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马来西亚老年人握力相关因素

Factors Associated with Handgrip Strength Among Older Adults in Malaysia.

作者信息

Shah Shamsul Azhar, Safian Nazarudin, Mohammad Zulkefley, Nurumal Siti Rohani, Wan Ibadullah Wan Abdul Hannan, Mansor Juliana, Ahmad Saharuddin, Hassan Mohd Rohaizat, Shobugawa Yugo

机构信息

Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, 56000, Malaysia.

Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, 56000, Malaysia.

出版信息

J Multidiscip Healthc. 2022 May 10;15:1023-1034. doi: 10.2147/JMDH.S363421. eCollection 2022.

Abstract

PURPOSE

Handgrip strength (HGS) is indicative of overall physical health among older adults. A decrease in HGS may be associated with an increased risk of disease. The aim of this study is to determine the factors associated with HGS among older adults in Malaysia.

PATIENTS AND METHODS

One thousand two hundred four (1204) participants from urban and rural areas in Selangor state, Malaysia, were recruited. Sociodemographic and health-related conditions were gathered through a comprehensive face-to-face interview, followed by HGS assessments by a handgrip dynamometer. Subsequently, multiple linear regression was used to test the main association with the HGS.

RESULTS

A total of 691 participants (57.4%) were male, and 513 (42.6%) were female. Males had a mean HGS of 30.0 (SD 7.53) kg, and females had a mean HGS of 19.4 (SD 5.28) kg. Males' handgrip strength was significantly reduced with increasing age, physically inactive, and diabetes (all at the level p<0.001) after adjusting for social-demographic characteristics and health-related variables. Meanwhile, for females, the HGS was significantly decreased with age (p<0.001), physically inactive (p<0.001) and hypertension (p=0.03). However, female HGS was positively related to BMI (p<0.001).

CONCLUSION

The study contributed to a better understanding of factors associated with HGS, and thus, the HGS is recommended as a section in the health evaluation among high-risk older adults as the strategy of disease control and prevention.

摘要

目的

握力(HGS)是老年人整体身体健康的指标。握力下降可能与疾病风险增加有关。本研究的目的是确定马来西亚老年人中与握力相关的因素。

患者与方法

招募了来自马来西亚雪兰莪州城乡地区的1204名参与者。通过全面的面对面访谈收集社会人口统计学和健康相关状况,随后使用握力计进行握力评估。随后,采用多元线性回归来检验与握力的主要关联。

结果

共有691名参与者(57.4%)为男性,513名(42.6%)为女性。男性的平均握力为30.0(标准差7.53)千克,女性的平均握力为19.4(标准差5.28)千克。在调整社会人口统计学特征和健康相关变量后,男性的握力随着年龄增长、身体不活动和患糖尿病而显著降低(均在p<0.001水平)。同时,对于女性,握力随着年龄增长(p<0.001)、身体不活动(p<0.001)和患高血压(p = 0.03)而显著下降。然而,女性握力与体重指数呈正相关(p<0.001)。

结论

该研究有助于更好地理解与握力相关的因素,因此,建议将握力作为高危老年人健康评估的一部分,作为疾病控制和预防的策略。

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