Cabrero-García Julio, Muñoz-Mendoza Carmen Luz, Cabañero-Martínez María José, González-Llopís Lorena, Ramos-Pichardo Juan Diego, Reig-Ferrer Abilio
Aten Primaria. 2012 Sep;44(9):540-8. doi: 10.1016/j.aprim.2012.02.007. Epub 2012 May 16.
To provide new reference values for the Short Physical Performance Battery (SPPB) for patients 70 years-old and over in primary health care (PHC), and analyse their relationship with demographic data, physical function, health and clinical status.
Baseline interviews and observations of a longitudinal study on physical function and adverse health results.
Five Primary Care Centres in the provinces of Alicante and Valencia.
A total of 593 persons 70 years-old and over.
The SPPB was applied using direct observation, and the rest of the variables by interview. Reference values were calculated according to sex and three age groups (70-75, 76-80, > 80 years), and the validity of the Battery was analysed using association statistics with the demographic, clinical, and function data.
The reference values showed a poor performance in women, and a gradually poorer performance through the three age groups. The SPPB was significantly associated (P < 0.01) with age, sex, number of drugs taken, morbidity, body mass index, dependency in basic activities of daily living (BADL), instrumental activities of daily living (IADL) for health reasons, the 10-item Physical Functioning Scale (PF-10), depression and health perception.
The reference values of the complete SPPB by age and sex are provided, based category scores in Primary Care patients 70 years-old and over. The Battery results can give a rapid and valid assessment of the functional state of elderly patient in Primary Care.
为基层医疗保健(PHC)中70岁及以上患者的简短体能状况量表(SPPB)提供新的参考值,并分析其与人口统计学数据、身体功能、健康和临床状况之间的关系。
一项关于身体功能和不良健康结果的纵向研究的基线访谈和观察。
阿利坎特省和巴伦西亚省的五个基层医疗中心。
总共593名70岁及以上的人。
通过直接观察应用SPPB,其余变量通过访谈获取。根据性别和三个年龄组(70 - 75岁、76 - 80岁、80岁以上)计算参考值,并使用与人口统计学、临床和功能数据的关联统计分析该量表的有效性。
参考值在女性中表现较差,且在三个年龄组中逐渐变差。SPPB与年龄、性别、服药数量、发病率、体重指数、日常生活基本活动(BADL)的依赖程度、因健康原因的日常生活工具性活动(IADL)、10项身体功能量表(PF - 10)、抑郁和健康认知显著相关(P < 0.01)。
基于70岁及以上基层医疗患者的类别得分,提供了按年龄和性别划分的完整SPPB参考值。该量表结果可对基层医疗中老年患者的功能状态进行快速有效的评估。