步态和平衡功能对上海社区老年人衰弱的预测效能OA北大核心CSTPCD
Predictive value of gait and balance on frailty in community-dwelling older adults in Shanghai,China
目的 探讨步态和平衡功能对上海市社区65岁以上老年人衰弱的预测价值. 方法 2022年12月至2023年4月在上海市社区招募65岁以上老年人414例,采用自设问卷、Fried衰弱表型量表、计时起立-行走测试(TUGT)、单腿站立测试(OLST)进行调查,对衰弱的影响因素进行多元Logistic回归分析. 结果 衰弱前期和衰弱的发生率分别为62.8%和10.9%.居住农村、高龄、月均收入低、吸烟、久坐、无规律运动是社区老年人衰弱的风险因素;衰弱老年人TUGT时间提高(P<0.05),闭眼OLST时间降低(P<0.05).TUGT联合闭眼OLST预测衰弱的曲线下面积为0.846(95%CI 0.808～0.884,P<0.001),最佳阈值时敏感性0.726,特异性0.817. 结论 步态和平衡功能可能是预测上海社区65岁以上老年人衰弱有意义的因子.
Objective To explore the predictive value of gait and balance on the frailty in community-dwelling older adults aged 65 years and older in Shanghai. Methods A total of 414 community-dwelling older adults aged 65 years or older were recruited from Shanghai,from De-cember,2022 to April,2023.They were investigated with Fried's Frailty Phenotype Scale,Timed Up and Go Test(TUGT),one leg standing test(OLST)and self-designed questionnaire.The factors related to frailty were ana-lyzed using multivariate Logistic regression. Results The prevalence of pre-frailty and frailty were 62.8%and 10.9%,respectively.Living in rural residence,older age,low income,smoking,sedentary lifestyle and no regular exercise were the risk factors for frailty among com-munity-dwelling older adults.Time of TUGT increased,and time of closed eyes OLST descreased respectively in the frail older adults(P<0.05).The area under curve was 0.846(95%CI 0.808 to 0.884,P<0.001)as prediction for frailty using the combination of TUGT and closed eye OLST,with a sensitivity of 0.726 and a specificity of 0.817 at the optimal threshold. Conclusion Gait and balance may be a valuable predictor of frailty in community-dwelling older adults in Shanghai.
温娜娜;张芯慧;龙清;王雨豪;余群萍;张晗淳;郑国华
上海中医药大学,上海市 201203||上海健康医学院护理与健康管理学院,上海市 201318上海健康医学院护理与健康管理学院,上海市 201318
临床医学
步态平衡衰弱社区老年人风险
gaitbalancefrailtycommunity-dwellingolder adultsrisk
《中国康复理论与实践》 2024 (006)
731-736 / 6
国家自然科学基金项目(No.82074510) Supported by National Natural Science Foundation of China(No.82074510)
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