无法完成握力和体能测试的老年人死亡率和残疾风险:来自中国的一项基于人口的队列研究
Yu Cheng Huang1,2, Ying Dong3, Chen Ming Tang4
1Shi's Center of Orthopedics and Traumatology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, 201220, Shanghai, China.
BMC public health
|March 14, 2024
概括
无法完成5次椅子站测试 (FTCST) 等体检的老年人面临更高的死亡风险. 那些无法完成步行速度 (GS) 测试的人显示残疾风险增加,突出了针对这些弱势群体进行有针对性的研究的需要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在老年人中,低体能和不良健康结果之间建立了联系.
- 对无法完成体能测试的老年人死亡和残疾风险的理解有限.
- 需要进行纵向研究来探索这些特定风险.
研究的目的:
- 分析老年人无法完成手握强度 (HGS),步行速度 (GS) 和五次椅子站立测试 (FTCST) 的患病率.
- 估计与无法完成这些测试相关的死亡和残疾的纵向风险.
主要方法:
- 利用了来自中国健康与退休长度研究 (CHARLS) 的数据.
- 包括在基线时60-101岁的参与者.
- 采用竞争风险模型来评估七年来死亡率和残疾.
主要成果:
- 不能完成GS和FTCST随着年龄的增长而增加.
- 无法完成FTCST与49.1%更高的死亡风险有关.
- 无法完成GS测试显著增加了ADL残疾的风险.
- 在那些无法完成HGS的人群中,没有发现死亡率或ADL残疾风险的显著差异.
结论:
- 对于那些无法完成不同体能测试的老年人来说,不良结果的风险有所不同.
- 强调需要对这种高风险人群进行单独分析和有针对性的干预措施.
- 建议在这种情况下,FTCST和GS测试是未来不良事件的更敏感指标,而不是HGS.
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