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Puntos de corte de ángulo de fase para diagnóstico de sarcopenia en ancianos de Manizales, Caldas, Colombia
dc.contributor.advisor | Gonzalez-Correa, Clara Helena | |
dc.contributor.author | Villada Gómez, Johan Sebastián | |
dc.date.accessioned | 2021-07-07T15:29:58Z | |
dc.date.available | 2021-07-07T15:29:58Z | |
dc.date.issued | 2021-05-15 | |
dc.identifier.uri | https://repositorio.ucaldas.edu.co/handle/ucaldas/16857 | |
dc.description | Ilustración | spa |
dc.description.abstract | spa: Antecedentes y objetivos: El ángulo de fase (AF) se mide directamente por bioimpedancia eléctrica (BIE). Algunos estudios han encontrado asociación con parámetros nutricionales, fuerza y masa muscular, proponiéndose como marcador diagnóstico para sarcopenia. El objetivo fue proponer puntos de corte de AF para diagnóstico de sarcopenia en ancianos de Manizales. Métodos: Se utilizaron mediciones de AF tomadas mediante BIE y se estableció el nivel de correlación con fuerza de agarre (FA) e índice de masa muscular esquelética (IMME) en ancianos funcionales. Se propusieron puntos de corte de AF con base en los datos de esta población y se establece sensibilidad y sarcopenia para el diagnóstico con base en los criterios de sarcopenia del consenso europeo de 2019. Resultados: Se analizaron 255 ancianos funcionales, en hombres el AF tuvo una correlación directa con el IMME (p = 0,010) y FA (p = 0,038). En mujeres, el AF tuvo correlación directa con IMME (p = 0,003) y FA (p = 0,019). La correlación entre AF e IMME y FA fue bajo (r= 0,252 y 0,206, respectivamente). En mujeres la correlación entre AF e IMME fue bajo (r = 0,237) y muy bajo para FA (r= 0,190). Al comparar los resultados de sensibilidad y especificidad de los puntos de corte encontrados, se encontró que los diferentes puntos de corte de AF tienen pobre rendimiento para el diagnóstico de sarcopenia debido a una baja sensibilidad en la población general y en mujeres, siendo el valor del Tercil 1 en hombres (6,12 °) un punto de corte que podría tener alguna utilidad. Conclusiones: existe controversia respecto a la utilidad del AF como criterio diagnóstico de sarcopenia. En hombres un punto de corte de 6,12° podría sugerirse como un punto de corte para sarcopenia, sin embargo, en mujeres su rendimiento diagnóstico no fue adecuado para establecer un punto de corte. | spa |
dc.description.abstract | eng: Background and objectives: The phase angle (AF) is directly measured by electrical bioimpedance (EIB). Some studies have found an association with nutritional parameters, strength and muscle mass, proposing it as a diagnostic marker for sarcopenia. The objective was to propose FA cut-off points for the diagnosis of sarcopenia in the elderly in Manizales. Methods: PA measurements taken by EIB were used and the level of correlation with grip strength (FA) and skeletal muscle mass index (IMME) was established in functional elderly. PA cut-off points were proposed based on the data from this population and sensitivity and sarcopenia were established for the diagnosis based on the sarcopenia criteria of the 2019 European consensus. Results: 255 functional elderly were analyzed, in men the PA had a direct correlation with the IMME (p = 0.010) and FA (p = 0.038). In women, PA had a direct correlation with IMME (p = 0.003) and AF (p = 0.019). The correlation between FA and IMME and FA was low (r = 0.252 and 0.206, respectively). In women, the correlation between FA and IMME was low (r = 0.237) and very low for FA (r = 0.190). When comparing the results of sensitivity and specificity of the cut-off points found, it was found that the different FA cut-off points have poor performance for the diagnosis of sarcopenia due to a low sensitivity in the general population and in women, the value being Tertile 1 in men (6.12 °) a cut-off point that could be of some use. Conclusions: there is controversy regarding the usefulness of FA as a diagnostic criterion for sarcopenia. In men, a cut-off point of 6.12 ° could be suggested as a cut-off point for sarcopenia, however, in women its diagnostic performance was not adequate to establish a cut-off point. | eng |
dc.description.tableofcontents | Introducción / Planteamiento del problema y justificación / Metodología / Resultados y Discusión / Conclusiones y recomendaciones / Anexos / Referencias bibliográficas | spa |
dc.format.mimetype | application/pdf | spa |
dc.language.iso | eng | spa |
dc.language.iso | spa | spa |
dc.title | Puntos de corte de ángulo de fase para diagnóstico de sarcopenia en ancianos de Manizales, Caldas, Colombia | spa |
dc.type | Artículo de revista | spa |
dc.type | Informe de investigación | spa |
dc.type | Trabajo de grado - Especialización | spa |
dc.identifier.instname | Universidad de Caldas | spa |
dc.identifier.reponame | Repositorio institucional Universidad de Caldas | spa |
dc.identifier.repourl | https://repositorio.ucaldas.edu.co | spa |
dc.publisher.place | Manizales | spa |
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dc.rights.accessrights | info:eu-repo/semantics/closedAccess | spa |
dc.subject.proposal | Sarcopenia | spa |
dc.subject.proposal | Impedancia eléctrica | spa |
dc.subject.proposal | Ángulo de Fase | spa |
dc.subject.proposal | Composición corporal | spa |
dc.subject.proposal | Ancianos | spa |
dc.subject.proposal | Valores de referencia | spa |
dc.subject.unesco | Ciencias médicas | |
dc.subject.unesco | Patología | |
dc.subject.unesco | Vejez | |
dc.type.coar | http://purl.org/coar/resource_type/c_18ws | spa |
dc.type.content | Text | spa |
dc.type.driver | info:eu-repo/semantics/other | spa |
dc.type.version | info:eu-repo/semantics/publishedVersion | spa |
oaire.version | http://purl.org/coar/version/c_ab4af688f83e57aa | spa |
oaire.accessrights | http://purl.org/coar/access_right/c_16ec | spa |