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步数分布作为步态易损人群步行储备指标

Step-Count Distribution as an Indicator of Walking Reserve in People with Gait Vulnerabilities.

作者信息

Abou-Sharkh Ahmed, Morin Suzanne N, Mate Kedar K V, Mayo Nancy E

机构信息

Centre of Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal.

School of Physical and Occupational Therapy, McGill University, Montreal.

出版信息

Can Geriatr J. 2025 Jun 4;28(2):115-124. doi: 10.5770/cgj.28.763. eCollection 2025 Jun.


DOI:10.5770/cgj.28.763
PMID:40463643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12094092/
Abstract

BACKGROUND: Steps per day can provide a lot of information about the activity of the average person whose main source of activity is derived from walking. This study looks at the distribution of step-count data to identify different subgroups of people which could be used to indicate walking reserve. METHODS: A time series design of a secondary data analysis was conducted to track the variability of daily step count for 44 seniors post-fracture. The mean age was 75.8 years (SD: 9.75). The full percentile distribution was used in a cluster analysis and group-based trajectory analysis was used for the longitudinal data. Ordinal regression was used to identify factors associated with cluster membership. RESULTS: Four clusters best represented the distribution of reserve in this sample, hypothesized to be defined as the difference between the median and 90 percentile of the step-count distribution. Cluster 1, with the lowest reserve would also be classified as sedentary based on median step count (1,555 step count; 1,314 reserve). Cluster 2 represented people with limited activity with low reserve (4,081 step count; 2,439 reserve). Cluster 3 represented active people with high reserve (7,197 step count; 4,370 reserve). Cluster 4, was very active with very high reserve (9,202 step count, 6,964 reserve).The factors associated with cluster membership were gait speed, sit-to-stand, and depression. CONCLUSIONS: The median and 90 percentile over a longer period indicates the potential "reserve" for participating in activities that demand additional walking.

摘要

背景:每天的步数可以提供很多关于普通人活动情况的信息,这些人的主要活动来源是步行。本研究着眼于步数数据的分布,以识别不同的人群亚组,这些亚组可用于指示步行储备。 方法:采用二次数据分析的时间序列设计,跟踪44名骨折后老年人每日步数的变化。平均年龄为75.8岁(标准差:9.75)。在聚类分析中使用全百分位数分布,对纵向数据使用基于组的轨迹分析。使用有序回归来确定与聚类成员相关的因素。 结果:四个聚类最能代表该样本中储备的分布,假设储备被定义为步数分布中位数与第90百分位数之间的差异。聚类1的储备最低,根据步数中位数(1555步;储备1314步)也可归类为久坐不动。聚类2代表活动受限且储备低的人群(4081步;储备2439步)。聚类3代表活动量大且储备高的人群(7197步;储备4370步)。聚类4非常活跃且储备非常高(9202步,储备6964步)。与聚类成员相关的因素是步速、从坐到站的能力和抑郁。 结论:较长时间段内的中位数和第90百分位数表明参与需要额外步行活动的潜在“储备”。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0337/12094092/84e185200c3e/cgj-28-115f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0337/12094092/0d85a3a5df07/cgj-28-115f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0337/12094092/84e185200c3e/cgj-28-115f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0337/12094092/0d85a3a5df07/cgj-28-115f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0337/12094092/84e185200c3e/cgj-28-115f2.jpg

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本文引用的文献

[1]
Association of Daily Step Patterns With Mortality in US Adults.

JAMA Netw Open. 2023-3-1

[2]
Association of step counts over time with the risk of chronic disease in the All of Us Research Program.

Nat Med. 2022-11

[3]
Association of Daily Step Count and Intensity With Incident Dementia in 78 430 Adults Living in the UK.

JAMA Neurol. 2022-10-1

[4]
Daily steps and all-cause mortality: a meta-analysis of 15 international cohorts.

Lancet Public Health. 2022-3

[5]
Functional capacity and walking speed reserve in individuals with chronic stroke: A cross-sectional study.

Physiother Theory Pract. 2022-11

[6]
The effects of step-count monitoring interventions on physical activity: systematic review and meta-analysis of community-based randomised controlled trials in adults.

Int J Behav Nutr Phys Act. 2020-10-9

[7]
Clinically Assessed Walking Capacity Versus Real-World Walking Performance in People with Multiple Sclerosis.

Int J MS Care. 2020

[8]
Systematic review of the prospective association of daily step counts with risk of mortality, cardiovascular disease, and dysglycemia.

Int J Behav Nutr Phys Act. 2020-6-20

[9]
Relationship Between Magnitude of Limitations and Patient Experience During Recovery from Upper-Extremity Fracture.

JB JS Open Access. 2019-7-22

[10]
Association of Step Volume and Intensity With All-Cause Mortality in Older Women.

JAMA Intern Med. 2019-8-1

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