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探究老年人群平衡能力与功能状态之间的关系。

Examining the Relationship Between Balance and Functional Status in the Geriatric Population.

作者信息

Vermisso Eleni, Stamou Effrosyni, Tsichli Garyfallia, Foteinou Ioanna, Christakou Anna

机构信息

Department of Physiotherapy, School of Health Sciences, University of Peloponnese, 23100 Sparta, Greece.

Laboratory of Biomechanics, Department of Physiotherapy, School of Health Sciences, University of Peloponnese, 23100 Sparta, Greece.

出版信息

Med Sci (Basel). 2025 Aug 2;13(3):110. doi: 10.3390/medsci13030110.

Abstract

BACKGROUND/OBJECTIVES: Aging is associated with a gradual decline in physical capabilities, often leading to impaired balance and reduced functional status, which are major contributors to falls in older adults. Although many studies have assessed these variables independently, a limited amount of research has explored the direct relationship between balance and functional status in a healthy geriatric population. The aim of this study was to investigate the relationship between balance and functional capacity and to assess the influence of demographic factors such as age, comorbidities, smoking status, and history of falls.

METHODS

A sample of community-dwelling older adults (19 women, 16 men) ( = 35), aged 60 years and above (M = 78 years; SD = 9.23) from Sparta, Greece, took part in the present study. Participants were assessed using three validated tools: (a) the Five Times Sit-to-Stand test, (b) the Timed Up-and-Go test, and (c) the Berg Balance Scale. Spearman's rank correlation coefficient was used for statistical analysis (α = 0.05).

RESULTS

Age was positively correlated with poorer performance in the Five Times Sit-to-Stand (r = 0.40; < 0.01) and the Timed Up-and-Go test (r = 0.47; < 0.01) and negatively correlated with Berg Balance Scale scores (r = -0.51; < 0.01). Comorbidities and smoking were also associated with the Berg Balance Scale. A strong negative correlation was observed between balance and the other two functional tests (Five Times Sit-to-Stand: r = -0.51; Timed Up-and-Go: r = -0.66; both < 0.01).

CONCLUSIONS

The findings highlight the importance of evaluating both balance and functional capacity in older adults as interrelated factors that can significantly influence quality of life and fall risk. Future research with larger and more diverse populations is recommended to confirm the present findings and to use exercise programs to prevent falls in the geriatric population.

摘要

背景/目的:衰老与身体能力的逐渐下降有关,这通常会导致平衡受损和功能状态降低,而这是老年人跌倒的主要原因。尽管许多研究已经分别评估了这些变量,但在健康老年人群中,探索平衡与功能状态之间直接关系的研究数量有限。本研究的目的是调查平衡与功能能力之间的关系,并评估年龄、合并症、吸烟状况和跌倒史等人口统计学因素的影响。

方法

来自希腊斯巴达的35名60岁及以上(平均年龄78岁;标准差9.23)的社区居住老年人(19名女性,16名男性)参与了本研究。使用三种经过验证的工具对参与者进行评估:(a)五次坐立试验,(b)定时起立行走试验,(c)伯格平衡量表。采用斯皮尔曼等级相关系数进行统计分析(α = 0.05)。

结果

年龄与五次坐立试验(r = 0.40;P < 0.01)和定时起立行走试验(r = 0.47;P < 0.01)中较差的表现呈正相关,与伯格平衡量表得分呈负相关(r = -0.51;P < 0.01)。合并症和吸烟也与伯格平衡量表相关。在平衡与其他两项功能测试(五次坐立试验:r = -0.51;定时起立行走试验:r = -0.66;均P < 0.01)之间观察到强烈的负相关。

结论

研究结果强调了在老年人中评估平衡和功能能力的重要性,它们是相互关联的因素,可显著影响生活质量和跌倒风险。建议未来开展更大规模、更多样化人群的研究以证实本研究结果,并使用运动项目预防老年人群跌倒。

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