NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.
Department of Internal Medicine, VieCuri Medical Center, P.O. Box 1926, 5900 BX, Venlo, The Netherlands.
Calcif Tissue Int. 2023 Aug;113(2):195-206. doi: 10.1007/s00223-023-01090-3. Epub 2023 Jun 27.
Physical capacity (PC) and physical activity (PA) are associated physical performance measures, and combined, PC and PA are used to categorize physical performance in the "can do, do do" framework. We aimed to explore physical performance of patients attending the fracture liaison service (FLS). In this cross-sectional study, PC was measured by 6-min-walking-test (can't do/can do) and PA by accelerometer (don't do/do do). Following quadrants were defined based on predefined cut-off scores for poor performance: (1) "can't do, don't do"; (2) "can do, don't do"; (3) "can't do, do do"; (4) "can do, do do". Odds ratios (OR) were calculated and fall and fracture risk factors were assessed between quadrants. Physical performance of 400 fracture patients was assessed (mean age 64; female 70.8%). Patients performed as follows: 8.3% "can't do, don't do"; 3.0% "can do, don't do"; 19.3% "can't do, do do"; 69.5% "can do, do do". For the "can't do" group the OR for low PA was 9.76 (95% CI: 4.82-19.80). Both the "can't do, don't do" and "can't do, do do" group differed significantly compared to the "can do, do do" group on several fall and fracture risk factors and had lower physical performance. The "can do, do do" framework is able to identify fracture patients with an impaired physical performance. Of all FLS patients 20% "can't do, but "do do" while having a high prevalence of fall risk factors compared to persons that "can do, do do", which may indicate this group is prone to fall.
身体能力 (PC) 和身体活动 (PA) 是相关的身体表现测量指标，两者结合使用可以根据“能做，做得到”框架对身体表现进行分类。我们旨在探讨参加骨折联络服务 (FLS) 的患者的身体表现。在这项横断面研究中，通过 6 分钟步行测试 (做不到/做得到) 和加速度计测量 PA (不做/做得到)。根据预先设定的表现不佳的截断分数，定义了以下四个象限：(1)“做不到，不做”；(2)“做得到，不做”；(3)“做不到，做得到”；(4)“做得到，做得到”。计算了比值比 (OR)，并评估了跌倒和骨折的风险因素在象限之间的差异。评估了 400 名骨折患者的身体表现 (平均年龄 64 岁；女性 70.8%)。患者的表现如下：8.3%“做不到，不做”；3.0%“做得到，不做”；19.3%“做不到，做得到”；69.5%“做得到，做得到”。对于“做不到”组，低 PA 的 OR 为 9.76(95%CI: 4.82-19.80)。与“做得到，做得到”组相比，“做不到”组和“做不到，做得到”组在多个跌倒和骨折风险因素上差异显著，且身体表现较差。“做得到，做得到”框架能够识别身体表现受损的骨折患者。在所有 FLS 患者中，20%“做不到，但做得到”，而与“做得到，做得到”的人相比，跌倒风险因素的患病率较高，这可能表明这组人容易跌倒。
