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老年男性的感觉运动外周神经功能与身体活动

Sensorimotor Peripheral Nerve Function and Physical Activity in Older Men.

作者信息

Lange-Maia Brittney S, Cauley Jane A, Newman Anne B, Boudreau Robert M, Jakicic John M, Glynn Nancy W, Zivkovic Sasa, Dam Thuy-Tien L, Caserotti Paolo, Cawthon Peggy M, Orwoll Eric S, Strotmeyer Elsa S

出版信息

J Aging Phys Act. 2016 Oct;24(4):559-566. doi: 10.1123/japa.2015-0207. Epub 2016 Aug 24.

Abstract

We determined whether sensorimotor peripheral nerve (PN) function was associated with physical activity (PA) in older men. The Osteoporotic Fractures in Men Study Pittsburgh, PA, site (n = 328, age 78.8 ± 4.7 years) conducted PN testing, including: peroneal motor and sural sensory nerve conduction (latencies, amplitudes: CMAP and SNAP for motor and sensory amplitude, respectively), 1.4g/10g monofilament (dorsum of the great toe), and neuropathy symptoms. ANOVA and multivariate linear regression modeled PN associations with PA (Physical Activity Scale for the Elderly [PASE] and SenseWear Armband). After multivariable adjustment, better motor latency was associated with higher PASE scores (160.5 ± 4.8 vs. 135.6 ± 6.7, p < .01). Those without versus with neuropathy symptoms had higher PASE scores (157.6 ± 5.3 vs. 132.9 ± 7.1, p < .01). Better versus worse SNAP was associated with slightly more daily vigorous activity (9.5 ± 0.8 vs. 7.3 ± 0.7, p = .05). Other PN measures were not associated with PA. Certain PN measures were associated with lower PA, suggesting a potential pathway for disability.

摘要

我们确定了老年男性的感觉运动外周神经(PN)功能是否与身体活动(PA)相关。宾夕法尼亚州匹兹堡市的男性骨质疏松性骨折研究站点(n = 328,年龄78.8±4.7岁)进行了PN测试,包括:腓总运动神经和腓肠感觉神经传导(潜伏期、波幅:分别为运动和感觉波幅的复合肌肉动作电位[CMAP]和感觉神经动作电位[SNAP])、1.4g/10g单丝(拇趾背侧)以及神经病变症状。方差分析和多元线性回归对PN与PA(老年人身体活动量表[PASE]和SenseWear臂带)之间的关联进行了建模。经过多变量调整后,更好的运动潜伏期与更高的PASE评分相关(160.5±4.8对135.6±6.7,p<.01)。没有神经病变症状的人与有神经病变症状的人相比,PASE评分更高(157.6±5.3对132.9±7.1,p<.01)。更好与更差的SNAP与略多的每日剧烈活动相关(9.5±0.8对7.3±0.7,p = .05)。其他PN测量指标与PA无关。某些PN测量指标与较低的PA相关,提示了一条潜在的残疾途径。

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