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社区居住老年人步行习惯与身体虚弱之间的关联。

Association between Walking Habit and Physical Frailty among Community-Dwelling Older Adults.

作者信息

Yokote Tsubasa, Yatsugi Harukaze, Chu Tianshu, Liu Xin, Kishimoto Hiro

机构信息

Department of Behavior and Health Sciences, Graduate School of Human-Environment Studies, Kyushu University, Fukuoka 819-0395, Japan.

Faculty of Arts and Science, Kyushu University, Fukuoka 819-0395, Japan.

出版信息

Healthcare (Basel). 2022 Jul 27;10(8):1396. doi: 10.3390/healthcare10081396.

Abstract

The aim of this cross-sectional study was to determine whether older adults who practice walking have a lower risk of physical frailty than those who do not. The study subjects were 846 older adults and were not certified as needing support or nursing care. The subjects were classified as being physically frail or pre-frail or being robust, according to the revision of the Cardiovascular Health Study criteria. We classified the subjects by questionnaire into a no-exercise group, walking-only group, walking plus other exercise group, and exercise other than walking group. In logistic regression analyses, the odds ratio (OR) and 95% confidence interval (95%CI) were shown. Compared to the no-exercise group, the OR (95%CI) for physical frailty was 0.85 (0.48-1.49) for the walking-only group, 0.54 (0.36-0.83) for the walking plus other exercise group, and 0.67 (0.47-0.97) for the exercise other than walking group. In the components of physical frailty, the walking plus other exercise group and the exercise other than group had significantly lower ORs for exhaustion. Older adults who only practiced walking as an exercise do not have lower risks of physical frailty and pre-frailty. Older adults who combine walking with other exercises or practice non-walking exercises have lower risks of them.

摘要

这项横断面研究的目的是确定与不步行的老年人相比,经常步行的老年人身体虚弱的风险是否更低。研究对象为846名未被认证为需要支持或护理的老年人。根据心血管健康研究标准的修订版,将研究对象分为身体虚弱、虚弱前期或健壮。通过问卷调查将研究对象分为不运动组、仅步行组、步行加其他运动组和非步行运动组。在逻辑回归分析中,显示了比值比(OR)和95%置信区间(95%CI)。与不运动组相比,仅步行组身体虚弱的OR(95%CI)为0.85(0.48 - 1.49),步行加其他运动组为0.54(0.36 - 0.83),非步行运动组为0.67(0.47 - 0.97)。在身体虚弱的各项指标中,步行加其他运动组和非步行运动组在疲惫方面的OR显著更低。仅将步行作为运动方式的老年人身体虚弱和虚弱前期的风险并不更低。将步行与其他运动相结合或进行非步行运动的老年人患这些疾病的风险更低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbeb/9332849/2e6495f86931/healthcare-10-01396-g001.jpg

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