Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, 1‑5‑7, Asahimachi, Abenoku, Osaka City, Osaka, 545-8585, Japan.
Department of Orthopaedic Surgery, Shimada Hospital, 100-1, Kusiyama, Habikino, Osaka, 583-0875, Japan.
BMC Geriatr. 2022 Aug 16;22(1):678. doi: 10.1186/s12877-022-03316-9.
The current prolonging state of the coronavirus disease (COVID-19), could affect many aspects of people's lives, especially the elderly population who experience a decrease in regular exercise. However, whether this decrease in regular exercise affects health-related quality of life (HRQOL) of the elderly population, remains unclear.
The current population-based cross-sectional survey aimed to identify the relationship between the decrease in regular exercise since the COVID-19 pandemic and any changes in the HRQOL in the general elderly Japanese population. This study was conducted as a part of the COVID-19 vaccination program in Habikino city in Japan, between June and July 2021 using printed questionnaires. The participants included residents of the city who were aged ≥ 65 years, and were being vaccinated for COVID-19 at the city's center. The EuroQoL 5-dimension 5-level (EQ-5D-5L) was assessed at two different time points (pre-pandemic and current). Data on lifestyle changes, including their regular exercise routine since the pandemic, were collected.
Finally, 14,494 participants (45.3% of the city's total elderly residents) were enrolled. Among them, 4321 participants (29.8%) had experienced a decrease in regular exercise since the pandemic. These participants showed a significantly higher rate of deterioration in all the EQ-5D-5L domains than the participants who did not experience a decrease in regular exercise. In the multivariate logistic regression analysis, participants with a decrease in regular exercise were significantly related to the EQ-5D-5L index deterioration compared to those with an unchanged regular exercise routine (p < 0.001, adjusted odds ratio = 5.60) independent of age, sex, body mass index (BMI), and the existence of back pain, joint pain, and/or numbness of extremities.
The current survey that included 45% of the elderly people living in a city revealed that up to 30% of them had experienced a decrease in the regular exercise since the COVID-19 pandemic. This decrease was significantly related to HRQOL deterioration independent of age, sex, BMI, baseline activities of daily living status, and musculoskeletal symptoms. Our data could be useful for understanding the current problem and provide a strong basis for the creation of exercise guidelines for the post-COVID-19 era.
目前，冠状病毒病（COVID-19）的持续状态可能会影响人们生活的许多方面，尤其是老年人，他们的常规运动减少。然而，这种常规运动的减少是否会影响老年人群的健康相关生活质量（HRQOL）尚不清楚。
本基于人群的横断面调查旨在确定自 COVID-19 大流行以来常规运动减少与日本一般老年人群 HRQOL 任何变化之间的关系。该研究是在日本 habikino 市 COVID-19 疫苗接种计划期间进行的，使用印刷问卷在 2021 年 6 月至 7 月进行。参与者包括该市年龄≥65 岁的居民，并且正在该市中心接种 COVID-19 疫苗。在两个不同时间点（大流行前和当前）评估了欧洲五维健康量表 5 维度 5 级（EQ-5D-5L）。收集了包括自大流行以来常规运动习惯在内的生活方式变化的数据。
最终，共有 14494 名参与者（该市老年居民总数的 45.3%）入组。其中，4321 名参与者（29.8%）自大流行以来常规运动减少。与未经历常规运动减少的参与者相比，这些参与者在所有 EQ-5D-5L 领域的恶化率明显更高。在多变量逻辑回归分析中，与常规运动不变的参与者相比，常规运动减少的参与者与 EQ-5D-5L 指数恶化显著相关（p<0.001，调整后的优势比=5.60），独立于年龄、性别、体重指数（BMI）以及背部疼痛、关节疼痛和/或四肢麻木的存在。
本包括该市 45%老年人的调查显示，高达 30%的老年人自 COVID-19 大流行以来常规运动减少。这种减少与 HRQOL 恶化显著相关，独立于年龄、性别、BMI、基线日常生活活动状态和肌肉骨骼症状。我们的数据可以帮助理解当前的问题，并为制定 COVID-19 后时代的运动指南提供有力依据。
