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亚急性心血管疾病中老年住院患者下肢功能特征与日常生活活动的关系

Relationship between the characteristics of lower extremity function and activities of daily living in hospitalized middle-aged and older adults with subacute cardiovascular disease.

作者信息

Igarashi Tatsuya, Miyata Kazuhiro, Tamura Shuntaro, Otani Tomohiro, Iizuka Takamitsu, Usuda Shigeru

机构信息

Physical Therapy Division, Department of Rehabilitation, Numata Neurosurgery and Cardiovascular Hospital: 8 Sakaemachi, Numata-shi, Gunma 378-0014, Japan.

Gunma University Graduate School of Health Sciences, Japan.

出版信息

J Phys Ther Sci. 2022 Nov;34(11):752-758. doi: 10.1589/jpts.34.752. Epub 2022 Nov 1.

Abstract

[Purpose] To clarify the relationship between lower extremity function and activities of daily living and characterize lower extremity function in hospitalized middle-aged and older adults with subacute cardiovascular disease. [Participants and Methods] The Short Physical Performance Battery, 6-minute walk distance, and functional independence measure tests were conducted in 79 inpatients with subacute cardiovascular disease (mean age, 76.7 ± 11.9 years; 34 females). Multiple regression analysis used the functional independence measure score as the dependent variable and the Short Physical Performance Battery and 6-minute walk distance scores as independent variables. Cross-tabulations were performed for each age group, and patients who performed the Short Physical Performance Battery and 6-minute walk distance tests were divided into two groups by their respective cutoff values. [Results] Only the Short Physical Performance Battery (β=0.568) and 6-minute walk distance (β=0.479) scores were adopted as significant independent variables in each multiple regression model. The age <75 years group had the most patients with both good lower extremity function and aerobic capacity, whereas the age ≥75 years group had the most patients with both functions impaired. [Conclusion] Although cardiovascular disease is generally associated with decreased aerobic capacity, many older patients with cardiovascular disease in this study had decreased lower extremity function, too.

摘要

[目的] 阐明下肢功能与日常生活活动之间的关系,并描述亚急性心血管疾病住院中老年患者的下肢功能特征。[参与者与方法] 对79例亚急性心血管疾病住院患者(平均年龄76.7±11.9岁;34例女性)进行简短体能状况量表、6分钟步行距离和功能独立性测量测试。多元回归分析以功能独立性测量得分作为因变量,简短体能状况量表和6分钟步行距离得分作为自变量。对每个年龄组进行交叉制表,将进行简短体能状况量表和6分钟步行距离测试的患者按各自的临界值分为两组。[结果] 在每个多元回归模型中,仅简短体能状况量表得分(β=0.568)和6分钟步行距离得分(β=0.479)被作为显著自变量采用。年龄<75岁组中同时具有良好下肢功能和有氧运动能力的患者最多,而年龄≥75岁组中两项功能均受损的患者最多。[结论] 虽然心血管疾病通常与有氧运动能力下降有关,但本研究中的许多老年心血管疾病患者也存在下肢功能下降的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c996/9622349/50ff7082662b/jpts-34-752-g001.jpg

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