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害怕跌倒并不会预测自我报告的身体活动:一项对社区居住的老年人的观察性研究。

Fear of falling does not predict self-reported physical activity: an observational study with community-dwelling older adults.

机构信息

Department of Residency Programs, Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande, Brazil; Department of Physical Therapy, Universidade Estadual Paulista (UNESP), Presidente Prudente, Brazil.

Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.

出版信息

Physiotherapy. 2022 Sep;116:50-57. doi: 10.1016/j.physio.2022.02.006. Epub 2022 Mar 3.

DOI:10.1016/j.physio.2022.02.006
PMID:35550487
Abstract

OBJECTIVES

To investigate the relationship between FOF and self-reported physical activity levels among older adults.

DESIGN

Observational cross-sectional.

SETTING AND PARTICIPANTS

Community-dwelling older adults aged 60 years and over and without cognitive deficits were recruited.

MAIN OUTCOME MEASURES

Data collected included cognitive function [i.e., Mini Mental Status Examination (MMSE)], FOF [i.e., Iconographic Falls Efficacy Scale (Icon-FES); Falls Efficacy Scale - International (FES-I)], self-reported physical activity (i.e., Modified Baecke Questionnaire for Elderly People), history of falls, number of comorbidities and clinical tests of balance and mobility (i.e., Short Physical Performance Battery and the single leg stance test with closed and opened eyes). Multivariable linear regression was used to test whether FOF predicts self-reported physical activity levels.

RESULTS

A total of 200 older adults living in the community were enrolled in this study. Our results showed that FOF, as measured by FES-I or Icon-FES, did not predict self-reported physical activity levels in community-dwelling older adults.

CONCLUSION

Our results did not support previous evidence that higher FOF predicts lower levels of self-reported physical activity. These results question the role of FOF in influencing self-reported physical activity levels among community-dwelling older adults.

摘要

目的

调查老年人恐惧跌倒(FOF)与自我报告体力活动水平之间的关系。

设计

观察性横断面研究。

地点和参与者

招募了年龄在 60 岁及以上且无认知缺陷的社区居住老年人。

主要观察指标

收集的数据包括认知功能[即简易精神状态检查(MMSE)]、FOF[即图标跌倒效能量表(Icon-FES);跌倒效能国际量表(FES-I)]、自我报告体力活动(即改良巴氏老年人问卷)、跌倒史、共病数量以及平衡和移动能力的临床测试(即简易体能状况量表和单腿站立测试,睁眼和闭眼)。采用多元线性回归检验 FOF 是否预测自我报告的体力活动水平。

结果

共有 200 名居住在社区的老年人参与了这项研究。我们的结果表明,FES-I 或 Icon-FES 测量的 FOF 并不能预测社区居住的老年人自我报告的体力活动水平。

结论

我们的结果不支持先前 FOF 水平越高,自我报告的体力活动水平越低的证据。这些结果质疑了 FOF 在影响社区居住的老年人自我报告体力活动水平方面的作用。

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