久坐行为与虚弱老年人的动脉硬化有关。

Sedentary behavior is associated with arteriosclerosis in frail older adults.

机构信息

Department of Rehabilitation, Faculty of Health Science, Nihon Fukushi University, Handa, Japan.

Centre for Community Liaison and Patient Consultations, Nagoya University Hospital, Nagoya, Japan.

出版信息

Nagoya J Med Sci. 2022 Feb;84(1):91-100. doi: 10.18999/nagjms.84.1.91.

Abstract

This prospective, cross-sectional, cohort observational study was conducted to evaluate the associations between sedentary behavior and arteriosclerosis-related vascular issues in community-dwelling frail older adults. We included 116 Japanese community-dwelling older adults (92 females and 24 males) who availed daycare at two long-term care insurance facilities in the cities of Yokkaichi and Handa between 2017 and 2019. An unpaired -test and the chi-square test were used for intergroup comparisons. Logistic regression analysis was conducted with cardio-ankle vascular index as the dependent variable, sedentary behavior as the explanatory variable, and the other evaluated factors as covariates. Long-time sedentary behavior (based on the median value for all participants) was associated with high cardio-ankle vascular index after adjusting for age, sex, body mass index, ankle-brachial index, and walking MET-minutes in 1 week (odds ratio 3.086, 95% confidence interval 1.275-7.467, =0.012). After adjusting for other variables (care needs certificate, skeletal muscle mass index, body fat percentage, grip strength, 4-m walking duration, etc), there was a significant association between long-time sedentary behavior and high cardio-ankle vascular index values (odds ratio 4.977, 95% confidence interval 1.497-16.554, =0.009). The results study confirmed an association between long-time sedentary behavior in frail older adults and the degree of arterial stiffness assessed by the cardio-ankle vascular index. Interventions in older adults that focus on daily sedentary time to prevent the onset and exacerbation of geriatric syndromes secondary to the progression of arteriosclerosis warrant further investigation.

摘要

这项前瞻性、横断面、队列观察研究旨在评估社区居住的虚弱老年人久坐行为与动脉硬化相关血管问题之间的关联。我们纳入了 2017 年至 2019 年在 Yokkaichi 和 Handa 市的两家长期护理保险机构的日间护理中心的 116 名日本社区居住的老年人(92 名女性和 24 名男性)。使用独立样本 t 检验和卡方检验进行组间比较。使用逻辑回归分析,以心血管踝血管指数为因变量,久坐行为为解释变量,其他评估因素为协变量。长时间久坐行为(基于所有参与者的中位数)与调整年龄、性别、体重指数、踝臂指数和每周步行 MET 分钟后高心血管踝血管指数相关(比值比 3.086,95%置信区间 1.275-7.467,=0.012)。在调整其他变量(护理需求证书、骨骼肌质量指数、体脂肪百分比、握力、4 米步行时间等)后,长时间久坐行为与高心血管踝血管指数值之间存在显著关联(比值比 4.977,95%置信区间 1.497-16.554,=0.009)。该研究结果证实了虚弱老年人久坐时间与心血管踝血管指数评估的动脉僵硬程度之间的关联。进一步研究旨在关注老年人的日常久坐时间,以预防动脉硬化进展导致的老年综合征的发生和恶化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48bc/8971028/37d6530a31cc/2186-3326-84-0091-g001.jpg

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