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意大利老年人身体成分与生活质量之间的关联。

The association between body composition and quality of life among elderly Italians.

作者信息

Toselli Stefania, Campa Francesco, Spiga Federico, Grigoletto Alessia, Simonelli Ilaria, Gualdi-Russo Emanuela

机构信息

Department of Biomedical and Neuromotor Sciences, University of Bologna, Via Foscolo 7, 40123, Bologna, Italy.

Department of Sociology and Business Law, University of Bologna, Strada Maggiore 45, Bologna, Italy.

出版信息

Endocrine. 2020 May;68(2):279-286. doi: 10.1007/s12020-019-02174-7. Epub 2019 Dec 31.

Abstract

OBJECTIVE

This study aimed to assess the body composition and quality of life in elderly Italian people and to value the association between these variables.

METHODS

Height, weight, humerus breadth, circumferences, skinfolds, and hand grip strength were measured in 256 older adults (age: M: 81.1 ± 7.3, F: 84.9 ± 8.1 years). Body mass index, waist-hip ratio, waist-height ratio, upper-arm areas, and body composition parameters were calculated. Quality of life (QoL) was measured by WHO Quality of Life-BREF questionnaire (WHOQOL-BREF). Differences between sexes were valued. A multiple regression analysis was carried out to assess the influence of nutritional status and of socio-demographic characteristics on QoL.

RESULTS

The participants were in average overweight. Even if the percentage of overweight/obese subjects was high in both sexes, males presented a more centripetal fat distribution. These characteristics, joined to data regarding lower values of arm-muscle area and hand grip strength, put males at greater risk of cardiometabolic diseases. Regarding quality of life assessments, psychological domain showed the worst scores, and, marital status resulted the main explanatory variable for this domain.

CONCLUSIONS

Social care facilities for the elderly people require planning strategies based on health promotion criteria in order to accentuate active ageing interventions to ameliorate the quality of life of residents.

摘要

目的

本研究旨在评估意大利老年人的身体成分和生活质量,并评估这些变量之间的关联。

方法

对256名老年人(年龄:男性81.1±7.3岁,女性84.9±8.1岁)测量身高、体重、肱骨宽度、周长、皮褶厚度和握力。计算体重指数、腰臀比、腰高比、上臂面积和身体成分参数。生活质量(QoL)通过世界卫生组织生活质量简表(WHOQOL-BREF)进行测量。评估性别差异。进行多元回归分析以评估营养状况和社会人口学特征对生活质量的影响。

结果

参与者平均超重。即使超重/肥胖受试者的比例在男女中都很高,但男性的脂肪分布更向心性。这些特征,再加上关于手臂肌肉面积和握力较低值的数据,使男性患心血管代谢疾病的风险更高。关于生活质量评估,心理领域得分最差,婚姻状况是该领域的主要解释变量。

结论

老年人社会护理设施需要基于健康促进标准制定规划策略,以加强积极老龄化干预措施,改善居民生活质量。

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