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肥胖和年龄对老年女性跌倒风险的影响。

The impact of obesity and age on the risk of falls in elderly women.

机构信息

Józef Piłsudski University of Physical Education in Warsaw, Faculty of Rehabilitation, Warsaw, Poland.

出版信息

Acta Bioeng Biomech. 2021;23(2):123-130.

Abstract

PURPOSE

The aim of this study was to examine the effect of obesity and age on body balance disorders in women over 60, especially whether obesity increases the FR in older females and whether age and obesity affect the same stabilographic parameters when it comes to the FR.

METHODS

The study consisted of 56 inactive females aged 71.77 ± 7.43 (SD). They were divided into groups according to age and obesity.

RESULTS

Obesity separately affects FRI12-6, static indicators with eyes closed (OSI EC, APSI EC, MLSI EC), and age affects FRI12-6 and static indices with eyes open (OSI EO, APSI EO). After considering design factors (age and obesity), there were statistically significant differences in OSI EO ( p = 0.027), APSI EO ( p = 0.034), FRI12-6 ( p = 0.0002) between obese and non-obese participants in the age groups. There were no statistical differences between non-obese old and obese-young participants ( p = 0.863). The interaction between obesity and age in the FR in static indices and in FRI12-6 ( p = 0.73047) was not significant.

CONCLUSIONS

Age and obesity affect the stabilographic parameters individually, but there is no interaction effect between them. The presence of only one of the above risk factors may increase the FR. Obesity affects stability, while age depends on other factors. If older people are not obese or fit, involutional changes could be reversed. The type of obesity and the location of the fat tissue should be taken into account in FR assessment.

摘要

目的

本研究旨在探讨肥胖和年龄对 60 岁以上女性身体平衡障碍的影响,特别是肥胖是否会增加老年女性的 FR,以及年龄和肥胖是否会影响 FR 中的相同稳定参数。

方法

研究对象为 56 名不活跃的 71.77 ± 7.43 岁(标准差)女性,根据年龄和肥胖情况分组。

结果

肥胖分别影响 FRI12-6、闭眼静态指标(OSI EC、APSI EC、MLSI EC),年龄影响 FRI12-6 和睁眼静态指标(OSI EO、APSI EO)。考虑设计因素(年龄和肥胖)后,肥胖和非肥胖组在年龄组之间的 OSI EO(p=0.027)、APSI EO(p=0.034)、FRI12-6(p=0.0002)有统计学差异。非肥胖老年组和肥胖年轻组之间无统计学差异(p=0.863)。FR 中静态指标和 FRI12-6 中肥胖与年龄之间的交互作用无统计学意义(p=0.73047)。

结论

年龄和肥胖单独影响稳定参数,但两者之间没有相互作用。只有上述一个危险因素的存在可能会增加 FR。肥胖影响稳定性,而年龄取决于其他因素。如果老年人不肥胖或健康,退行性变化可能会逆转。在 FR 评估中应考虑肥胖的类型和脂肪组织的位置。

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