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相关概念视频

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相关实验视频

Updated: Jun 23, 2025

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
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通常步行速度和身体脂肪百分比的降低与长期护理保险认证水平的恶化有关.

Yohei Sawaya1,2, Tamaki Hirose1,2, Takahiro Shiba3

  • 1Department of Physical Therapy, School of Health Sciences, International University of Health and Welfare, Otawara, Tochigi, Japan.

PeerJ
|June 25, 2024
PubMed
概括

步行速度降低和身体脂肪百分比可以预测老年人长期护理保险 (LTCI) 认证水平的恶化. 这些与肉类相关的评估可以帮助识别有需要更多护理的风险的人.

关键词:
步行方式 步行方式日本 日本 日本 日本 日本.长期护理服务提供者萨尔科佩尼亚是什么意思 萨尔科佩尼亚步行 走路 走路

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科学领域:

  • 老年学是一门学科.
  • 康复医学 康复医学 康复医学
  • 公共卫生 公共卫生

背景情况:

  • 在日本,长期护理保险 (LTCI) 的成本上升是一个日益严重的社会问题,尤其是在日益老龄化的成人人口中.
  • 老年人康复在维持身体功能和老年人中LTCI认证水平方面发挥着至关重要的作用.
  • 麻症在需要LTCI的老年人中很普遍,提供了通过掌握力,步行速度和肌肉质量等指标来评估身体功能的机会.

研究的目的:

  • 为了确定对长期护理保险 (LTCI) 认证水平变化敏感的与肉类相关的评估.
  • 为了确定这些评估的具体切断值,可以预测LTCI认证状态的过渡.

主要方法:

  • 一项前性队列研究涉及98名日托用户,年龄为78.5±0.8岁,在研究期间 (2019-2023年3月) 更新了LTCI认证.
  • 测量包括手握强度,通常的步行速度,身体组成 (包括体脂百分比),以及在基线和六个月后期的SARC-F得分.
  • 根据LTCI水平变化,参与者被分为维护,恶化或改善组. 使用多变量和接收机操作特征分析来确定LTCI恶化的预测因素.

主要成果:

  • 在各组之间没有发现显著的基线差异. 然而,恶化组的正常步行速度 (0.64到0.53米/秒) 和身体脂肪百分比 (29.2%到27.7%) 显著下降.
  • 双项逻辑回归显示,通常步行速度 (P=0.042) 和身体脂肪百分比 (P=0.011) 的变化与LTCI水平恶化有显著的关联,即使在调整后.
  • 预测LTCI恶化的截止值被确定为 -0.14 m/s的正常步行速度变化 (P=0.047) 和 -1.0%的身体脂肪百分比 (P=0.029).

结论:

  • 通常步行速度和身体脂肪百分比的下降可以作为老年人长期护理保险 (LTCI) 认证水平恶化的早期预测因素.
  • 这些发现突显了监测步行速度和身体组成的潜力,作为老年患者评估的一部分,以预测需要增加护理的需要,并为康复策略提供信息.