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握力在预测老年人生活质量中的作用:一项横断面研究。

Role of handgrip strength in predicting the quality of life in older adults: A cross-sectional study.

作者信息

Eskandarzadeh Masoumeh, Mansour-Ghanaei Roya, Pourghane Parand, Chaboki Bahare Gholami

机构信息

Department of Nursing, Zeynab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.

Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.

出版信息

J Educ Health Promot. 2024 Apr 29;13:134. doi: 10.4103/jehp.jehp_287_23. eCollection 2024.

Abstract

BACKGROUND

Quality of life (QOL) is a vital component in assessing the standard of living for seniors. Hand grip strength (HGS) is a widely used measure to diagnose muscle strength decline that often occurs due to age-related loss of skeletal muscle mass and function. This study focuses on the HGS in predicting the QOL of older adults who are referred to retirement centers in Guilan Province.

MATERIALS AND METHODS

In 2021, a cross-sectional analytical study was conducted among 115 older adults who were residing in retirement centers located in Guilan Province, Northern Iran. The participants were selected using a two-stage sampling method, where three retirement centers were randomly chosen followed by convenience sampling from each center. The selected retirement centers were situated in Langrod, Sowme'eh Sara, and Rasht cities in the east, west, and center of the province, respectively. The data were collected through a demographic information questionnaire, QOL scale (CASP-19), and HGS measurement using a dynamometer.

RESULTS

Of the participants, 57.4% were male, 51.3% had middle income, and 96.5% were categorized as young elderly. The mean overall QOL score was found to be 37.026 ± 6.123, while the mean HGS level was 31.74 ± 7.45 and 18.48 ± 5.13 among males and females, respectively. There was a significant association between the level of education and QOL ( = 0.002). Moreover, there was a positive and significant correlation between HGS and QOL (r = 0.54, = 0.001). The results of the multiple linear regression identified HGS as a predictor of QOL (Adj R = 0.44, βHGS = 0.79).

CONCLUSION

Given that HGS has been identified as a predictor of QOL in older adults, improving this factor through exercise can lead to enhancement in their QOL. Therefore, regular sports exercises can be recommended as a means of improving HGS and subsequently enhancing the QOL of older adults.

摘要

背景

生活质量(QOL)是评估老年人生活水平的一个重要组成部分。握力(HGS)是一种广泛用于诊断肌肉力量下降的指标,肌肉力量下降通常是由于与年龄相关的骨骼肌质量和功能丧失所致。本研究聚焦于握力对转诊至吉兰省退休中心的老年人生活质量的预测作用。

材料与方法

2021年,对居住在伊朗北部吉兰省退休中心的115名老年人进行了一项横断面分析研究。参与者采用两阶段抽样方法选取,首先随机选择三个退休中心,然后从每个中心进行便利抽样。所选退休中心分别位于该省东部的朗罗德市、西部的索梅埃萨拉市和中部的拉什特市。数据通过人口信息问卷、生活质量量表(CASP - 19)以及使用测力计测量握力来收集。

结果

参与者中,57.4%为男性,51.3%为中等收入,96.5%被归类为年轻老年人。总体生活质量平均得分为37.026±6.123,而男性和女性的平均握力水平分别为31.74±7.45和18.48±5.13。教育水平与生活质量之间存在显著关联(P = 0.002)。此外,握力与生活质量之间存在正相关且具有统计学意义(r = 0.54,P = 0.001)。多元线性回归结果确定握力是生活质量的一个预测指标(调整R² = 0.44,β握力 = 0.79)。

结论

鉴于握力已被确定为老年人生活质量的一个预测指标,通过运动改善这一因素可提高他们的生活质量。因此,可推荐定期进行体育锻炼作为提高握力进而提升老年人生活质量的一种方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2714/11114520/e9a528da85b4/JEHP-13-134-g002.jpg

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