Department of Occupational and Environmental Medicine, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan.
Int J Environ Res Public Health. 2022 Oct 24;19(21):13826. doi: 10.3390/ijerph192113826.
The aim of this paper is to examine the association between physical and cognitive function and stumbling and falling in elderly workers by conducting work-related questionnaire surveys and physical and cognitive function measurements. A total of 611 men and 121 women aged 40-69 years who participated in physical function measurements between June 2017 and June 2021 were included in the study. The general physical function measurements of upper and lower limb muscle strength, dynamic and static balance, and agility and cognitive function included grip strength, Repeated Rise Test, Trail Making test (TMT), and Three-Meter Time Up Go Test (TUG). We also asked the men and women about their experience of falling and stumbling. Logistic regression analysis showed significant odds ratios (OR) for the associations between stumbling in men and age (OR: 1.98), mental burden (OR: 2.44), frequency of field work (OR: 1.74), seated stepping test count (OR: 0.95), and TMTB time (OR: 0.99). Significant ORs were found between falling in men and age (OR: 2.55), mental burden (OR: 2.40), exercise habits (OR: 2.55), and smoking (OR: 2.00). Significant ORs were found between stumbling in women and d_TUG (OR: 1.59) and mental burden (OR: 6.42). The study suggests that there may be an association between cognitive and physical decline and stumbling and falling in elderly workers.
本文旨在通过开展与工作相关的问卷调查和身体及认知功能测量,研究身体和认知功能与老年工人绊倒和跌倒之间的关系。共有 611 名男性和 121 名 40-69 岁的女性参与了 2017 年 6 月至 2021 年 6 月之间的身体功能测量,这些参与者均接受了一般身体功能测量(上肢和下肢肌肉力量、动态和静态平衡以及敏捷和认知功能),包括握力、反复起身测试、连线测试(TMT)和 3 米计时起身测试(TUG)。我们还询问了男性和女性关于他们跌倒和绊倒的经历。Logistic 回归分析显示,男性绊倒与年龄(OR:1.98)、精神负担(OR:2.44)、野外工作频率(OR:1.74)、坐姿踏步测试计数(OR:0.95)和 TMTB 时间(OR:0.99)存在显著的比值比(OR)。男性跌倒与年龄(OR:2.55)、精神负担(OR:2.40)、运动习惯(OR:2.55)和吸烟(OR:2.00)之间存在显著的 OR。女性绊倒与 d_TUG(OR:1.59)和精神负担(OR:6.42)之间存在显著的 OR。该研究表明,认知和身体机能下降可能与老年工人的绊倒和跌倒有关。