Graduate School of Sport Science, KyungHee University, 1732 Deogyeong-daero, Giheung-gu, Yongin-si, Gyeonggi-do 17104, Republic of Korea.
Geriatr Nurs. 2020 Nov-Dec;41(6):747-753. doi: 10.1016/j.gerinurse.2020.05.005. Epub 2020 Jun 2.
This study investigated the association between physical activity (PA) and risk of falling in older adults and suggests effective PA guidelines based on intensity and amount of PA. We found 10 prospective cohort studies with a total of 58,241 older adult participants and summarized the relative ratio of risk of falling. Older adults who participated in PA had a decreased risk of falling [0.976 (95% CI: 0.957-0.996, p = 0.019)], and inactive older adults had an increased risk of falling [1.082 (95% CI: 1.007-1.163, p = 0.031)]. Older adults who participated in moderate to vigorous intensity PA with low amount of PA had an increased risk of falling [1.217 (95% CI: 1.055-1.403, p<0.007)], when older adults who participated in moderate (3 Metabolic Equivalent: METs or higher) to vigorous intensity PA (6 METs or higher) with very high amount of PA were used as a reference. We recommend participating in PA, including moderate to vigorous intensity PA and a more than medium amount of PA, and avoiding inactivity for older adults to reduce the risk of falling.
本研究调查了体力活动（PA）与老年人跌倒风险之间的关系，并根据 PA 的强度和量提出了有效的 PA 指南。我们共纳入了 10 项前瞻性队列研究，总计 58241 名老年参与者，并总结了跌倒风险的相对比值。与不活动的老年人相比，进行体力活动的老年人跌倒风险降低[0.976（95%CI：0.957-0.996，p=0.019)]，而不活动的老年人跌倒风险增加[1.082（95%CI：1.007-1.163，p=0.031)]。与作为参照的进行中等到剧烈强度 PA（≥3 个代谢当量[METs]）且 PA 量非常高（≥6 METs）的老年人相比，进行低量中等到剧烈强度 PA 的老年人跌倒风险增加[1.217（95%CI：1.055-1.403，p<0.007)]。我们建议老年人进行体力活动，包括中等到剧烈强度 PA 和较多的 PA，避免不活动，以降低跌倒风险。
