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老年人身体功能与各种身体活动模式的关系:一项横断面分析。

Association between physical function and various patterns of physical activity in older adults: a cross-sectional analysis.

机构信息

Cardiometabolic Exercise and Lifestyle Laboratory, University of New Brunswick, 90 Mackay Drive, (Room 322), Fredericton, NB, E3B 5A3, Canada.

Interdisciplinary Studies, School of Graduate Studies, University of New Brunswick, Fredericton, Canada.

出版信息

Aging Clin Exp Res. 2020 Jun;32(6):1017-1024. doi: 10.1007/s40520-019-01288-2. Epub 2019 Aug 3.

Abstract

BACKGROUND

To improve physical function, physical activity (PA) guidelines for older adults recommend completing PA in bouts of 10 min or more. Spontaneous PA (< 10 min) can also benefit older adults. However, a paucity of research exists examining if shorter bouts of PA are associated with greater physical function.

AIM

To determine the association between various patterns of PA and the likelihood of greater physical function in older adults.

METHODS

Older adults from the 2003-2004 and 2005-2006 cycles of the National Health and Nutrition Examination Survey were included for analysis. PA lasting 1, 5, 10, 30, and 60 min was quantified using accelerometers. Physical function was assessed using a Likert scale reflecting the self-reported capability to complete 11 tasks. A single function score was then computed using factor analysis. Logistic regression analyses calculated the association between PA bout length and the likelihood of above average function.

RESULTS

PA performed in 1-min (odds ratio [OR] 1.02; 95% confidence interval [CI] 1.01-1.03), 5-min (OR 1.02; CI 1.01-1.03), or 10-min bouts (OR 1.02; CI 1.01-1.03) was associated with greater physical function following adjustment for confounders. When scaled to represent an accumulation of 10 min of MVPA, likelihoods increased for both 1-min ([OR] 1.25; 95% [CI] 1.11-1.39) and 5-min (OR 1.22; 95% CI 1.08-1.37) bouts.

DISCUSSION/CONCLUSIONS: Our findings suggest bouts of PA lasting 10 min or shorter in duration are associated with greater physical function in older adults.

摘要

背景

为了提高身体机能,老年人的身体活动(PA)指南建议每次进行 10 分钟或更长时间的活动。自发性 PA(<10 分钟)也有益于老年人。然而,目前关于较短时间的 PA 是否与更好的身体机能相关的研究较少。

目的

确定老年人不同 PA 模式与更好身体机能的关联。

方法

分析了 2003-2004 年和 2005-2006 年全国健康和营养调查周期的老年人数据。使用加速度计量化了持续 1、5、10、30 和 60 分钟的 PA。使用反映自我报告完成 11 项任务能力的李克特量表评估身体机能。然后使用因子分析计算出一个单一的功能评分。逻辑回归分析计算了 PA 时间与高于平均水平功能的可能性之间的关联。

结果

在调整了混杂因素后,1 分钟(优势比 [OR] 1.02;95%置信区间 [CI] 1.01-1.03)、5 分钟(OR 1.02;CI 1.01-1.03)或 10 分钟的 PA 与更大的身体机能相关。当按比例表示为 10 分钟的 MVPA 积累时,1 分钟(OR 1.25;95% CI 1.11-1.39)和 5 分钟(OR 1.22;95% CI 1.08-1.37)的可能性都增加了。

讨论/结论:我们的研究结果表明,持续时间为 10 分钟或更短的 PA 与老年人的更好身体机能相关。

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