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探讨社区居住的老年人中规律的闲暇时间体力活动、久坐时间与衰弱前期之间的关联。

Examining the links between regular leisure-time physical activity, sitting time and prefrailty in community-dwelling older adults.

机构信息

Graduate Institute of Gerontology and Health Care Management, Geriatric and Long-Term Care Research Center, Chang Gung University of Science and Technology, Taoyuan, Taiwan.

Department of Gastroenterology and Hepatology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.

出版信息

J Adv Nurs. 2021 Jun;77(6):2761-2773. doi: 10.1111/jan.14807. Epub 2021 Feb 22.

Abstract

AIMS

To examine the relationship between leisure-time physical activity, sitting time and prefrailty in community-dwelling older adults.

DESIGN

Cross-sectional study.

METHODS

Between February and July 2019, 539 individuals over age 60 were recruited in northern Taiwan. Demographic, medical history, physical activity and frailty data were analysed using descriptive statistics, chi-square tests and logistic regression.

RESULTS

The prevalence of prefrailty was 24.4%; 33.2% had regular leisure-time physical activity, and 14.7% reported >6 hrs daily sitting time. Compared with individuals having regular leisure-time physical activity and shorter sitting times (daily average ≤6 hrs), those having no regular leisure-time physical activity and also shorter sitting times (adjusted OR, 1.80; 95% CI, 1.12, 2.92), or those also having regular leisure-time physical activity but longer sitting times (adjusted OR, 4.42; 95% CI, 2.22, 8.79) had an increased prefrailty risk.

CONCLUSIONS

Having no regular leisure-time physical activity or longer sitting times is associated with a higher risk of prefrailty. For sedentary older adults to prevent prefrailty, they can become more active, sit less or better yet, commit to both.

摘要

目的

探讨社区老年人闲暇体力活动、久坐时间与衰弱前期之间的关系。

设计

横断面研究。

方法

2019 年 2 月至 7 月,在台湾北部招募了 539 名 60 岁以上的个体。使用描述性统计、卡方检验和逻辑回归分析人口统计学、病史、体力活动和虚弱数据。

结果

衰弱前期的患病率为 24.4%;33.2%有规律的闲暇体力活动,14.7%报告每天久坐时间超过 6 小时。与有规律的闲暇体力活动和较短的久坐时间(每天平均≤6 小时)的个体相比,那些没有规律的闲暇体力活动和较短的久坐时间(调整后的 OR,1.80;95%CI,1.12,2.92),或那些也有规律的闲暇体力活动但久坐时间较长(调整后的 OR,4.42;95%CI,2.22,8.79)的衰弱前期风险增加。

结论

没有规律的闲暇体力活动或较长的久坐时间与衰弱前期的风险增加有关。对于久坐的老年人来说,要预防衰弱前期,他们可以更加活跃,减少久坐时间,或者更理想的是,同时做到这两点。

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