Wang Song, Wu Zhengyu, Guo Zhen, Wang Fei, Liu Bo
Division of Sports Science and Physical Education, Tsinghua University, Beijing, 100084, China.
Department of Physical Education, Peking University, Beijing, 100871, China.
BMC Public Health. 2025 May 16;25(1):1813. doi: 10.1186/s12889-025-22968-x.
In an aging society, it is essential for older adults to maintain their ability for independent daily living. This study investigates the effects of physical and mind exercise on functional impairment in activities of daily living among older adults aged 80 years and older.
Data were sourced from the CLHLS database for the years 1998, 2000, 2002, 2005, 2008, and 2018, with a final sample of 62,581 respondents included in the analysis. Binary logistic regression models were employed for data analysis.
Our analysis suggests that the oldest-old adults engaging in physical exercise have an approximately 44.9% lower probability of ADL disability than those not exercising (95%CI: 0.509, 0.596), whereas those engaging in mind exercise have an approximately 40.4% lower probability (95%CI: 0.537, 0.661). when the oldest-old engage in both physical and mind exercise, their risk of ADL disability is reduced by 53.6% (95%CI: 0.399, 0.538).
In addition to encouraging the oldest-old to engage in appropriate physical exercise, promoting simultaneous engagement in mind exercises is important. This approach is more beneficial for sustaining older adults' health and contributes to healthy aging.
在老龄化社会中，老年人保持独立的日常生活能力至关重要。本研究调查了身体锻炼和脑力锻炼对80岁及以上老年人日常生活活动功能障碍的影响。
数据来源于1998年、2000年、2002年、2005年、2008年和2018年的中国老年健康影响因素跟踪调查（CLHLS）数据库，最终样本包括62581名受访者，并纳入分析。采用二元逻辑回归模型进行数据分析。
我们的分析表明，进行体育锻炼的高龄老年人日常生活活动能力残疾的概率比不锻炼的人低约44.9%（95%置信区间：0.509，0.596），而进行脑力锻炼的人概率低约40.4%（95%置信区间：0.537，0.661）。当高龄老年人同时进行身体锻炼和脑力锻炼时，他们日常生活活动能力残疾的风险降低了53.6%（95%置信区间：0.399，0.538）。
除了鼓励高龄老年人进行适当的体育锻炼外，促进同时进行脑力锻炼也很重要。这种方法对维持老年人的健康更有益，并有助于健康老龄化。
