Gao Shan-Yan, Xia Yang, Wu Qi-Jun, Chang Qing, Zhao Yu-Hong
Clinical Research Center, Shengjing Hospital of China Medical University, Shenyang, China.
Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China.
Front Med (Lausanne). 2021 Apr 21;8:659107. doi: 10.3389/fmed.2021.659107. eCollection 2021.
Previous studies on the five-repetition chair stand test (CS-5) are limited by the representativeness of the sample or the lack of reference equations for CS-5. Defined reference values for CS-5 in a large population are not available for middle-aged and elderly Chinese adults. We established age- and sex-stratified reference values for CS-5 times in a large population in China, and to investigate the associations between demographic and anthropometric factors and CS-5 times. Analysis of data from the national baseline survey of the China Health and Retirement Longitudinal Study, a nationally representative longitudinal survey that includes 450 urban communities and rural villages within 28 provinces, municipalities, and autonomous regions of China. Twelve thousand six hundred five of seventeen thousand seven hundred eight participants were included for the reference value analyses. Twelve thousand three hundred out of seventeen thousand seven hundred eight participants were included for the risk factor analyses. Of 12,605 participants, the mean CS-5 time was 10.13 s (SD, 3.32) in men and 11.03 s (SD, 3.54) in women aged 40+ year. The CS-5 times were shorter in men than women of all age categories ( < 0.001). The cut-off points ranged from 5.36 to 9.98 s and from 6.48 to 10.29 s in men and women, respectively. Mean velocity was higher in men than in women ( < 0.001). Age, waist circumference, living in a rural village, and having chronic diseases were positively associated with CS-5 time, whereas male, handgrip strength, currently married, income, and current or ex-drinker were negatively associated with CS-5 time in this population (all < 0.001). The comprehensive normative values for CS-5 are essential for enabling clinicians to better evaluate functional performance, determine the appropriate interventional strategy, and promote healthy aging of older adults.
以往关于五次重复坐立试验(CS-5)的研究受到样本代表性或缺乏CS-5参考方程的限制。在中国中老年成年人中,尚无针对大量人群的CS-5明确参考值。我们在中国大量人群中建立了按年龄和性别分层的CS-5时间参考值,并调查人口统计学和人体测量学因素与CS-5时间之间的关联。分析来自中国健康与养老追踪调查全国基线调查的数据,这是一项具有全国代表性的纵向调查,涵盖中国28个省、直辖市和自治区内的450个城市社区和乡村。17708名参与者中的12605名被纳入参考值分析。17708名参与者中的12300名被纳入危险因素分析。在12605名参与者中,40岁及以上男性的平均CS-5时间为10.13秒(标准差,3.32),女性为11.03秒(标准差,3.54)。在所有年龄组中,男性的CS-5时间均短于女性(<0.001)。男性和女性的截断点分别为5.36至9.98秒和6.48至10.29秒。男性的平均速度高于女性(<0.001)。在该人群中,年龄、腰围、居住在农村以及患有慢性病与CS-5时间呈正相关,而男性、握力、目前已婚、收入以及目前或曾经饮酒与CS-5时间呈负相关(均<0.001)。CS-5的综合规范值对于临床医生更好地评估功能表现、确定适当的干预策略以及促进老年人健康老龄化至关重要。