老年人认知状态、跌倒恐惧与平衡之间的相互关系。
Interaction between cognitive status, fear of falling, and balance in elderly persons.
机构信息
Universidade Federal do Pampa (Unipampa), Bage, RS, BR.
Pontificia Universidade Catolica do Rio Grande do Sul(PUC-RS), Porto Alegre, RS, BR.
出版信息
Clinics (Sao Paulo). 2020 Oct 26;75:e1612. doi: 10.6061/clinics/2020/e1612. eCollection 2020.
Abstract
OBJECTIVE
Evaluate the cognitive function and its relationship with balance, history of falls, and fear of falling in the elderly.
METHODS
We evaluated 250 elderly persons aged at least 60 years, who answered a sociodemographic questionnaire about the occurrence of falls in the last year. The cognitive function, balance, and fear of falling were assessed using the Mini-Mental State Examination (MMSE), Berg Balance Scale (BBS), and Falls Efficacy Scale (FES-I) scores, respectively. Participants were allocated into two groups based on the Mini-Mental State Examination (MMSE) score, the Group with Possible Cognitive Decline (GPCD) and the group with no cognitive decline (GNCD). We performed Student's t-test and Pearson's correlation for independent samples.
RESULTS
The Group with Possible Cognitive Decline (GPCD) showed lower balance (p=0.003) and greater fear of falling (p=0.008) (BBS=50.98±4.68; FES-I=26.06±8.78) compared to the GNCD (BBS=52.53±3.047; FES-I=23.21±7.74).
CONCLUSION
Elderly persons with cognitive decline have lower balance, greater fear of falling, and greater recurrence of falls.
摘要
目的
评估老年人的认知功能及其与平衡、跌倒史和跌倒恐惧的关系。
方法
我们评估了 250 名年龄至少 60 岁的老年人，他们回答了一个关于过去一年跌倒发生情况的社会人口学问卷。使用简易精神状态检查表（MMSE）、伯格平衡量表（BBS）和跌倒效能量表（FES-I）分别评估认知功能、平衡和跌倒恐惧。根据简易精神状态检查表（MMSE）评分，将参与者分为两组，即可能存在认知障碍组（GPCD）和无认知障碍组（GNCD）。我们对独立样本进行了学生 t 检验和皮尔逊相关分析。
结果
与 GNCD 组相比，可能存在认知障碍组（GPCD）的平衡能力较低（p=0.003），跌倒恐惧程度较高（p=0.008）（BBS=50.98±4.68；FES-I=26.06±8.78）。
结论
认知功能下降的老年人平衡能力较差，跌倒恐惧程度较高，跌倒复发率较高。
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