身体活动与中老年人和老年人的虚弱过渡之间的关联:全国纵向研究
Li Huang1, Zhenzhen Liang2, Huajian Chen3
1Faculty of Medical, Heidelberg University, Heidelberg, Germany.
概括
定期体育活动 (PA) 显著降低了虚弱的风险,并促进了老年人的康复. 维持或采用PA,即使是轻微的,对于防止虚弱恶化和改善健康结果至关重要.
科学领域:
- 老年学与公共卫生
- 老龄化的流行病学.
- 身体活动和健康
背景情况:
- 脆弱性是中年和老年人群日益严重的健康问题.
- 身体活动 (PA) 被认为是治疗脆弱性的关键干预措施.
- 在COVID-19大流行期间,大流行前的PA对脆弱性变化的影响需要澄清.
研究的目的:
- 调查疫情前的身体活动水平与随后的虚弱恶化或改善之间的联系.
- 确定不同强度的身体活动在修改脆弱轨迹中的作用.
- 提供关于在公共卫生危机期间维持老年人健康的见解.
主要方法:
- 长度队列研究使用来自英国长度老化研究 (ELSA) 的数据,参与者年龄在50岁以上.
- 身体活动 (PA) 按强度 (剧烈,中度,轻度) 和频率 (每周少于一次与每周至少一次) 分类.
- 虚弱指数 (FI) 评估了虚弱状态 (FI ≥0.25),后勤回归分析了关联 (OR,95% CI).
主要成果:
- 每周至少进行一次任何强度的PA (强烈,中度,轻度) 与虚弱恶化的风险明显降低 (ORs从0.37到0.47).
- 定期的中度或轻度PA增加了虚弱改善的可能性 (OR分别为2.04和2.93).
- 从不活跃到活跃的PA过渡的个体也显示了虚弱的风险降低 (ORs 0.35-0.36).
结论:
- 身体活动在预防虚弱和促进中老年人和老年人的康复方面发挥着至关重要的作用.
- 保持一致的PA习惯,包括轻度活动,对于降低虚弱风险和改善健康至关重要.
- 研究结果为公共卫生战略提供了宝贵的见解,以解决大流行病对老龄化人口的影响.
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