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無症状の周辺動脈疾患は,下肢の機能障害と独立して関連している:女性の健康と老化に関する研究
M M McDermott1, L Fried, E Simonsick
1Northwestern University Medical School, Chicago, IL 60611, USA. MDM608@nwu.edu
Circulation
|March 7, 2000
まとめ
症状のない外周動脈疾患 (PAD) は,高齢女性によく見られ,足の痛みがなくても下肢の機能を著しく損なう. この増加する人口に対する介入策を開発するために,さらなる研究が必要である.
科学分野:
- ゲロントロジーはゲロントロジーの学科です.
- 血管医学 血管医学とは
- 物理的機能についてです.
背景:
- 周辺動脈疾患 (PAD) は,高齢者の下肢の機能に影響します.
- ボルチモアの65歳以上の障害のある女性の観察研究.
研究 の 目的:
- 症状のないPADが下肢の機能に及ぼす影響を調査する.
- 高齢女性におけるPADと身体機能の関連性を評価する.
主な方法:
- PADを診断するために測定された足首-腕指数 (ABI).
- 下肢機能の評価 (歩行速度,バランス,座りから立ち上がり,ブロックを歩いた).
- 年齢,性別,人種,喫煙,併発性疾患により調整されています.
主要な成果:
- 933人の女性の31%がPAD (ABI <0.90) を有していた.
- PADの参加者の63%は無症状 (足の痛みなし) でした.
- 低ABIは,歩行が遅い,バランスが悪い,座り立つ姿勢が遅い,症状のない個人に歩いたブロックが少ない.
結論:
- 無症状のPADは一般的で,下肢の機能低下と関連しています.
- 症状のないPADの個体における機能を改善するために,効果的な介入が必要である.
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