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논문KCI 등재

노인에서 DXA 단주파수 사지분절 생체전기저항법의 사지근 육량의 추정식 개발

Validation of an 50kHz single frequency BIA equation for appendicular skeletal muscle mass of old people comparable to DXA

김철현|김혜진
한국체육측정평가학회 (Korean Society For Measurement And Evaluation In Physical Education And Sports Science)|2020.03|한국체육측정평가학회지 (The Korean Journal of Measurement and Evaluation in Physical Education and Sports Science)|제22권 제1호|pp. 83-92|DOI 10.21797/ksme.2020.22.1.007

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키워드

신뢰도Body compositionValidation Study신체구성근감소증DXA진단법교차타당도Single-frequency segmental BIA

초록

이 연구는 노인에서 DXA를 준거로 하여 생체전기저항법의 사지근육량  추정식을 개발하는 것이다. 이를 위해서 노인 189명 (70~94세)을 대상으로 DXA에서 사지근육량을 측정하였고, 사지근육량의 추정식을 개발하기 위해 단주 파수 사지분절 생체전기저항법을 이용하여 50kHz 생제전기저항 변인을 측정하였다. 추정식 개발을 위해 내적 교차 타당도 절차에 따라서, 총대상자 186명을 추정식개발군 162명, 교차타당도 검사군 66명을 나누어, 회귀식 개발 탐 색과 타당도 분석을 진행하였다. 개발단계의 추정식에서 결정계수는 91.4%, 추정오차는 1.13kg ASM, 오차변이 6.4%, 다중공선성은 2.50~4.79였다. 교차타당도에서 추정 사지근육량(17.4±3.47kg)은 측정 사지근육량(17.3±3.58kg)과 차이가 없었으며(p=.388), 이때 결정계수 92.%, 총오차 1.02kg ASM, 오차변이 6.0, 잔차 대 평균사지근육량의 상관 도는 유의하지 않았다(p = 0.085). 또한 개별오차는 85.7%였다. 이 결과 최종 추정식은 ASM = 0.345H 2/R – 2.431sex + 0.079W + 1.717; R 2=0.914, SEE=1.09kg, CV=6.0%로 나타났다. 이상의 연구결과, BIA를 기반한 사지근육량을 추정하는 공식을 타당하게 개발하였으며, 이 공식이 한국의 노인에게 적용할 때, 집단대상과 함께 개인별 측정 분야 에 적합하였다.

Abstract

The purpose of this study is to develop a 50kHz-segmental-BIA-based prediction equation for estimating the appendicular muscle mass comparable to DXA in the elderly. For this purpose of this study, the appendicular skeletal muscle mass was measured by DXA for 189 elderly people (70-94 years old), and a 50kHz bioimpedance parameters (R, Xc, Z, R index, Z index) were measured. According to the internal cross-validation procedure, the total of 186 subjects were divided into 162 estimation equation development groups and 66 cross-validation testing groups, and regression development exploration and feasibility analysis were conducted. In the estimation equation at the development stage, the coefficient of determination was 91.4%, the estimated standard error was 1.13kg ASM, confidence variation was 6.4%, and VIF was 2.50 ~ 4.79. The estimated appendicular muscle mass (17.4±3.47kg) in cross-validity study was not different from the measured appendicular muscle mass (17.3±3.58kg) (p = .388), where the coefficient of determination was 92.4%, total error 1.02kg ASM, confidence variation 6.0. The correlation between residual and mean appendicular muscle mass was not significant (p = .085). Also, the individual error was 85.7%. As a result, the final estimation equation is ASM = 0.345H2/R – 2.431sex + 0.079W + 1.717; R2 = 0.914, SEE = 1.09kg, CV = 6.0%. In conclusion, an equation for estimating the BIA-based appendicular skeletal muscle mass was developed appropriately, and when this equation is applied to the elderly in Korea, it is considered that it can be applied to individual measurement fields as well as population measures.

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