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[老年人的性别和社会经济地位对6分钟步行试验执行情况的影响]

[Effects of gender and socioeconomic status of older people on the execution of the 6 minute walk test].

作者信息

Medina Paul G, Mancilla Eladio S, Muñoz Rodrigo C, Escobar Máximo C

出版信息

Rev Med Chil. 2015 Apr;143(4):484-92. doi: 10.4067/S0034-98872015000400010.

Abstract

BACKGROUND

The six minute walk test (6MWT) is an important physical performance measure used in older people.

AIM

To assess the total distance walked and the physiological cost of the 6MWT in non-disabled older people.

MATERIAL AND METHODS

Fifty six females aged 69 ± 5 years with a body mass index (BMI) of 31 ± 4 kg/m² and sixteen males aged 70 ± 7 years with a BIM of 29 ± 4 kg/m² underwent a 6MWT. The total distance walked was registered and the physiological cost (PC) of the test was calculated as the ratio between the difference of heart rate at work and at rest and the walking speed. The socioeconomic status (SES) of participants was determined using a questionnaire designed in Chile.

RESULTS

Among participants of middle-lower and middle-upper SES, the PC was 0.43 ± 0.1 and 0.44 ± 0.09 beats/min, respectively, p = NS. Males of middle-upper SES had a significantly higher PC than their middle-lower SES counterparts. The total distance walked was 493 ± 58 and 501 ± 63 m among participants of upper and lower SES. The plateau in reserve heart rate appeared earlier among participants of upper SES of both genders.

CONCLUSIONS

Older participants of middle-upper SES had a higher physiological efficiency during the execution of the 6MWT.

摘要

背景

六分钟步行试验(6MWT)是用于老年人的一项重要身体机能测量方法。

目的

评估非残疾老年人6MWT的步行总距离和生理消耗。

材料与方法

56名年龄为69±5岁、体重指数(BMI)为31±4kg/m²的女性以及16名年龄为70±7岁、BIM为29±4kg/m²的男性进行了6MWT。记录步行总距离,并将测试的生理消耗(PC)计算为工作时与休息时心率差值与步行速度的比值。使用智利设计的问卷确定参与者的社会经济地位(SES)。

结果

在中低和中高SES参与者中,PC分别为0.43±0.1和0.44±0.09次/分钟,p=无显著性差异。中高SES的男性PC显著高于中低SES的男性。高SES和低SES参与者的步行总距离分别为493±58米和501±63米。两性中高SES参与者储备心率平台期出现得更早。

结论

中高SES的老年参与者在进行6MWT时生理效率更高。

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