中国康复理论与实践2024，Vol.30Issue(6)：731-736,6.DOI:10.3969/j.issn.1006-9771.2024.06.014
步态和平衡功能对上海社区老年人衰弱的预测效能
Predictive value of gait and balance on frailty in community-dwelling older adults in Shanghai,China
摘要
Abstract
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.关键词
步态/平衡/衰弱/社区/老年人/风险Key words
gait/balance/frailty/community-dwelling/older adults/risk分类
医药卫生引用本文复制引用
温娜娜,张芯慧,龙清,王雨豪,余群萍,张晗淳,郑国华..步态和平衡功能对上海社区老年人衰弱的预测效能[J].中国康复理论与实践,2024,30(6):731-736,6.基金项目
国家自然科学基金项目(No.82074510) Supported by National Natural Science Foundation of China(No.82074510) （No.82074510）
