irisin in the observation group was lower than that in the control group, and the expression level of growth differentiation factor-8 was higher than that in the control group (P<0.05). The expression level of plasma irisin in patients with pre-sarcopenia, sarcopenia and severe sarcopenia was decreased successively, and the expression level of growth differentiation factor-8 was increased successively (P<0.05). Pearson correlation analysis showed that body skeletal muscle mass, limb skeletal muscle mass, relative skeletal muscle index, grip strength and walking speed were positively correlated with irisin in senile sarcopenia patients (P<0.05), and negatively correlated with growth differentiation factor-8 (P<0.05). ROC curve analysis showed that the sensitivity, specificity and AUC of plasma irisin and growth differentiation factor-8 for the diagnosis of senility sarcopenia were 78.49 %, 90.67 % and 0.914. Conclusion: The expression of plasma irisin and growth differentiation factor-8 in senile patients with sarcopenia is significantly down-regulated, which are closely related to the severity of the disease, the combined diagnosis of this disease is effective and worthy of clinical attention. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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