患有关节骨关节炎的老年人身体活动和功能维护:在SHARE研究中对年龄队列进行比较分析
Graziella Martins de Vasconcellos de Mello1, Fernando Tadeu Trevisan Frajácomo2, Ariele B Haagsma1
1Pontifícia Universidade Católica do Paraná (PUCPR), Paraná, Curitiba, Brazil.
PloS one
|March 26, 2025
概括
身体不活动显著加重了年长的成年人关节骨关节炎 (HOA) 的功能限制. 这种效应在80岁及以上的个体中显得更强烈,这凸显了身体活动对维持功能的重要性.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 风湿病学和整形外科
- 公共卫生和流行病学
背景情况:
- 关节骨关节炎 (HOA) 是老年人功能障碍的主要原因.
- 身体不活动和并发性疾病是已知的功能衰退的贡献者.
- 身体不活动对80岁以上HOA患者的功能结果的具体影响尚不清楚.
研究的目的:
- 调查身体不活动和老年人与HOA的功能限制之间的关联.
- 为了在两个不同的年龄组中比较这些协会:60-79岁和80-100岁.
主要方法:
- 来自欧洲健康,衰老和退休调查 (SHARE) 第五波数据的分析.
- 使用单变量和多变量逻辑回归模型.
- 功能限制是依赖变量;身体不活动是主要解释变量,共变量包括慢性疾病,BMI,性别,教育和抑郁症.
主要成果:
- 这项研究包括2088名参与者 (平均年龄为73.1±8.5岁;73.7%为女性).
- 身体不活动的患病率在60-79岁组为16.8%,在80-100岁组为49.6%.
- 身体不活动是功能减弱的独立风险因素,在80-100岁年龄组中影响更为明显.
结论:
- 身体不活动是HOA老年人功能衰退的关键预测因素.
- 身体不活动对功能的有害影响在80岁及以上的个人中显著增加.
- 促进体育活动对于在这个弱势群体中保持功能能力至关重要.
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