中国全科医学 ›› 2025, Vol. 28 ›› Issue (36): 4517-4534.DOI: 10.12114/j.issn.1007-9572.2025.0150

所属专题: 社区卫生服务最新研究合辑

• 指南·共识 • 上一篇    下一篇

社区老年人肌肉减少症筛查专家共识

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   

  • 收稿日期:2025-05-30 修回日期:2025-08-24 出版日期:2025-12-20 发布日期:2025-12-04
  • 基金资助:
    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); 广东省人民医院横项课题(20181cpx06)

Expert Consensus on Sarcopenia Screening in Community-dwelling Older Adults

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, Guangzhou Association of Rehabilitation Medicine   

  • Received:2025-05-30 Revised:2025-08-24 Published:2025-12-20 Online:2025-12-04

摘要: 肌肉减少症(简称肌少症)是一种与增龄有关,以肌肉质量减少、肌肉力量下降和/或身体功能减退为特征的老年综合征,与衰弱、跌倒、骨折、残疾甚至死亡等不良健康结局密切相关。在社区老年人群中,肌少症往往处于早期或隐匿阶段,易被忽视而错失干预时机。开展规范化的社区老年人肌少症筛查,对早期发现、精准干预、延缓功能衰退、预防和减轻残疾、降低医疗成本、应对老龄化社会具有重要意义,但目前我国基于循证的社区老年人肌少症筛查专家共识比较缺乏。因此,由中国康复科学所、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)、广州市康复医学会牵头,采用德尔菲法形成问题清单和推荐意见,并运用GRADE系统评估证据质量和推荐强度,根据RIGHT清单规范报告专家共识结果,最终形成14条关于社区老年人肌少症筛查的循证医学推荐意见。针对社区老年人肌少症筛查的相关问题达成专家共识,有助于提供科学可行的老年人肌少症筛查路径,助力构建早发现、早识别、早干预的社区老年人肌少症防控体系,提升老年人群的健康水平和生活质量。

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

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.

Key words: Older adults, Sarcopenia, Community screening, Muscle mass, Muscle strength, Physical function, Expert consensus