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[中国长寿地区≥60岁老年人握力的研究]

[Study on handgrip strength of elderly ≥60 years old from longevity areas in China].

作者信息

Su L Q, Yin Z X, Wang X C, Lyu Y B, Shi W H, Zhang J, Luo J S, Shi X M

机构信息

National Institute for Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2017 Nov 6;51(11):1007-1011. doi: 10.3760/cma.j.issn.0253-9624.2017.11.010.

Abstract

To assess the status of handgrip strength of elderly population from longevity areas in China, and to analyze the correlative factors of handgrip strength of elderly people. Data from Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2012 was used, from which1 967 participants aged ≥60 years old with valid data of grip strength value from 8 Chinese longevity areas were included. Information on demographics characteristic, life style and health status was collected using questionnaires. The handgrip strength of both left and right hands were measured by grip dynamometer. The different characteristics of group of participants with different grip strength were compared and then analyzed by adopting the Cumulative odds Logistic regression model to identify main factors associated with hand grip strength. The (50) ((25)-(50)) of hand grip strength of elderly people from the eight longevity areas was 20 (11-28) kg; The hand grip strength of males was 26 (18-34) kg, which was higher than that of females(14 (9-20) kg) (<0.001). Cumulative odds Logistic regression model showed that the hand grip strength of females was lower than males, whose β value (95%) was-1.22 (-1.43--1.00). The elderly who was at a higher age, smoking, drinking or with anemia, had a comparatively lower handgrip strength, whose β (95%) value were separately-0.08(-0.09-0.07),-0.29(-0.56-0.02),-0.54(-0.80-0.28), and-0.41(-0.62-0.20). And the elderly who had a higher boby mass index, drinking tea and outdoor activities, had a comparatively higher handgrip strength, whose β(95%) value were separately 0.28 (0.15-0.40), 0.25(0.03-0.47) and 0.51(0.30-0.71). Age and gender were the main correlative factors, lifestyles and physical conditions might also be correlative factors of hand grip strength of the elderly from longevity areas in China.

摘要

评估中国长寿地区老年人群握力状况,分析老年人握力的相关影响因素。采用2012年中国老年健康影响因素跟踪调查(CLHLS)数据,纳入来自中国8个长寿地区的1967名年龄≥60岁且握力值数据有效的参与者。通过问卷调查收集人口学特征、生活方式和健康状况等信息。使用握力计测量左右手的握力。比较不同握力参与者组的不同特征,然后采用累积比数Logistic回归模型进行分析,以确定与握力相关的主要因素。8个长寿地区老年人握力的中位数(四分位数间距)为20(11 - 28)kg;男性握力为26(18 - 34)kg,高于女性(14(9 - 20)kg)(P<0.001)。累积比数Logistic回归模型显示,女性握力低于男性,其β值(95%置信区间)为 - 1.22(- 1.43~ - 1.00)。年龄较大、吸烟、饮酒或患有贫血的老年人握力相对较低,其β(95%置信区间)值分别为 - 0.08(- 0.09~ - 0.07)、- 0.29(- 0.56~ - 0.02)、- 0.54(- 0.80~ - 0.28)和 - 0.41(- 0.62~ - 0.20)。而体重指数较高、喝茶和进行户外活动的老年人握力相对较高,其β(95%置信区间)值分别为0.28(0.15 - 0.40)、0.25(0.03 - 0.47)和0.51(0.30 - 0.71)。年龄和性别是主要相关因素,生活方式和身体状况也可能是中国长寿地区老年人握力的相关因素。

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