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多民族老年人群体中与身体机能指标相关的因素

Factors Associated With Physical Performance Measures in a Multiethnic Cohort of Older Adults.

作者信息

Granic Antoneta, Mossop Helen, Engstrom Gabriella, Davies Karen, Dodds Richard, Galvin James, Ouslander Joseph G, Tappen Ruth, Sayer Avan A

机构信息

Newcastle University, Newcastle upon Tyne, UK.

Florida Atlantic University, Boca Raton, USA.

出版信息

Gerontol Geriatr Med. 2018 Jun 13;4:2333721418778623. doi: 10.1177/2333721418778623. eCollection 2018 Jan-Dec.

Abstract

To explore the association between ethnicity, sociodemographic, health, and lifestyle factors, and physical performance (PP) in ethnically diverse community-dwelling older adults from one geographic area. We used multivariable linear regression to identify factors associated with upper (grip strength [GS], arm curls [AC]) and lower (chair stands [CS]) body strength and mobility (gait speed [GSp]) in 577 older adults (mean age 74 ± 8; 104 African American, 142 Afro-Caribbean, 123 Hispanic, and 208 European American) from South Florida. Worse mental health was negatively associated with CS in African Americans and AC in Hispanics. Older age and higher body mass index (BMI) was associated with slower GSp in all except in Hispanics. Higher physical activity was associated with higher upper body strength in Hispanics and better mobility in African Americans and Afro-Caribbeans, but not in European Americans. Studies with large multiethnic cohorts are needed to further our understanding of ethnic differences in PP, which will help in tailoring interventions and recognizing unmet needs for health and social services.

摘要

为了探究种族、社会人口统计学、健康和生活方式因素与来自一个地理区域的不同种族社区居住老年人的身体机能(PP)之间的关联。我们使用多变量线性回归来确定577名来自南佛罗里达的老年人(平均年龄74±8岁;104名非裔美国人、142名非洲裔加勒比人、123名西班牙裔和208名欧洲裔美国人)上肢(握力[GS]、臂弯举[AC])和下肢(起立试验[CS])力量及活动能力(步速[GSp])的相关因素。较差的心理健康状况与非裔美国人的CS以及西班牙裔的AC呈负相关。除西班牙裔外,年龄较大和体重指数(BMI)较高与所有人群的GSp较慢相关。较高的身体活动水平与西班牙裔较高的上肢力量以及非裔美国人和非洲裔加勒比人较好的活动能力相关,但与欧洲裔美国人无关。需要开展有大量多民族队列的研究,以进一步了解PP方面的种族差异,这将有助于制定针对性的干预措施,并识别未得到满足的健康和社会服务需求。

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