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[圣保罗市社区老年人的行动能力与跌倒风险]

[Mobility and the risk of falls among elderly people of the community of São Carlos].

作者信息

Aveiro Mariana Chaves, Driusso Patricia, Barham Elizabeth Joan, Pavarini Sofia Cristina Iost, Oishi Jorge

机构信息

Departamento de Ciências do Movimento Humano, Universidade Federal de São Paulo (UNIFESP), Campus Baixada Santista, Rua Silva Jardim 136, Vila Mathias, 11015-020 Santos SP.

出版信息

Cien Saude Colet. 2012 Sep;17(9):2481-8. doi: 10.1590/s1413-81232012000900028.

DOI:10.1590/s1413-81232012000900028
PMID:22996898
Abstract

The scope of this study was to assess the mobility and risk of falls among elderly people living within the Family Health Strategy area in São Carlos and identify some factors that have been associated with risks of falls. This is a cross-sectional study that presents data from 739 elderly people (mean age of 69.9 ± 7.2 years old) registered in the Health and Aging Research Group. Data related to sex, age, falls in the last year, mobility using the Timed "Up & Go" (TUG) test and cognitive impairment by Mini-Mental State Examination (MMSE), were analyzed. Statistical analyses were performed using Chi-square test and Kruskal-Wallis ANOVA and Mann-Whitney U non-parametric tests. The level of significance used for all comparisons was 5% (p < 0.05). Fallers present worse performance to TUG than non-fallers (p < 0.001). A higher prevalence of fallers was found among women (p < 0.001). No significant association was found between elderly fallers and cognitive impairment by MMSE (p = 0.11). Performance in TUG revealed a significant difference between the different age groups (p < 0.001). Elderly people from São Carlos had lower mobility and higher risk of falls in comparison with healthy people without chronic disorders and independent for daily living activities.

摘要

本研究的范围是评估居住在圣卡洛斯家庭健康战略区域内老年人的活动能力和跌倒风险,并确定一些与跌倒风险相关的因素。这是一项横断面研究,呈现了健康与衰老研究小组登记的739名老年人(平均年龄69.9±7.2岁)的数据。分析了与性别、年龄、过去一年的跌倒情况、使用定时起立行走测试(TUG)评估的活动能力以及简易精神状态检查表(MMSE)评估的认知障碍相关的数据。采用卡方检验、Kruskal-Wallis方差分析和Mann-Whitney U非参数检验进行统计分析。所有比较的显著性水平均为5%(p<0.05)。跌倒者在TUG测试中的表现比未跌倒者差(p<0.001)。女性中跌倒者的患病率更高(p<0.001)。MMSE评估未发现老年跌倒者与认知障碍之间存在显著关联(p = 0.11)。TUG测试表现显示不同年龄组之间存在显著差异(p<0.001)。与无慢性疾病且日常生活自理的健康人群相比,圣卡洛斯的老年人活动能力较低且跌倒风险较高。

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