美国 60 岁及以上成年人中站立身高与身体残疾之间的关联：NHANES 2015-2018 研究结果。
Association between standing height and physical disability among U.S. adults aged 60 years and older: findings from NHANES 2015-2018.
机构信息
School of Public Health, Guangdong Medical University, Dongguan, Guangdong, China.
School of Public Health and Emergency Management, South University of Science and Technology of China, Shenzhen, Guangdong, China.
出版信息
BMC Geriatr. 2024 Jun 18;24(1):529. doi: 10.1186/s12877-024-05100-3.
BACKGROUND
Physical disability is an important cause of affecting the quality of life in the elderly. The association between standing height and physical disability is less studied.
PURPOSE
The purpose of this study is to investigate the possible link between standing height and physical disability among U.S. adults aged 60 years and older.
METHODS
The cross-sectional data were obtained from the US National Health and Nutrition Examination Survey (NHANES) 2015-2018. Physical disability was assessed by six questions: "Have serious difficulty hearing (SDH)?", "Have serious difficulty seeing (SDS)?", "Have serious difficulty concentrating (SDC)?", "Have serious difficulty walking (SDW)?", "Have difficulty dressing or bathing (DDB)?" and "Have difficulty doing errands alone (DDEA)?". Responses to these questions were "yes" or "no". Answer yes to one of the above six questions was identified as physical disability. Standing height (cm) was measured with an altimeter. Multivariate logistic regression was performed to examine the possible link between standing height and physical disability after adjustment for all covariates.
RESULTS
A total of 2624 participants aged ≥ 60 years were included in our study, including 1279 (48.7%) females and 1345 (51.3%) males. The mean age of participants was 69.41 ± 6.82 years. After adjusting for all potential confounders, the inverse relationship between standing height and all physical disability (APD) was statistically significant (OR = 0.976, 95%CI:0.957-0.995). In addition, among six types of physical disability (SDH, SDS, SDC, SDW, DDB, DDEA), standing height was also a protective factor for SDW (OR = 0.961, 95%CI:0.939-0.983) and DDEA (OR = 0.944, 95%CI:0.915-0.975) in the full-adjusted model.
CONCLUSION
The cross-sectional population based study demonstrates that standing height is a protective factor for physical disability among U.S. adults aged 60 years and older.
背景
身体残疾是影响老年人生活质量的一个重要原因。站立高度与身体残疾之间的关系研究较少。
目的
本研究旨在探讨美国 60 岁及以上成年人站立高度与身体残疾之间可能存在的联系。
方法
本横断面研究的数据来自 2015-2018 年美国国家健康和营养调查（NHANES）。身体残疾通过六个问题进行评估：“是否严重听力困难（SDH）？”“是否严重视力困难（SDS）？”“是否严重注意力集中困难（SDC）？”“是否严重行走困难（SDW）？”“是否穿衣或洗澡困难（DDB）？”和“是否独自外出办事困难（DDEA）？”回答“是”或“否”。对以上六个问题中的一个回答“是”被确定为身体残疾。使用测高仪测量站立高度（cm）。在调整所有协变量后，采用多变量逻辑回归分析站立高度与身体残疾之间的可能联系。
结果
本研究共纳入 2624 名年龄≥60 岁的参与者，其中 1279 名（48.7%）为女性，1345 名（51.3%）为男性。参与者的平均年龄为 69.41±6.82 岁。在调整所有潜在混杂因素后，站立高度与所有身体残疾（APD）呈负相关，具有统计学意义（OR=0.976，95%CI：0.957-0.995）。此外，在六种类型的身体残疾（SDH、SDS、SDC、SDW、DDB、DDEA）中，站立高度也是 SDW（OR=0.961，95%CI：0.939-0.983）和 DDEA（OR=0.944，95%CI：0.915-0.975）的保护因素。
结论
基于人群的横断面研究表明，站立高度是美国 60 岁及以上成年人身体残疾的保护因素。
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