Abou-Sharkh Ahmed, Morin Suzanne N, Mate Kedar K V, Mayo Nancy E
Centre of Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal.
School of Physical and Occupational Therapy, McGill University, Montreal.
Can Geriatr J. 2025 Jun 4;28(2):115-124. doi: 10.5770/cgj.28.763. eCollection 2025 Jun.
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.
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”。
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