T. Thaweewannakij, PT, PhD, School of Physical Therapy, Faculty of Associated Medical Sciences, and Improvement of Physical Performance and Quality of Life (IPQ) Research Group, Khon Kaen University, Khon Kaen, Thailand.
Phys Ther. 2013 Oct;93(10):1312-20. doi: 10.2522/ptj.20120411. Epub 2013 Apr 25.
Because the number of elderly people is rapidly increasing, reference values for the physical abilities necessary to independently conduct daily activities are crucial for promoting good health. Although a few studies have reported reference values for functional tests relating to these abilities, all of those values were derived from populations in developed countries, which have baseline demographic and anthropometric characteristics different from those of Thai people.
The purpose of this study was to describe reference values for 5 physical performance tests for Thai elderly people who were functioning well and dwelling in the community.
A cross-sectional design was used in this study.
A total of 1,030 Thai elderly people who were functioning well were cross-sectionally assessed for their physical abilities with 5 functional tests: 10-Meter Walk Test, Berg Balance Scale, Timed "Up & Go" Test, Five Times Sit-to-Stand Test, and Six-Minute Walk Test. The data were reported with descriptive statistics according to decade of age and sex. Differences among the age decades and between the sexes were analyzed with a 1-way analysis of variance and an independent-sample t test, respectively. Multiple linear regression analyses were used to determine baseline characteristics important in functional abilities.
Most of the values found for the performance-based measures were lower than those previously reported, with a significant trend toward age- and sex-related functional decline. Weight and height were important contributors to level of functional ability.
Only a few elderly individuals older than 90 years of age participated in this study. Therefore, their findings were combined with those of participants aged 80 to 89 years.
The findings described here may be useful as reference values for 5 physical performance tests for Thai elderly people. Health practitioners can use this information to identify functional impairments early and to promote independence in Thai and other elderly populations with similar anthropometric characteristics, such as those in the Association of South East Asian Nations.
由于老年人数量迅速增加,独立进行日常活动所需的身体能力的参考值对于促进健康至关重要。尽管有几项研究报告了与这些能力相关的功能测试的参考值,但所有这些值都是从发达国家的人群中得出的,这些国家的人口统计学和人体测量特征与泰国人不同。
本研究旨在描述身体状况良好、居住在社区的泰国老年人进行 5 项身体性能测试的参考值。
本研究采用横断面设计。
共有 1030 名身体状况良好的泰国老年人接受了 5 项功能测试的身体能力横断面评估:10 米步行测试、伯格平衡量表、计时“站起走”测试、五次坐立测试和六分钟步行测试。根据年龄和性别,用描述性统计数据报告数据。使用单向方差分析和独立样本 t 检验分别分析年龄十年间的差异和性别间的差异。使用多元线性回归分析确定对功能能力重要的基线特征。
表现为基于指标的大多数值都低于之前报道的值,并且随着年龄和性别相关的功能下降而呈现显著趋势。体重和身高是功能能力的重要贡献者。
只有少数 90 岁以上的老年人参加了这项研究。因此,他们的发现与 80 至 89 岁的参与者的发现结合在一起。
这里描述的发现可作为泰国老年人进行 5 项身体性能测试的参考值。医疗保健从业人员可以使用这些信息及早识别功能障碍,并促进具有类似人体测量特征的泰国和其他老年人群体的独立性,如东南亚国家联盟的人群。