社区居住老年人的内在能力与休闲活动的关联：一项横断面分析。

Association of intrinsic capacity with leisure activities in community-dwelling older adults: a cross-sectional analysis.

作者信息

Shen Ji, Kang Yuting, Zhang Chi, Pang Jing, Li Jing, Shi Hong, Zhang Jie

机构信息

Department of Geriatrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, NO.1 Dahua Road, Dongcheng District, Beijing, 100730, P. R. China.

Office of the National Clinical Research Center for Geriatric Diseases, Department of Scientific Research, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, P. R. China.

出版信息

BMC Geriatr. 2025 Aug 1;25(1):577. doi: 10.1186/s12877-025-06201-3.

DOI:10.1186/s12877-025-06201-3

PMID:40750853

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12317524/

Abstract

BACKGROUND

Intrinsic capacity (IC) is defined as the combined physical and mental capacities of older adults and is closely related with their functional abilities. This study examined how specific types and patterns of leisure activities (LA) associate with distinct domains and overall levels of intrinsic capacity (IC) in community-dwelling older adults from Beijing, China.

METHODS

This study included 916 participants (aged 70.19 ± 6.23 years) from four communities in Beijing. The five IC-related domains, namely, locomotion, cognition, psychological, vitality, and sensory domains were assessed using the tools recommended by WHO. Leisure activities, including physical leisure activities (PLA) and intellectual leisure activities (ILA), were analyzed using a 8-question self-administered questionnaire. Multivariate logistic regression analyses were performed to determine the association of IC with LA and types of LA after adjustment of confounding variables, including demographic characteristics and health status parameters.

RESULTS

Among the 916 study subjects, 605 (65.8%) showed impairment in at least one dimension of IC. The total score of LA was 6 (4,7). Furthermore, LA (OR = 1.150, 95% CI = 1.041-1.271) and ILA (OR = 1.202, 95% CI = 1.046-1.382) were associated with IC after adjusting for the covariates. In the subgroup analyses, LA (OR = 1.242, 95% CI = 1.069-1.442) and ILA (OR = 1.427, 95% CI = 1.145-1.780) were associated with IC in the males, but the correlation was not observed in the females. Among the different age subgroups, individuals in the 70-79 year age group showed association between LA and IC. All the types of LA, except pet-keeping and volunteerism, showed correlation with one or more dimensions of IC.

CONCLUSIONS

LA and LA types are independently associated with IC in community-dwelling older adults. Therefore, participation in diverse leisure activities is necessary for maintaining and improving IC in the older adults.

摘要

背景

内在能力（IC）被定义为老年人的身体和心理能力的综合，并且与他们的功能能力密切相关。本研究调查了在中国北京社区居住的老年人中，特定类型和模式的休闲活动（LA）如何与内在能力（IC）的不同领域和总体水平相关联。

方法

本研究纳入了来自北京四个社区的916名参与者（年龄70.19±6.23岁）。使用世界卫生组织推荐的工具评估了与IC相关的五个领域，即运动、认知、心理、活力和感觉领域。使用一份8个问题的自填式问卷分析了休闲活动，包括身体休闲活动（PLA）和智力休闲活动（ILA）。在调整了包括人口统计学特征和健康状况参数在内的混杂变量后，进行多变量逻辑回归分析以确定IC与LA及LA类型之间的关联。

结果

在916名研究对象中，605名（65.8%）在IC的至少一个维度上存在损害。LA的总分是6（4,7）。此外，在调整协变量后，LA（OR = 1.150，95%CI = 1.041 - 1.271）和ILA（OR = 1.202，95%CI = 1.046 - 1.382）与IC相关。在亚组分析中，LA（OR = 1.242，95%CI = 1.069 - 1.442）和ILA（OR = 1.427，95%CI = 1.145 - 1.780）在男性中与IC相关，但在女性中未观察到这种相关性。在不同年龄亚组中，70 - 79岁年龄组的个体显示出LA与IC之间的关联。除了养宠物和志愿服务外，所有类型的LA都与IC的一个或多个维度相关。