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基于瑞典全国老龄化与护理研究(SNAC)的横断面研究结果,探索五次坐立试验的预测因素。

Exploring predictors of the five-time sit-to-stand test based on cross-sectional findings from the Swedish National Study on Aging and Care (SNAC).

作者信息

Niklasson Joakim, Fagerström Cecilia, Backåberg Sofia, Bergman Patrick, Lindberg Terese

机构信息

Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden.

Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden.

出版信息

BMC Geriatr. 2025 Feb 4;25(1):79. doi: 10.1186/s12877-025-05737-8.

Abstract

BACKGROUND

As we age, staying physically active and reducing sedentary behavior becomes crucial. To understand how to achieve this, factors related to daily physical function such as five-time sit-to-stand (STS) time should be explored. This study aimed to investigate the associations between STS time, self-rated physical activity, physical function, health-related quality of life, physical and mental health in community-dwelling older adults aged ≥ 60 years.

METHOD

Cross-sectional design with self-reported and objectively measured data from adults aged ≥ 60 years (n = 819), acquired from the Swedish National Study on Aging and Care. Data was analyzed through multiple linear regression.

RESULTS

The model (R = 0.268) showed that STS time was predicted by grip strength (β' = -0.204, p < 0.05), age (β' = 0.202, p < 0.05), health-related quality of life (β' = -0.192, p < 0.05), having fallen within the preceding twelve months (β' = -0.127, p < 0.05), physical activities of perceived light to moderate intensity (β' = -0.121, p < 0.05), one-leg stand (β' = -0.099, p < 0.05), and education level (β' = -0.092, p < 0.05). For STS time, health-related quality of life (β = -0.354, confidence interval [CI] (-0.509)-(-0.199)), having fallen within the preceding twelve months (β = -0.222, CI (-0.365)-(-0.078)), and physical activities of perceived light to moderate intensity (β = -0.166, CI (-0.278)-(-0.053)) were the most prominent predictors.

CONCLUSION

The model highlights the importance of grip strength and health-related quality of life in predicting STS time in older adults. Clinicians can use these insights to develop interventions that maintain physical function by regularly assessing and monitoring these factors. Future research should explore the relationship between fall history, faster STS time, and the impact of grip strength and health-related quality of life on sedentary behavior among older adults.

摘要

背景

随着年龄的增长,保持身体活跃和减少久坐行为变得至关重要。为了了解如何实现这一点,应该探索与日常身体功能相关的因素,如五次坐立试验(STS)时间。本研究旨在调查60岁及以上社区居住老年人的STS时间、自我报告的身体活动、身体功能、健康相关生活质量、身心健康之间的关联。

方法

采用横断面设计,收集来自瑞典国家老龄化与护理研究中60岁及以上成年人(n = 819)的自我报告和客观测量数据。通过多元线性回归分析数据。

结果

模型(R = 0.268)显示,握力(β' = -0.204,p < 0.05)、年龄(β' = 0.202,p < 0.05)、健康相关生活质量(β' = -0.192,p < 0.05)、在过去十二个月内跌倒过(β' = -0.127,p < 0.05)、感知为轻度至中度强度的身体活动(β' = -0.121,p < 0.05)、单腿站立(β' = -0.099,p < 0.05)和教育水平(β' = -0.092,p < 0.05)可预测STS时间。对于STS时间,健康相关生活质量(β = -0.354,置信区间[CI](-0.509)-(-0.199))、在过去十二个月内跌倒过(β = -0.222,CI(-0.365)-(-0.078))以及感知为轻度至中度强度的身体活动(β = -0.166,CI(-0.278)-(-0.053))是最显著的预测因素。

结论

该模型突出了握力和健康相关生活质量在预测老年人STS时间方面的重要性。临床医生可以利用这些见解,通过定期评估和监测这些因素来制定维持身体功能的干预措施。未来的研究应探索跌倒史、更快的STS时间以及握力和健康相关生活质量对老年人久坐行为的影响之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b827/11796161/39dabe95c255/12877_2025_5737_Fig1_HTML.jpg

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