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居家身体活动与社区居住老年人未来跌倒风险的关系。

Household Physical Activity and Risk for Future Falls in Community-Dwelling Older Adults.

出版信息

J Gerontol Nurs. 2021 Jun;47(6):13-18. doi: 10.3928/00989134-20210507-02. Epub 2021 Jun 1.

Abstract

Household physical activity is associated with decreased risk for future falls; however, it is not known what components of household physical activity are associated with this decreased risk. In the current study, the frequency of seven household physical activities performed in the previous 12 months was assessed: child or older adult care, meal preparation, major cleaning, routine cleaning, gardening/yardwork, heavy outdoor work, and major home decoration or repair. Berg Balance Scale scores were dichotomized at ≤50, indicating less risk for future falls. Only gardening/yardwork was associated with less risk for future falls (odds ratio = 1.41, = 0.007) while controlling for age, gender, race, body mass index, and number of medications (χ = 18.33 [6], = 0.005), explaining 17% to 23% of the variance in risk of future falls in community-dwelling older adults aged 65 to 90 years ( = 99). Clinical nursing implications include considering gardening/yardwork as an intervention to decrease risk of future falls. [(6), 13-18.].

摘要

家庭体力活动与未来跌倒风险降低有关;然而,目前尚不清楚家庭体力活动的哪些组成部分与这种降低的风险有关。在当前的研究中,评估了过去 12 个月中进行的七种家庭体力活动的频率:儿童或老年人护理、膳食准备、主要清洁、日常清洁、园艺/庭院工作、重型户外工作以及主要家庭装修或维修。Berg 平衡量表评分≤50 表示未来跌倒的风险较低。仅园艺/庭院工作与未来跌倒的风险较低相关(比值比=1.41, =0.007),同时控制年龄、性别、种族、体重指数和药物数量(χ=18.33 [6], =0.005),解释了 65 至 90 岁社区居住的老年人未来跌倒风险变异的 17%至 23%( =99)。临床护理意义包括将园艺/庭院工作视为降低未来跌倒风险的干预措施。[(6),13-18]。

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