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衰老对老年人躯干肌肉功能的影响及其对跌倒的作用

Effect of Aging on Trunk Muscle Function and Its Influence on Falls Among Older Adults.

作者信息

Porto Jaqueline M, Spilla Sállua B, Cangussu-Oliveira Luciana M, Freire Júnior Renato C, Nakaishi Ana Paula M, de Abreu Daniela C C

出版信息

J Aging Phys Act. 2020 Apr 16;28(5):699-706. doi: 10.1123/japa.2019-0194. Print 2020 Oct 1.

Abstract

The objective was to determine whether trunk muscle function is influenced by the aging process and to identify if the trunk can be an important factor in older people's falls over a period of 1 year. The peak torque, rate of torque development, and torque steadiness of the trunk extensors and flexors were compared between a young group, older group (older adults with no episodes of falls), and older faller group (older adults who had suffered at least one fall episode over a period of 1 year) by one-way analysis of variance, followed by the post hoc Tukey test. The adjusted multivariate linear regression was applied to verify the association between the number of falls and the trunk parameters in older adults. The young group showed higher extensors and flexors peak torque and rate of torque development, and lower extensor torque steadiness at 10% when compared with older groups. Only trunk flexor peak torque showed a negative association with the number of future falls (p = .042), but there was no difference in trunk muscle function between the older group and the older faller group.

摘要

目的是确定躯干肌肉功能是否受衰老过程影响,并确定在1年的时间里躯干是否可能是老年人跌倒的一个重要因素。通过单因素方差分析,然后进行事后Tukey检验,比较了年轻组、老年组(无跌倒发作的老年人)和老年跌倒组(在1年时间里至少有一次跌倒发作的老年人)的躯干伸肌和屈肌的峰值扭矩、扭矩发展速率和扭矩稳定性。应用调整后的多元线性回归来验证老年人跌倒次数与躯干参数之间的关联。与老年组相比,年轻组的伸肌和屈肌峰值扭矩以及扭矩发展速率更高,在10%时伸肌扭矩稳定性更低。只有躯干屈肌峰值扭矩与未来跌倒次数呈负相关(p = 0.042),但老年组和老年跌倒组之间的躯干肌肉功能没有差异。

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