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           及早对 EH 患者进行 SAR 的筛查及干预显得尤为重要。                           10.16462/j.cnki.zhjbkz.2018.01.004.
           本研究发现血压越高,SAR 的发生风险越高,因此未来                          [7]王诗镔 . 吉林省成人慢性病及其危险因素现况研究[D]. 长春:
           对于高血压患者除了关注其带来的心脑肾并发症外,还                                吉林大学,2015.
           要关注肌肉的流失情况。同时对于有高血压的中老年患                            [8]史玉娟 .  新版微型营养评定简表在老年慢性病住院患者营
                                                    2
           者,建议要合理控制体质量,当 BMI<22.0 kg/m 时要警                        养状况评估中的应用价值评价[J].  世界最新医学信息文
                                                                   摘,2019,19(64):369-370. DOI:10.19613/j.cnki.1671-
           惕 SAR 的发生。本研究也存在一定的局限性:(1)研
                                                                   3141.2019.64.258.
           究对象较少,且均为住院患者,SAR 在 EH 患者中的发
                                                               [9]张可,王元肖,李倩,等 . 社区老年高血压患者少肌症现状及
           病率相对较高,结果可能存在一定偏差,计划在后期扩
                                                                   相关因素[J]. 中国医药导报,2020,17(18):68-71.
           大样本量,增加对门诊、社区居民的研究,进一步确认
                                                                   ZHANG K,WANG Y X,LI Q,et al. The present situation and
           本研究结论。(2)本研究仅纳入 EH 患者,没有与非                              related factors of sarcopenia in elderly hypertensive patients in
           EH 的中老年患者对比,不能完全体现正常血压水平与                               community[J]. China Medical Herald,2020,17(18):68-71.
           SAR 的关系,今后需再增设健康人群组。                                [10]REIJNIERSE  E  M,TRAPPENBURG  M  C,LETER  M  J,
               作者贡献:杨晨提出研究思路,设计研究方案,主                               et al. The impact of different diagnostic criteria on the prevalence
           要研究指标的提出、设计,数据分析与结果的解释,撰                                 of  sarcopenia  in  healthy  elderly  participants  and  geriatric
           写论文;陈军负责研究的实施与可行性分析,负责文章                                 outpatients[J]. Gerontology,2015,61(6):491-496. DOI:
           的质量控制及审校;何华娟负责数据的收集、资料整理                                 10.1159/000377699.
           与录入;李建蒲负责统计学处理、论文的修订。                               [11]桑德春 . 老年肌少症研究进展[J]. 华西医学,2018,33(10):
               本文无利益冲突。                                             1219-1223.
                                                                    SANG D C. Progress in the study of elderly sarcopenia[J]. West
           参考文献
                                                                    China Medical Journal,2018,33(10):1219-1223.
           [1]姜珊,康琳,刘晓红 . 2019 亚洲肌少症诊断及治疗共识解
                                                               [12]YU R,WONG M,LEUNG J,et al. Incidence,reversibility,
               读[J]. 中华老年医学杂志,2020,39(4):373-376. DOI:
                                                                    risk factors and the protective effect of high body mass index against
               10.3760/cma.j.issn.0254-9026.2020.04.002.
                                                                    sarcopenia in community-dwelling older Chinese adults[J].
               JIANG S,KANG L,LIU X H. Interpretation of Asian working group
                                                                    Geriatr Gerontol Int,2014,14(Suppl 1):15-28. DOI:
               for sarcopenia:2019 consensus update on sarcopenia diagnosis and
                                                                    10.1111/ggi.12220.
               treatment[J]. Chinese Journal of Geriatrics,2020,39(4):
                                                               [13]POTES Y,DE LUXÁN-DELGADO B,RODRIGUEZ-GONZÁLEZ S,
               373-376. DOI:10.3760/cma.j.issn.0254-9026.2020.04.002.
                                                                    et al. Overweight in elderly people induces impaired autophagy in
           [2]FOLEY R N,WANG C C,ISHANI A,et al. Kidney function
                                                                    skeletal muscle[J]. Free Radic Biol Med,2017,110:31-41.
               and sarcopenia in the United States general population:NHANES
                                                                    DOI:10.1016/j.freeradbiomed.2017.05.018.
               Ⅲ[J]. Am J Nephrol,2007,27(3):279-286. DOI:
                                                               [14]LOOKER A C,WANG C Y. Prevalence of reduced muscle strength
               10.1159/000101827.
                                                                    in older US adults:United States,2011-2012[J]. NCHS Data
           [3]DREY  M,GRÖSCH  C,NEUWIRTH  C,et  al.  The  motor
                                                                    Brief,2015(179):1-8.
               unit number index (MUNIX) in sarcopenic patients[J].
                                                               [15]MARZ ETT I  E,CALVANI  R,BERNABEI  R,et  al.
               Exp Gerontol,2013,48(4):381-384. DOI:10.1016/j.
                                                                    Apoptosis  in  skeletal  myocytes:a  potential  target  for
               exger.2013.01.011.
                                                                    interventions against sarcopenia and physical frailty——a mini-
           [4]ZAMBONI  M,MAZZALI  G,FANTIN  F,et  al.  Sarcopenic
                                                                    review[J]. Gerontology,2012,58(2):99-106. DOI:
               obesity:a new category of obesity in the elderly[J]. Nutr Metab
                                                                    10.1159/000330064.
               Cardiovasc Dis,2008,18(5):388-395. DOI:10.1016/j.
                                                               [16]MARZETTI E,CALVANI R,CESARI M,et al. Mitochondrial
               numecd.2007.10.002.
                                                                    dysfunction and sarcopenia of aging:from signaling pathways to
           [5]高血压联盟(中国),中国医疗保健国际交流促进会高血压分
                                                                    clinical trials[J]. Int J Biochem Cell Biol,2013,45(10):
               会,中国高血压防治指南修订委员会,等 . 中国高血压防治指
                                                                    2288-2301. DOI:10.1016/j.biocel.2013.06.024.
               南(2018 年修订版)[J]. 中国心血管杂志,2019,24(1):
                                                               [17]FAN J,KOU X,JIA S,et al. Autophagy as a potential target for
               24-56. DOI:10.3969/j.issn. 1007-5410.2019.01.002.
                                                                    sarcopenia[J]. J Cell Physiol,2016,231(7):1450-1459.
           [6]李慧,叶浩森,徐郁,等 . 珠海市居民慢性病患病情况及其影
                                                                    DOI:10.1002/jcp.25260.
               响因素分析[J]. 中华疾病控制杂志,2018,22(1):14-18.
                                                               [18]VERSCHUEREN S,GIELEN E,O'NEILL T W,et al. Sarcopenia
               DOI:10.16462/j.cnki.zhjbkz.2018.01.004.
                                                                    and its relationship with bone mineral density in middle-aged and
               LI H,YE H S,XU Y,et al. Prevalence and influencing factors of
                                                                    elderly European men[J]. Osteoporos Int,2013,24(1):87-
               chronic diseases among residents in Zhuhai[J]. Chinese Journal
                                                                    98. DOI:10.1007/s00198-012-2057-z.
               of Disease Control  & Prevention,2018,22(1):14-18. DOI:
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