Nam Sanggon, Snih Soham Al, Markides Kyriakos
Department of Public Health Sciences, College of Health Science, California Baptist University, Riverside, California, USA.
Division of Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch, Galveston, Texas, USA.
Tex Public Health J. 2017 Summer;69(3):12-15.
We investigated the effect of chronic medical conditions including obesity on self-reported disability and mobility in Mexican Americans aged 75 or over using data from the Hispanic Established Population for the Epidemiological Study of the Elderly (Hispanic EPESE) Wave 5 (2004-2005). Disability was assessed with a modified version of the Katz activities of daily living (ADL) scale and mobility was assessed with the Rosow Breslau scale of gross mobility function. The percentage of participants needing assistance with ADLs were as follows: 26.7% for transferring from a bed to chair, 26.6% for walking across a small room, 17.9% for dressing, 16.3% for using a toilet, 14.3% for grooming, and 8.2% for eating. Fifty percent reported limitation in the ability to walk ½ a mile and walking up and down stairs. Multivariate logistic regression analysis after controlling for all covariates showed that arthritis, diabetes, stroke, and obesity were significantly associated with any ADL limitation, walking up and down stairs, and walking 1/2 mile. Prevention of obesity and chronic medical conditions will help increase functional independence in this population.
我们利用西班牙裔老年人流行病学研究的既定人群（Hispanic EPESE）第5波（2004 - 2005年）的数据，调查了包括肥胖在内的慢性疾病对75岁及以上墨西哥裔美国人自我报告的残疾和行动能力的影响。残疾状况采用改良版的Katz日常生活活动（ADL）量表进行评估，行动能力采用Rosow Breslau总体行动功能量表进行评估。需要ADL协助的参与者百分比分别如下：从床上转移到椅子上为26.7%，穿过一个小房间行走为26.6%，穿衣为17.9%，使用厕所为16.3%，洗漱为14.3%，进食为8.2%。50%的人报告在行走半英里以及上下楼梯的能力方面存在限制。在控制所有协变量后进行的多变量逻辑回归分析表明，关节炎、糖尿病、中风和肥胖与任何ADL限制、上下楼梯以及行走半英里显著相关。预防肥胖和慢性疾病将有助于提高该人群的功能独立性。
