中国康复理论与实践2026，Vol.32Issue(1)：13-22,10.DOI:10.3969/j.issn.1006-9771.2026.01.002
中老年人平衡功能障碍的相关因素及其与功能性下肢肌力的关联:基于CHARLS数据库的分析
Associated factors of balance dysfunction and its correlation with functional lower limb muscle strength in mid-dle-aged and older adults:an analysis based on CHARLS database
摘要
Abstract
Objective To identify the multidimensional factors influencing balance dysfunction in middle-aged and older adults,pro-viding evidence-based support for the precise identification of high-risk individuals and the formulation of fall prevention strategies. Methods Drawing upon the 2015 follow-up data from the China Health and Retirement Longitudinal Study(CHARLS),participants aged≥45 years were selected.Information on demographic characteristics,lifestyle habits,and health status was collected.Balance function was assessed using the full-tandem stance test.Logistic regression models were employed to analyze influencing factors and their correlation with Five Times Sit to Stand Test(FTSST)time. Results Female(OR=1.958,95%CI:1.706 to 2.247),age(OR=1.035,95%CI:1.030 to 1.040),depressive state(OR=1.151,95%CI:1.050 to 1.262),hypertension(OR=1.115,95%CI:1.015 to 1.225),diabetes(OR=1.587,95%CI:1.390 to 1.813),history of stroke(OR=1.582,95%CI 1.289 to 1.942),sarcopenia(OR=1.273,95%CI 1.080 to 1.500)and impaired activity daily living(OR=1.306,95%CI 1.142 to 1.493)were risk factors for balance function,while being able to complete FTSST(OR=0.411,95%CI 0.341 to 0.496)and having a high cognitive level(OR=0.974,95%CI 0.965 to 0.983)were protective factors for balance function.Among those able to complete the FTSST,longer FTSST completion time increased the risk of balance impairment after adjusting for confounding factors(Q2:OR=1.287,95%CI 1.116 to 1.485;Q3:OR=1.517,95%CI 1.321 to 1.745;Q4:OR=1.857,95%CI 1.615 to 2.137). Conclusion Balance function in middle-aged and older adults is influenced by multiple factors,with FTSST perfor-mance showing a significant negative correlation with balance impairment.关键词
中老年/平衡功能/5次坐立试验/中国健康与养老追踪调查Key words
middle-aged and elderly/balance function/Five Times Sit to Stand Test/China Health and Retirement Longitudinal Study分类
医药卫生引用本文复制引用
张季辉,伊龙悦,杨远滨..中老年人平衡功能障碍的相关因素及其与功能性下肢肌力的关联:基于CHARLS数据库的分析[J].中国康复理论与实践,2026,32(1):13-22,10.基金项目
1.中国中医科学院望京医院自主选题专项课题(No.WJYY-ZZXT-2025-14) （No.WJYY-ZZXT-2025-14）
2.中国中医科学院望京医院高水平中医医院建设项目(No.WJYY-XZKT-2023-24) Supported by Special Research Project on Independently Selected Topics at Wangjing Hospital,China Academy of Chinese Medical Sciences(No.WJYY-ZZXT-2025-14),and Wangjing Hospital of China Academy of Chinese Medical Sciences High-Level TCM Hospital Construction Project(No.WJYY-XZKT-2023-24) （No.WJYY-XZKT-2023-24）
