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60-79 岁老年人在进行圆形和直线行走时的步态速度和不对称性的年龄相关变化。

Age-related changes in gait speeds and asymmetry during circular gait and straight-line gait in older individuals aged 60-79 years.

机构信息

Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Research Fellow of Japan Society for the Promotion of Science, Tokyo, Japan.

出版信息

Geriatr Gerontol Int. 2021 May;21(5):404-410. doi: 10.1111/ggi.14150. Epub 2021 Mar 29.

Abstract

AIM

The present study aimed to investigate the age-related changes in gait speeds and asymmetry during circular and straight-line gaits among older adults aged 60-79 years.

METHODS

The study included 391 community-dwelling older adults aged >60 years, who participated in the Nagahama cohort study. They were assigned to four age groups: 60-64 years (early 60s), 65-69 years (late 60s), 70-74 years (early 70s) and 75-79 years (late 70s). For the circular gait test, the time required to walk twice around a 1-m diameter circle for right and left rotations were measured. The average time of the two trials was measured as the circular gait time, and the side-to-side difference in the circular gait times was calculated as an asymmetry index. Walking speed, asymmetry of step length, and asymmetry of stance duration time during straight-line gait at comfortable and maximal walking pace were measured.

RESULTS

Circular gait time in older women in the late 70s group was significantly slower than that in other age groups; however, no age-related change was observed in older men. Maximal gait speeds in the early and late 70s groups were significantly slower than those in the early 60s group.

CONCLUSIONS

Age-related decline in circular gait speed was observed in older women aged ≥75 years, but not in older men. Maximal straight-line gait speed decreased significantly in both genders after the age of 70 years. Geriatr Gerontol Int 2021; 21: 404-410.

摘要

目的

本研究旨在探讨 60-79 岁老年人在进行圆形和直线步态时,步态速度和不对称性的年龄变化。

方法

本研究纳入了 391 名居住在社区的 60 岁以上老年人,他们参加了长滨队列研究。他们被分为四个年龄组:60-64 岁(60 岁早期)、65-69 岁(60 岁晚期)、70-74 岁(70 岁早期)和 75-79 岁(70 岁晚期)。对于圆形步态测试,测量了左右旋转各走两圈所需的时间。两次试验的平均时间被测量为圆形步态时间,并且计算圆形步态时间的两侧差异作为不对称指数。在舒适和最大步行速度下,测量直线步态时的步行速度、步长不对称性和站立时间不对称性。

结果

70 岁晚期女性的圆形步态时间明显慢于其他年龄组;然而,男性没有观察到与年龄相关的变化。70 岁早期和晚期的最大步行速度明显慢于 60 岁早期组。

结论

≥75 岁的老年女性的圆形步态速度呈年龄相关性下降,但老年男性则没有。70 岁后,两性的最大直线步行速度均显著下降。老年医学与老年病学国际 2021;21:404-410。

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