Changning Center for Disease Control and Prevention, Shanghai, 200051, China.
Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
BMC Geriatr. 2023 Sep 7;23(1):545. doi: 10.1186/s12877-023-04219-z.
Identification of factors relevant to balance performance impairments in the elderly population was critical for developing effective interventions and preventions. However, there have been very limited data available based on large scale studies. The present study identified factors that independently contributed to performance impairments in overall balance, domains of static balance, postural stability, and dynamic balance, and individual items.
A total of 1984 community-dwelling Chinese elderly from urban areas of Shanghai were recruited. Information on demographic characteristic, exercise, and health status were collected with a face-to-face interview. Balance performances were assessed on site by trained investigators based on the X16 balance testing scale. To identify the effectors, ordinal logistic regression analysis was applied for overall balance, static balance, postural stability, and dynamic balance. Binary logistic regression analysis was used for 16 items.
The community-dwelling elderly residents were aged from 60 to 97 years old. With increases of age, risks of impairments in overall balance increased gradually (ORs from 1.26 to 3.20, all P < 0.01). In the elderly with overweight and obesity, there was higher proportion of balance impairments compared to the elderly with normal BMI (OR = 1.26, P < 0.001). Regular exercise every week was associated with reduced risks of balance impairments (ORs from 0.63 to 0.73, all P < 0.001). Presences with vision lesion (ORs from 1.28 to 1.59, all P < 0.001), moderate hearing impairment (OR = 1.54, P < 0.001), somesthesis dysfunction (ORs from 1.59 to 13.26, all P < 0.001), and cerebrovascular disease (OR = 1.45, P = 0.001) were related to increased risks of balance impairments. Likewise, age, exercise, vision, hearing, somesthesis, and cerebrovascular disease were significantly associated with static balance, postural stability, and dynamic balance. Both overweight and obesity and underweight were associated with higher proportions of dynamic balance impairments. Regular exercise was significantly related to reduced risks of impairments in 15 out of the 16 items.
In the elderly, age, overweight and obesity, exercise, vision, hearing, somesthesia, and cerebrovascular disease were dominant factors associated with impairments in overall balance, domains of static balance, postural stability, and dynamic balance, and most individual items.
Not applicable.
确定与老年人平衡表现障碍相关的因素对于制定有效的干预和预防措施至关重要。然而，基于大规模研究的可用数据非常有限。本研究确定了独立影响整体平衡、静态平衡、姿势稳定性和动态平衡以及各个项目的因素。
共招募了来自上海市城区的 1984 名社区居住的中国老年人。通过面对面访谈收集人口统计学特征、运动和健康状况信息。平衡表现由经过培训的调查员根据 X16 平衡测试量表在现场评估。为了确定效应器，对整体平衡、静态平衡、姿势稳定性和动态平衡进行了有序逻辑回归分析。对于 16 个项目，使用二项逻辑回归分析。
社区居住的老年人年龄在 60 至 97 岁之间。随着年龄的增长，整体平衡障碍的风险逐渐增加（OR 从 1.26 到 3.20，均 P<0.01）。超重和肥胖的老年人与正常 BMI 的老年人相比，平衡障碍的比例更高（OR=1.26，P<0.001）。每周定期运动与平衡障碍风险降低相关（OR 从 0.63 到 0.73，均 P<0.001）。视力障碍（OR 从 1.28 到 1.59，均 P<0.001）、中度听力障碍（OR=1.54，P<0.001）、体感障碍（OR 从 1.59 到 13.26，均 P<0.001）和脑血管疾病（OR=1.45，P=0.001）与平衡障碍风险增加相关。同样，年龄、运动、视力、听力、体感和脑血管疾病与静态平衡、姿势稳定性和动态平衡显著相关。超重和肥胖以及体重过轻与更高比例的动态平衡障碍相关。定期运动与 16 项中的 15 项障碍风险降低显著相关。
在老年人中，年龄、超重和肥胖、运动、视力、听力、体感和脑血管疾病是与整体平衡、静态平衡、姿势稳定性和动态平衡以及大多数个体项目障碍相关的主要因素。
不适用。
