与恐惧相关的活动回避、跌倒和身体虚弱。一项基于社区的前瞻性队列研究。
Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study.
作者信息
Delbaere Kim, Crombez Geert, Vanderstraeten Guy, Willems Tine, Cambier Dirk
机构信息
Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Faculty of Psychology and Educational Sciences, Ghent University, Belgium.
出版信息
Age Ageing. 2004 Jul;33(4):368-73. doi: 10.1093/ageing/afh106. Epub 2004 Mar 26.
OBJECTIVE
to investigate the relationship between fear-related avoidance of activities and physical frailty.
SUBJECTS AND METHODS
fear-related avoidance of activities, physical performance, maximal isometric muscle strength and postural control were assessed in 225 community-living elderly (94 men and 131 women), aged between 61 and 92 years of age.
RESULTS
bivariate analyses revealed significant correlations between avoidance of activities on the one hand, and physical performance, muscle strength, forward endpoint excursion of the centre of gravity, and previous falls on the other hand. Logistic regression analysis revealed that fear of falling and avoidance of activities in daily life were predictive of falls within a 1-year follow-up, together with general fear of falling, old age and being female.
CONCLUSIONS
fear-related avoidance of activities may have negative effects on physical abilities and may also be predictive for future falls. Avoidance of activities is therefore an important additional psychological variable in the development of physical frailty and falling in community-living elderly.
目的
探讨与恐惧相关的活动回避与身体虚弱之间的关系。
对象与方法
对225名年龄在61至92岁之间的社区居住老年人（94名男性和131名女性）进行了与恐惧相关的活动回避、身体机能、最大等长肌力和姿势控制评估。
结果
双变量分析显示，一方面活动回避与另一方面身体机能、肌肉力量、重心向前端点偏移以及既往跌倒之间存在显著相关性。逻辑回归分析显示，害怕跌倒和日常生活中的活动回避可预测1年随访期内的跌倒情况，同时还有对跌倒的总体恐惧、高龄和女性因素。
结论
与恐惧相关的活动回避可能对身体能力产生负面影响，也可能预测未来的跌倒。因此，活动回避是社区居住老年人身体虚弱和跌倒发生过程中一个重要的额外心理变量。
Zotero 插件