社区老年人肌肉减少症筛查专家共识
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【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【中图分类号】 R746.4 【文献标识码】 ADOI：10.12114/j.issn.1007-9572.2025.0150
【Abstract】Sarcopenia is an age-related geriatric syndrome characterized by decreased muscle mass，reduced musclestrength，and/orimpairedphysicalfunction.Itiscloselyassociatedwithadversehealthutcomessuchasfrailty，als， fractures，disability，andevendeath.Incommunity-dwellingpopulations，sarcopeniaoftenpresents inearlyorsubclinical stages，making iteasytooverlookandresulting inmissedopportunities for timely intervention.Standardizedscreening for sarcopeniaamongolderadultsinthecommunityisofgreatsignificanceforearlydetection，targeted intervention，delaying functionaldecline，preventingandmitigatingdisability，reducinghealthcarecosts，andrespondingtothechalengesofanaging society.However，thereiscurrentlyalackofevidence-based expertconsensusoncommunity-basedsarcopeniascreeingfor olderadultsinChina.Tobridgethegap，theChinaRehabiliationScienceInstitute，Community-BasedRehabilitationCommitee of the ChinaAssociationofRehabiliationofDisabledPersons，GeriatricRehabilitationCommiteeofChineseAssociationof Geriatric Research，GuangdongProvincialPeople's Hospital（Guangdong AcademyofMedical Sciences）/Southern Medical Universityand the Guangzhou AsociationofRehabilitation Medicine ledthedevelopmentof thisconsensus.Using the Delphi method to formalistof keyquestions andrecommendations，the GRADEsystem to assessthequalityof evidenceand strength of recommendations，andtheRIGHTchecklistto standardizereporting，atotalof14evidence-basedrecommendations were established.This expertconsensusoncommunity-basedsarcopeniascreening inolderadultsprovidesascientificand feasible screning pathway，supports theconstructionofanearlydetection，early identification，andearly interventionsystemfor sarcopeniapreventionandcontrolinthecommunity，andultimatelyaimstoimprovethehealthandqualityoflifeoftheolder population.
【Key Words】Older adults； Sarcopenia；Community screening；Muscle mass；Muscle strength； Physical function;Expert consensus
肌肉减少症（简称肌少症）是一种与增龄相关的老年综合征，表现为肌肉质量减少、肌肉力量下降和/或身体功能减退[1-2]，已纳人国际疾病分类（ICD-11）[3]。（剩余58117字）
