老年人心肺健康和跌倒之间的关系:一个基于人口的研究
Julia Araujo de Figueiredo1, Magno Conceição Garcia1, Aldair J Oliveira2
1Department of Epidemiology, Institute of Social Medicine/State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Geriatrics & gerontology international
|December 26, 2024
概括
在老年人中,更高的心肺呼吸能力 (CRF) 降低了跌倒的风险. 然而,良好的CRF并不能防止严重跌倒,骨折或需要医疗护理.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 运动科学 运动科学
背景情况:
- 跌倒是老年人的一个主要健康问题.
- 心血管健康 (CRF) 是老年人群健康的关键指标.
- 了解CRF与跌倒预防之间的联系对于公共卫生战略至关重要.
研究的目的:
- 研究心肺呼吸能力 (CRF) 与老年人跌倒的发生和严重程度之间的关联.
- 为了确定更高的CRF水平是否与下降的可能性较低相关.
- 检查CRF与严重跌倒之间的关系,包括导致骨折或需要医疗干预的严重跌倒.
主要方法:
- 来自2019年巴西国家健康调查的18,991名老年人 (≥60岁) 的数据的横截面分析.
- 使用非运动VO2max模型估计的心肺呼吸能力 (CRF),并分为低,中等或高.
- 用于计算赔率比率 (ORs) 和95%置信区间 (CI) 的物流和多项回归模型.
主要成果:
- 高CRF的老年人与低CRF (OR0.69,95%CI0.52-0.92) 的老年人相比,跌倒的可能性降低了29%.
- 较高的CRF水平与较低的非严重跌倒的可能性显著相关.
- 在CRF水平和严重跌倒之间没有发现显著的关联,特别是那些涉及骨折或需要医疗干预的跌倒.
结论:
- 良好的心肺呼吸能力 (CRF) 在老年人中提供了防止跌倒的保护.
- CRF的保护作用并不延伸到严重的跌倒,例如导致骨折或需要医疗护理的严重跌倒.
- 针对CRF改进的目标可能有助于减少跌倒的发生率,但可能不会减轻严重的跌倒相关伤害的严重程度.
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