基线合并症与日本老年人群体中运动干预对生活质量的短期影响相关：一项观察性研究。

Baseline comorbidity associated with the short-term effects of exercise intervention on quality of life in the Japanese older population: an observational study.

机构信息

Dept of Physical Therapy, Kibi International University, Okayama, Japan.

出版信息

Arch Phys Med Rehabil. 2010 Sep;91(9):1363-9. doi: 10.1016/j.apmr.2010.06.014.

DOI:10.1016/j.apmr.2010.06.014

PMID:20801253

Abstract

UNLABELLED

Tamari K. Baseline comorbidity associated with the short-term effects of exercise intervention on quality of life in the Japanese older population: an observational study.

OBJECTIVE

To investigate predictors of responses to a class-based exercise program in terms of health-related quality of life (HRQOL).

DESIGN

A 3-month prospective cohort study.

SETTING

General community.

PARTICIPANTS

A sample of community-dwelling Japanese volunteers (N=137; aged > or =65y) initially was included in the study. More than three fourths (76.6%) completed the follow-up examination.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Eight domains of the Medical Outcomes Study 36-Item Short-Form Health Survey, version 2, were used as main outcome measures. Candidate predictors included demographic variables, medical history of chronic diseases, and results of a set of physical performance tests at the baseline examination. Logistic regression models were used to detect predictors.

RESULTS

Bodily pain, vitality, social functioning, and mental health domains improved after the intervention (P<.01 vs baseline). The absence of diabetes mellitus showed an association with a good response in the identified domains, with an adjusted odds ratio (OR) of 2.88 (confidence interval [CI], .90-9.25). More than 20% of participants had negative changes in the physical functioning, physical role, general health, and emotional role domains at follow-up. The presence of osteoarthritis significantly predicted a poor response in these domains, with an adjusted OR of 6.75 (CI, 1.58-28.83).

CONCLUSIONS

Three months of class-based exercise is effective in alleviating bodily pain and the mental components of HRQOL; however, the effect of exercise on the physical domains of HRQOL may be limited. The presence of osteoarthritis may moderate the effects of exercise on HRQOL physical components.

摘要

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Tamari K. 与短期运动干预对日本老年人群生活质量影响相关的基线合并症：一项观察性研究。

目的

调查健康相关生活质量（HRQOL）对基于课程的运动项目反应的预测因素。

设计

为期 3 个月的前瞻性队列研究。

地点

一般社区。

参与者

最初有样本量为 137 名居住在社区的日本志愿者（年龄≥65 岁）参加了该研究。超过四分之三（76.6%）的参与者完成了随访检查。

干预

不适用。

主要观察指标

采用医疗结局研究 36 项简明健康调查 2 版的 8 个领域作为主要观察指标。候选预测因素包括人口统计学变量、慢性病病史和基线检查中一组身体表现测试的结果。采用逻辑回归模型来检测预测因素。

结果

干预后身体疼痛、活力、社会功能和心理健康领域得到改善（P<.01 与基线相比）。无糖尿病与所确定领域的良好反应相关，调整后的优势比（OR）为 2.88（置信区间 [CI]，.90-9.25）。超过 20%的参与者在随访时在身体功能、身体角色、一般健康和情绪角色领域出现负面变化。骨关节炎的存在显著预测这些领域的反应不佳，调整后的 OR 为 6.75（CI，1.58-28.83）。