Department of Preventive Medicine, Rush University Medical Center, Chicago, Illinois; Center for Community Health Equity, Rush University Medical Center, Chicago, Illinois.
Department of Physical Medicine and Rehabilitation, Rush University Medical Center, Chicago, Illinois.
Am J Prev Med. 2021 Jun;60(6):845-849. doi: 10.1016/j.amepre.2020.12.017. Epub 2021 Feb 24.
Limitations in physical function are predictive of adverse health outcomes, and screening has been recommended in clinical settings for older adults. Rarely assessed in community-based settings, physical function could provide insight for tailoring health-related community-based programs and raise awareness about this important aspect of health. This cross-sectional study seeks to demonstrate the feasibility of integrating physical function assessments into health screenings in African American churches in Chicago, Illinois, through a large health partnership and to determine the prevalence and correlates of physical function limitations among midlife (aged 40-59 years) and late-life (aged ≥60 years) participants.
Screenings were held in 7 churches in Spring 2018. Physical function was assessed using the Short Physical Performance Battery. Demographics, medical history, health status, and health behaviors were assessed. Age-stratified logistic regression identified independent associations with physical function limitations (Score ≤9) among midlife and late-life participants (data were analyzed in 2018-2019).
Among 731 participants (median age=57 [IQR=51-65] years, 58% women, 97% African American), 25% of midlife and 56% of late-life participants had physical function limitations. For midlife participants, fair/poor health (OR=1.83, 95% CI=1.10, 3.05), stroke/neurologic conditions (OR=2.42, 95% CI=1.07, 5.46), and arthritis (OR=2.25, 95% CI=1.32, 3.81) were associated with higher odds of limitations. Fair/poor health (OR=1.97, 95% CI=1.11, 3.50) and stroke/neurologic conditions (OR=7.85, 95% CI=2.22, 27.74) were related to limitations among late-life participants.
Physical function screening was successfully implemented into this large-scale church-based health screening program. Physical function limitations were prevalent, particularly at midlife; this information will be used to guide future programs.
身体功能的限制预示着不良的健康结果，因此在临床环境中建议对老年人进行筛查。在社区环境中很少评估身体功能，但它可以为调整与健康相关的社区项目提供信息，并提高人们对健康这一重要方面的认识。本横断面研究旨在展示通过伊利诺伊州芝加哥的一个大型健康合作伙伴，将身体功能评估纳入非裔美国人教堂健康筛查的可行性，并确定中年（40-59 岁）和老年（≥60 岁）参与者身体功能受限的患病率和相关因素。
2018 年春季在 7 所教堂进行筛查。使用简短体能表现电池评估身体功能。评估人口统计学、病史、健康状况和健康行为。年龄分层逻辑回归确定了中年和老年参与者中与身体功能受限（得分≤9）相关的独立因素（数据于 2018-2019 年进行分析）。
在 731 名参与者中（中位数年龄=57[IQR=51-65]岁，58%为女性，97%为非裔美国人），25%的中年参与者和 56%的老年参与者存在身体功能受限。对于中年参与者，健康状况不佳（OR=1.83，95%CI=1.10，3.05）、中风/神经疾病（OR=2.42，95%CI=1.07，5.46）和关节炎（OR=2.25，95%CI=1.32，3.81）与更高的受限几率相关。健康状况不佳（OR=1.97，95%CI=1.11，3.50）和中风/神经疾病（OR=7.85，95%CI=2.22，27.74）与老年参与者的受限相关。
身体功能筛查已成功纳入这项大型教堂健康筛查计划。身体功能受限很普遍，尤其是在中年；这些信息将用于指导未来的项目。
