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与社区居住的老年人参与居家防跌倒计划相关的因素。

Factors Associated with Participation of Community-Dwelling Older Adults in a Home-Based Falls Prevention Program.

机构信息

Erasmus MC, Department of Public Health, University Medical Center Rotterdam, Rotterdam 3000 CA, The Netherlands.

GENERO Foundation, Rotterdam 3001 AE, The Netherlands.

出版信息

Int J Environ Res Public Health. 2019 Mar 26;16(6):1087. doi: 10.3390/ijerph16061087.

Abstract

This observational study was conducted to determine which factors are associated with frequent participation in a home-based exercise program. The effects of frequent participation on health-related outcomes over time are investigated, as well. Community-dwelling adults aged ≥65 years participated in a twelve-week home-based exercise program. The program consisted of an instruction book with exercises that were performed individually at home. Frequent participation was classified as performing exercises of the instruction book daily or a few days a week during the study period. A logistic regression analysis was performed to determine the association between factors (i.e., demographic and health-related characteristics) and frequent participation. Furthermore, to investigate the effects of frequent participation on health-related outcomes, generalized linear and logistic regression models were built. A total of 238 participants (mean age 81.1 years (SD ± 6.7), 71% female) were included in the study. Frequent participation during the study period was indicated by fifty-two percent of participants. Analyses showed that a higher degree of pain (OR: 1.02, 95% CI: 1.⁻1.04) was associated with frequent participation. In addition, the effect of frequent participation over time was a significant improvement in current health perceptions (B: 4.46, SE: 1.99).

摘要

本观察性研究旨在确定哪些因素与频繁参与家庭锻炼计划有关。同时,也研究了频繁参与对健康相关结果的长期影响。社区居住的 65 岁及以上成年人参与了为期十二周的家庭锻炼计划。该计划包括一本附有在家中单独进行的练习的指导手册。频繁参与被定义为在研究期间每天或每周几天按照指导手册进行练习。使用逻辑回归分析确定了与频繁参与相关的因素(即人口统计学和健康相关特征)之间的关联。此外,为了研究频繁参与对健康相关结果的影响,建立了广义线性和逻辑回归模型。共有 238 名参与者(平均年龄 81.1 岁(SD ± 6.7),71%为女性)纳入研究。研究期间有 52%的参与者频繁参与。分析表明,较高程度的疼痛(OR:1.02,95%CI:1.⁻1.04)与频繁参与相关。此外,频繁参与随时间的效果是当前健康感知的显著改善(B:4.46,SE:1.99)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3847/6466058/b503996ecfb0/ijerph-16-01087-g001.jpg

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