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握力低与50岁之后的跌倒有关:巴西衰老纵向研究(ELSI-巴西)的结果

Low handgrip strength is associated with falls after the age of 50: findings from the Brazilian longitudinal study of aging (ELSI-Brazil).

作者信息

Dos Santos André Pereira, Cordeiro Jéssica Fernanda Correa, Abdalla Pedro Pugliesi, Bohn Lucimere, Sebastião Emerson, da Silva Leonardo Santos Lopes, Tasinafo-Júnior Márcio Fernando, Venturini Ana Cláudia Rossini, Andaki Alynne Christian Ribeiro, Mendes Edmar Lacerda, Marcos-Pardo Pablo Jorge, Mota Jorge, Machado Dalmo Roberto Lopes

机构信息

Faculty of Sport of the University of Porto, Street Dr. Plácido da Costa 91, Porto, 4200-450, Portugal.

College of Nursing of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.

出版信息

Arch Public Health. 2024 Oct 1;82(1):172. doi: 10.1186/s13690-024-01340-2.

Abstract

AIM

This study examined the association of low handgrip strength (HGS) for falls in middle-aged adults and older adults every half-decade of life.

METHODS

This cross-sectional study was conducted using the public data from the first wave of the Brazilian Longitudinal Study of Aging (ELSI-Brazil). The participants were allocated into seven age groups 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, and ≥ 80 years. Binary logistic regression analysis was performed to identify the odds ratio (OR) of low HGS to the falls regardless of confounding variables such as sex, balance, gait speed, and total number of health conditions.

RESULTS

A total of 8,112 participants aged 50-105 years (median = 62.0 years): 3,490 males (median = 60.0 years) and 4,622 females (median = 63.0 years) attended the study. Altogether, 21.5% of participants experienced at least one fall. HGS gradually decreases over each half-decade of life. In addition, low HGS presented a significative OR (p < 0.05) for falls for age groups, until 80 s, even when considering confounding variables.

CONCLUSIONS

Low HGS is associated with falls in middle-aged adults over their 50 s and remained a strong measure of falls across each subsequent half-decade of life, until 80 s.

摘要

目的

本研究调查了中年及老年人群每五岁年龄段的低握力(HGS)与跌倒之间的关联。

方法

本横断面研究使用了巴西衰老纵向研究(ELSI - 巴西)第一波的公开数据。参与者被分为七个年龄组:50 - 54岁、55 - 59岁、60 - 64岁、65 - 69岁、70 - 74岁、75 - 79岁和≥80岁。进行二元逻辑回归分析,以确定低HGS与跌倒的比值比(OR),而不考虑性别、平衡、步态速度和健康状况总数等混杂变量。

结果

共有8112名年龄在50 - 105岁(中位数 = 62.0岁)的参与者:3490名男性(中位数 = 60.0岁)和4622名女性(中位数 = 63.0岁)参与了该研究。总共有21.5%的参与者经历过至少一次跌倒。HGS在每五岁年龄段逐渐下降。此外,即使考虑混杂变量,低HGS在80岁之前的各年龄组中与跌倒的OR均具有统计学意义(p < 0.05)。

结论

50多岁的中年成年人中,低HGS与跌倒有关,并且在随后的每五岁年龄段直至80岁,仍然是跌倒的一个重要指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1869/11446049/4d5427527731/13690_2024_1340_Fig1_HTML.jpg

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