Study on the distribution pattern of TCM constitution in sarcopenia patients and the correlation between body composition analysis parameters in postmenopausal women
肌少症患者中医体质分布规律及绝经后女性体成分分析参数相关性的研究

摘要

目的 探究肌少症患者中医体质分布规律及绝经后女性体成分分析参数相关性的研究。方法 选取2023年9月至2025年3月内天津中医药大学第一附属医院骨伤科住院患者作为研究对象，并进行体成分分析检测。结果 患者中阳虚体质发生率最高。绝经后女性患者骨密度值与骨矿含量百分比、四肢瘦体质量指数、瘦体质量指数均与骨密度值有正性线性相关关系；其骨密度值与脂肪量相关指标具有负相关趋势；骨松组瘦体质量指数低于正常组。结论 肌少症患者的中医体质以阳虚质为主。绝经后女性患者骨密度值与四肢瘦体质量指数、瘦体质量指数呈正性线性相关关系；其脂肪质量指数对骨密度值具有负性影响趋势。骨质疏松症患者的瘦体质量指数较正常人偏低。

Abstract

Objective To investigate the distribution patterns of traditional Chinese medicine (TCM) constitutions in patients with sarcopenia and the correlation with body composition analysis parameters in postmenopausal women.
Methods Hospitalized patients from the Department of Orthopedics, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, between September 2023 and March 2025, were selected as study subjects. Body composition analysis was performed on all participants.
Results Among the patients, Yang deficiency constitution had the highest incidence rate. In postmenopausal women, bone mineral density (BMD) showed a positive linear correlation with the percentage of bone mineral content, appendicular lean mass index, and lean mass index. Conversely, BMD demonstrated a negative correlation trend with fat mass-related parameters. The lean mass index in the osteoporosis group was lower than that in the normal group.
Conclusion   Yang deficiency is the predominant TCM constitution in patients with sarcopenia. In postmenopausal women, BMD is positively and linearly correlated with appendicular lean mass index and lean mass index, while fat mass index exhibits a negative influence trend on BMD. Patients with osteoporosis have lower lean mass index than normal individuals.