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老年人日常骑自行车可能对降低跌倒风险有效——一项病例对照研究。

Daily Bicycling in Older Adults May be Effective to Reduce Fall Risks-A Case-Control Study.

作者信息

Batcir Shani, Melzer Itshak

出版信息

J Aging Phys Act. 2018 Oct 1;26(4):570-576. doi: 10.1123/japa.2017-0263. Epub 2018 Aug 29.

Abstract

Older adults gain many health benefits from riding bicycles regularly. We aimed to explore whether older persons who ride bicycles regularly have better balance than controls. Balance control and voluntary stepping were assessed in 20 older adults aged 65-85 years who live in an agricultural community village and who ride bicycles regularly, and 30 age- and gender-matched nonbicycle riders (NBR). Self-reported function and fear of fall were also assessed. Bicycle riders (BR) showed significantly better balance, faster voluntary stepping, and better self-reported advanced lower-extremity function compared with NBR. The results might suggest that bicycling regularly preserves balance control and speed of voluntary stepping in older adults because bicycling might maintain specific balance coordination patterns. The results should be treated with caution as bicycle riders were older adults who selected an active lifestyle (i.e., bicycling as well as living in an agricultural village) that may bias the results.

摘要

老年人经常骑自行车对健康有诸多益处。我们旨在探讨经常骑自行车的老年人是否比对照组具有更好的平衡能力。对居住在一个农业社区村庄且经常骑自行车的20名65 - 85岁老年人以及30名年龄和性别匹配的非骑自行车者(NBR)进行了平衡控制和自主迈步评估。还评估了自我报告的功能和跌倒恐惧。与非骑自行车者相比,骑自行车者(BR)表现出明显更好的平衡能力、更快的自主迈步速度以及更好的自我报告的下肢高级功能。结果可能表明,经常骑自行车可保持老年人的平衡控制和自主迈步速度,因为骑自行车可能维持特定的平衡协调模式。由于骑自行车者是选择了积极生活方式(即骑自行车以及生活在农业村庄)的老年人,这些因素可能会使结果产生偏差,因此对这些结果应谨慎对待。

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