Bhattacharya Prasanta Kumar, Deka Kuldeep, Barman Bhupen, Jamil Md
Department of General Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong-793018, India.
Department of Physiotherapy, Down Town Hospital, Guwahati-781005, India.
Acta Med Litu. 2023;30(1):6-18. doi: 10.15388/Amed.2023.30.1.1. Epub 2023 Jan 24.
Regular physical activity helps in independent living, prevention of chronic health problems and quality of life in the elderly. The aim of the study is to determinewhether physical fitness is associated with multiple dimensions of well-being in the community dwelling elderly.
A community-based cross-sectional study was undertaken to assess the physical fitness and perceived wellness in 400 elderly (≥65 years) subjects. The Senior Fitness Test (SFT) for assessing functional/physical fitness and Perceived Wellness Survey (PWS) were used to assess their well-being. Bivariate correlation analysis was used for individual testsand multiple linear regressions were used to analyze relationship of wellness composite score with physical fitness test.
284men and 116 women (mean ages 69.80±3.82 and67.25±2.57 years, respectively) were assessed for physical fitness tests and perceived wellness.'Arm-curl' and 'chair-sit' testsshowedlinear decrease in strength with increasing age. In 'back-scratch' and 'chair-sit and reach' tests lower limb flexibility was better than upper limb in all except the 65-69 year sub-group. Maximum time to perform the '8-feet up-and-go' test increased progressively with age, whereas '2-minute step' test showed a linear decrease in mean score with advancing age. Wellness composite score (14.54±2.31) inmaleswas maximum in the 75-79 year age-group, while in females it (15.26±2.29) was maximum in the 70-74 year age-group. Correlation analysis of physical fitness test with perception of wellness (composite score) showed significant association of 'arm-curl' test (p=0.012), 'back-scratch' test (p=0.0002), '8-feet up-and-go' test (p=0.005), '2-minute step' test (p=0.005) with the composite wellness score in the male participants, whereas in the females such significance was observed only in the '2 minute step' test (p=0.007) with the wellness score.
Screening of physical fitness and wellness are important measures in assessing wellness of community dwelling elderly, and in predicting theiroverall state of well-being, including age-specific comparison of fitness performance and wellness score.
规律的体育活动有助于老年人独立生活、预防慢性健康问题并提高生活质量。本研究的目的是确定身体健康状况是否与社区居住老年人的多维度幸福感相关。
开展了一项基于社区的横断面研究，以评估400名65岁及以上老年人的身体健康状况和感知到的健康状况。使用高级体能测试（SFT）评估功能/身体健康状况，并使用感知健康状况调查（PWS）评估他们的健康状况。对各项测试进行双变量相关性分析，并使用多元线性回归分析健康综合评分与体能测试之间的关系。
对284名男性和116名女性（平均年龄分别为69.80±3.82岁和67.25±2.57岁）进行了体能测试和感知健康状况评估。“坐姿弯举”和“坐立测试”显示，力量随着年龄的增长呈线性下降。在“背部抓挠”和“坐立前屈”测试中，除65 - 69岁亚组外，所有年龄段的下肢柔韧性均优于上肢。完成“8英尺起立行走”测试的最长时间随年龄增长而逐渐增加，而“2分钟踏步”测试的平均得分则随年龄增长呈线性下降。男性的健康综合评分（14.54±2.31）在75 - 79岁年龄组最高，而女性的健康综合评分（15.26±2.29）在70 - 74岁年龄组最高。体能测试与健康感知（综合评分）的相关性分析显示，男性参与者中，“坐姿弯举”测试（p = 0.012）、“背部抓挠”测试（p = 0.0002）、“8英尺起立行走”测试（p = 0.005）、“2分钟踏步”测试（p = 0.005）与健康综合评分显著相关，而在女性中，仅“2分钟踏步”测试（p = 0.007）与健康评分有显著相关性。
筛查身体健康状况和健康状况是评估社区居住老年人健康状况以及预测其整体幸福状态的重要措施，包括按年龄进行体能表现和健康评分的比较。
