通过在老年人中坚持基于推的体育活动来估计残疾发病率的风险降低:一个队列研究
Masasnori Morikawa1,2, Kenji Harada3, Satoshi Kurita3,4
1Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan morikawa@ncgg.go.jp.
Journal of epidemiology and community health
|May 27, 2025
概括
遵守体育活动指南,包括中度至强度体育活动 (MVPA) 和每天步行,可以显著降低老年人的残疾发病率. 遵守这些建议是促进健康衰老和预防长期护理需求的关键.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 全球对老年人身体活动的建议各不相同 (例如,世卫组织的每周150分钟的MVPA,日本的每天6000步).
- 在预防老年人残疾方面,遵守这些体育活动指南的有效性仍然不完全理解.
研究的目的:
- 调查遵守体育活动建议与社区老年人残疾发病率之间的关联.
- 为了比较中度至强度体力活动 (MVPA) 和每日步数遵守对预防残疾的影响.
主要方法:
- 研究了4079名社区老年人的队列.
- 在一个月内,客观地使用加速度计测量身体活动.
- 追踪了58个月的残疾发病率,并使用统计分析 (参数g-公式) 来比较遵守和不遵守体育活动建议的组,控制共变量.
主要成果:
- 遵守MVPA建议与减少残疾发病率 (-2.17%) 有关.
- 在12个月内持续遵守MVPA,残疾发病率显著降低 (-3.15%) 和严重残疾 (-1.18%).
- 在75岁以下的MVPA (-2.56%) 坚持的人群中观察到更大的残疾减少,而75岁及以上的人群则显示每日步骤坚持有潜在的益处 (-4.40%).
结论:
- 坚持身体活动建议,包括MVPA和日常步骤,是预防日本老年人残疾的可行策略.
- 促进推的体育活动水平可以有助于保持独立性,并减少老年人群对长期护理服务的需求.
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