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老年人的功能能力、脆弱性和跌倒风险:与日常生活自理能力的关系。

Functional Ability, Frailty and Risk of Falls in the Elderly: Relations with Autonomy in Daily Living.

机构信息

Faculty of Education, Psychology and Sport Sciences, University of Huelva, 21071 Huelva, Spain.

出版信息

Int J Environ Res Public Health. 2020 Feb 5;17(3):1006. doi: 10.3390/ijerph17031006.

Abstract

The objective of this research was to determine the differences in autonomy in both basic activities of daily life in instrumental activities of daily life, as well as functional capacity, fragility and risk of falls between an active group and a sedentary group. The individual associations of functional capacity, fragility and risk of falls were also analyzed, with autonomy in basic activities of daily living and in instrumental activities of daily living in the active group. In this cross-sectional investigation, 139 people from Huelva between 65 and 87 years of age were evaluated (Mean (M) = 73.1; standard deviation (SD) = 5.86); 100 were women and 39 men. The active and sedentary group were composed of 69 and 70 elderly people, respectively. The active group carried out a physical activity program. Among the results, a significant effect was seen in the multivariate contrast of the study variables, = 0.24, (5, 137) = 8.58, and < 0.001; while in the linear regressions in the active group, the Vivifrail with the Barthel Index (Δ Adj. R = 0.15) and with the Lawton and Brody Scale (Δ Adj. R = 0.22) were used. In conclusion, the active group presented better values in all the variables evaluated in comparison to the sedentary group, establishing statistically significant differences. In addition, in the active group, it has been found that functional capacity is a significant predictive variable of autonomy in instrumental activities of daily living (22%), while fragility and the risk of falls are significant predictors of autonomy in activities of basic daily life (15%).

摘要

本研究旨在确定活跃组和久坐组在日常生活基本活动和日常生活工具性活动的自主性、功能能力、脆弱性和跌倒风险方面的差异。还分析了功能能力、脆弱性和跌倒风险与日常生活基本活动和日常生活工具性活动自主性的个体关联。在这项横断面研究中,评估了来自韦尔瓦的 139 名 65 至 87 岁的人(平均值(M)=73.1;标准差(SD)=5.86);100 名女性和 39 名男性。活跃组和久坐组分别由 69 名和 70 名老年人组成。活跃组进行了一项体育活动计划。在结果中,研究变量的多变量对比有显著效果, = 0.24,(5,137)= 8.58, < 0.001;而在活跃组的线性回归中,Vivifrail 与 Barthel 指数(ΔAdj. R = 0.15)和 Lawton 和 Brody 量表(ΔAdj. R = 0.22)一起使用。总之,与久坐组相比,活跃组在所有评估变量中表现出更好的值,建立了统计学上的显著差异。此外,在活跃组中,发现功能能力是日常生活工具性活动自主性的重要预测变量(22%),而脆弱性和跌倒风险是日常生活基本活动自主性的重要预测变量(15%)。

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