| 英文摘要 |
The impact of psychiatric disorder, especially depression, on the outcomes of sarcopenic patients is a concern. To relieve suffering, this cohort-based study determines the effect of a combination of acupuncture, which is a complementary medical practice, on the prevention of depression in sarcopenia patients. Using an administrative claims database, individuals aged 20–60 years with newly diagnosed sarcopenia who were free of depression between 2002 and 2010 were recruited. 6,671 acupuncture users and 6,671 non-acupuncture users were then recruited by matching propensity scores. These individuals were followed until the end of 2013 to record any incidence of depression. The relationship between depression and acupuncture treatment is measured using the Cox proportional hazards regression model, which calculates the hazard ratio (HR) and corresponding 95% confidence intervals (CI). This study shows that the addition of acupuncture to the routine care of sarcopenia is significantly associated with a lower risk of depression (adjusted HR = 0.75, 95% CI, 0.66–0.85). Acupuncture significantly decreases the risk of depression for those who receive frequent acupuncture. The risk of depression decreases by 53%. This study shows that the use of acupuncture for the routine care of sarcopenia can prevent sequent depression but there is an urgent need for interdisciplinary collaboration and proactive treatment planning. |