2025 年 32 巻 p. 21-29
The Frailty Prevention Center at Kawasaki Medical School Center for Geriatric Medicine provides exercise guidance for frail elderly patients. This study aimed to elucidate the status of frailty and sarcopenia at the center. The study included 104 patients, and the survey items included the presence of frailty and sarcopenia, age, sex, body composition, and physical fitness measurements.
93 patients(89%)were assessed for frailty, with 75% in the pre-frail group. Significant differences were found in age and physical fitness measurements. 100 patients(96%)were assessed for sarcopenia, with 26% in the severe sarcopenia group. Significant differences were found in age, body composition, and physical fitness measurements. The study’s findings align with the tendency for pre-frail and frail patients to increase with age. Physical fitness measurements showed significant declines in the frail group compared to the robust group, particularly in grip strength, balance, and mobility tests. These tests may influence each other and decline simultaneously. The proportion of severe sarcopenia diagnoses was higher than the national average, indicating that patients with more advanced skeletal muscle loss and physical function decline were more likely to utilize the Frailty Prevention Center.
In conclusion, the study revealed that patients at the Frailty Prevention Center exhibited decreased physical function among those eligible for frailty assessment and a higher proportion of severe sarcopenia diagnoses among those eligible for sarcopenia assessment, indicating a prevalence of patients with advanced skeletal muscle loss and physical function decline.