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苏州社区居住老年人的功能适应性规范值与综合评分

Normative values and integrated score of functional fitness among Chinese community-dwelling older adults in Suzhou.

作者信息

Xu Jing, Chen Ya, Li Jiaojiao, Zhang Hui, Shi Minhao, Meng Hongyan, Wang Li

机构信息

The First Affiliated Hospital of Soochow University, Suzhou, China.

School of Nursing, Suzhou Medical College of Soochow University, Suzhou, China.

出版信息

Front Physiol. 2022 Dec 19;13:1063888. doi: 10.3389/fphys.2022.1063888. eCollection 2022.

Abstract

This study was performed to establish the normative values and integrated score of the functional fitness on the basis of the senior fitness test (SFT) among Chinese community-dwelling older adults in Suzhou. In this cross-sectional descriptive study, 1,122 community-dwelling older adults aged 60 years old and above were recruited at Suzhou, China, by using a multistage stratified sampling method and accepted the SFT measurements. Sex- and age-specific normative values of each index of the SFT were established by using the percentile method. The SFT integrated score was established using factor analysis according to the data of 70% of the participants (construction group) and verified using the error rate from the data of the remaining 30% of the participants (verification group). Normative-referenced percentile values at the 5th, 10th, 25th, 35th, 50th, 65th, 75th, 90th, and 95th percentiles for each index of SFT were established for the men and women among the different age groups. Five indices of the SFT, namely, 2-min step test, 30-s arm curl, 30-s chair stand, chair sit-and-reach, and 8-ft up-and-go (TUGT), gradually declined with age in both sexes ( < .05). The SFT integrated score was calculated as follows: F = 3.8 × 2-min step test + 3.8 × 30-s arm curl + 3.8 × 30-s chair stand + 2.2 × back starch + 2.6 × chair sit-and-reach + 4 × TUGT - .04 × BMI. The formula was verified using the error rate. The error rates of the verification group compared with the construction group in each grade score of SFT were lower than 5%. Based on the data from the community-dwelling older adults in Suzhou, China, the functional fitness normative values for each index of the SFT and the integrated score of SFT were established. The SFT integrated score formula was verified to be reasonable and effective.

摘要

本研究旨在基于老年体能测试(SFT)建立中国苏州社区居住老年人的功能体能规范值和综合评分。在这项横断面描述性研究中,采用多阶段分层抽样方法在中国苏州招募了1122名60岁及以上的社区居住老年人,并对其进行SFT测量。采用百分位数法建立了SFT各指标的性别和年龄特异性规范值。根据70%参与者(构建组)的数据,采用因子分析建立SFT综合评分,并使用其余30%参与者(验证组)的数据中的错误率进行验证。为不同年龄组的男性和女性建立了SFT各指标在第5、10、25、35、50、65、75、90和95百分位数的规范参考值。SFT的五个指标,即2分钟台阶试验、30秒手臂弯举、30秒坐立试验、椅子坐位体前屈和8英尺起立行走试验(TUGT),在两性中均随年龄增长而逐渐下降(P<0.05)。SFT综合评分的计算方法如下:F = 3.8×2分钟台阶试验 + 3.8×30秒手臂弯举 + 3.8×30秒坐立试验 + 2.2×背部伸展 + 2.6×椅子坐位体前屈 + 4×TUGT - 0.04×BMI。该公式使用错误率进行了验证。验证组与构建组在SFT各等级评分中的错误率均低于5%。基于中国苏州社区居住老年人的数据,建立了SFT各指标的功能体能规范值和SFT综合评分。验证了SFT综合评分公式合理有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3c2/9806264/2b1c5c5885c3/fphys-13-1063888-g001.jpg

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