90 岁以上老年人基本室内移动能力的疲劳性。
Fatigability in basic indoor mobility in nonagenarians.
机构信息
Section of Social Medicine, Department of Public Health, , University of Copenhagen, Copenhagen, Denmark.
出版信息
J Am Geriatr Soc. 2012 Jul;60(7):1279-85. doi: 10.1111/j.1532-5415.2012.04034.x. Epub 2012 Jun 15.
OBJECTIVES
To evaluate the prevalence and associated health factors of indoor mobility-related fatigability in nonagenarians.
DESIGN
A cross-sectional observational study of all Danes born in 1905 and assessed in 1998.
SETTING
Community, sheltered housing and nursing homes.
PARTICIPANTS
Individuals aged 92 and 93 (N = 1,181) who were independent of help in basic indoor mobility.
MEASUREMENTS
Fatigability in basic indoor mobility was defined as a subjective feeling of fatigue when transferring or walking indoors. Other standardized assessments include self-report measures of medical history and performance-based assessments of walking speed and maximum handgrip strength.
RESULTS
Twenty-six percent of participants reported fatigability when transferring or walking indoors; fatigability was more common in participants living in sheltered housing (32%) than in those living independently (23%, P < .001). Cardiovascular diseases, musculoskeletal pain, medications, walking speed, and depressive symptoms were independently associated with fatigability.
CONCLUSION
Fatigability in basic everyday mobility is common in nondisabled nonagenarians. The results also indicate important associations between fatigability and potentially modifiable health factors.
目的
评估 90 岁以上人群中与室内移动相关的疲劳的患病率及其相关健康因素。
设计
1998 年对所有出生于 1905 年的丹麦人进行的横断面观察性研究。
地点
社区、庇护性住房和疗养院。
参与者
年龄在 92 岁和 93 岁之间、在基本室内移动方面不需要帮助的独立个体（N=1181）。
测量方法
基本室内移动疲劳的定义为在室内转移或行走时感到疲劳。其他标准化评估包括医疗史的自我报告测量以及行走速度和最大手握力的基于表现的评估。
结果
26%的参与者报告在室内转移或行走时感到疲劳；与独立居住者（23%，P<.001）相比，居住在庇护性住房中的参与者疲劳感更为常见（32%）。心血管疾病、肌肉骨骼疼痛、药物、行走速度和抑郁症状与疲劳感独立相关。
结论
在非残疾的 90 岁以上人群中，基本日常移动疲劳很常见。研究结果还表明，疲劳感与潜在可调节的健康因素之间存在重要关联。
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