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晚年定期遛狗与身体活动能力、跌倒及跌倒恐惧之间的关联。

The Association of Regular Dog Walking With Mobility, Falls, and Fear of Falling in Later Life.

作者信息

Gallagher Eleanor, Lavan Amanda, Kenny Rose Anne, Briggs Robert

机构信息

Mercer's Institute of Successful Ageing, St James's Hospital, Dublin, Ireland.

Discipline of Medical Gerontology, Trinity College Dublin, Dublin, Ireland.

出版信息

J Gerontol A Biol Sci Med Sci. 2025 Mar 7;80(4). doi: 10.1093/gerona/glaf010.

Abstract

BACKGROUND

It has been suggested that dog walking may protect against falls and mobility problems in later life, but little work to date has examined this. The aim of this study was to assess if regular dog walking was associated with reduced likelihood of falls, fear of falling, and mobility problems in a large cohort of community-dwelling older people.

METHODS

Participants ≥60 years at Wave 5 of The Irish Longitudinal Study on Ageing were included. Regular dog walking was ≥4 days/week by self-report. The control group consisted of participants who did not own a dog or who did not regularly walk their dog. Falls and fear of falling were self-reported. Mobility was measured with Timed-Up-and-Go (TUG). Logistic regression models assessed associations between regular dog walking and outcomes of interest.

RESULTS

Regular dog walkers (629/4 161, 15%) had a significantly faster TUG (10.3 (10.1-10.5) versus 11.7 (11.1-12.2) seconds, t = 2.11, p = .0343) and a lower likelihood of unexplained falls (OR 0.60 (0.38-0.96; p = .034), fear of falling (OR 0.79 (95% CI 0.64-.98); p = .032), and mobility problems (0.64 (0.45-0.91); p = .015) in fully adjusted models. Regular dog walking was also associated with a significantly lower likelihood of fear of falling (OR 0.79 (95% CI 0.64-0.98); p = .032).

DISCUSSION

This study demonstrates a significantly lower prevalence of mobility impairment, falls, and fear of falling among community-dwelling older people who regularly walk their dogs. Although longitudinal and dedicated studies are required, older people should be encouraged to continue regular dog walking where feasible, as it may help in maintaining mobility and reducing falls.

摘要

背景

有人提出遛狗可能有助于预防晚年跌倒和行动不便问题,但迄今为止几乎没有相关研究对此进行过考察。本研究的目的是评估在一大群社区居住的老年人中,定期遛狗是否与跌倒可能性降低、跌倒恐惧和行动不便问题减少有关。

方法

纳入爱尔兰老龄化纵向研究第5波中年龄≥60岁的参与者。通过自我报告,定期遛狗定义为每周≥4天。对照组由不养狗或不定期遛狗的参与者组成。跌倒和跌倒恐惧通过自我报告获取。行动能力用计时起立行走测试(TUG)进行测量。逻辑回归模型评估定期遛狗与感兴趣结局之间的关联。

结果

在完全调整模型中,定期遛狗者(629/4161,15%)的TUG明显更快(10.3(10.1 - 10.5)秒对11.7(11.1 - 12.2)秒,t = 2.11,p = 0.0343),不明原因跌倒的可能性更低(比值比[OR]0.60(0.38 - 0.96;p = 0.034))、跌倒恐惧更低(OR 0.79(95%置信区间[CI]0.64 - 0.98);p = 0.032)以及行动不便问题更低(0.64(0.45 - 0.91);p = 0.015)。定期遛狗还与跌倒恐惧可能性显著降低相关(OR 0.79(95% CI 0.64 - 0.98);p = 0.032)。

讨论

本研究表明,在社区居住的定期遛狗的老年人中,行动能力受损、跌倒和跌倒恐惧的患病率显著更低。尽管需要纵向研究和专门研究,但应鼓励老年人在可行的情况下继续定期遛狗,因为这可能有助于维持行动能力并减少跌倒。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf13/11926978/86606aa6ebfa/glaf010_fig3.jpg

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