养老院居民的体力活动,神经精神症状和身体功能:HUNT 70+研究
Stine Øverengen Trollebø1, Karen Sverdrup2,3, Atle Skjelbred4
1Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, Trondheim, Norway. stine.o.trollebo@ntnu.no.
概括
养老院居民大多是久坐不动的,在短时间内身体活动有限 (PA). 虽然PA与神经精神症状 (NPS) 没有相关性,但它与更好的身体功能 (PF) 有关,这表明即使是最小的活动也有利于老年人.
科学领域:
- 老年学是一门学科.
- 康复科学 康复科学 康复科学
- 生物医学工程 生物医学工程
背景情况:
- 增加的预期寿命需要更多的长期护理,养老院居民经常经历认知衰退和功能限制.
- 养老院居民中神经精神症状 (NPS) 的高患病率有助于久坐的生活方式,影响身体功能 (PF).
- 保持体力活动 (PA) 对于老年人独立至关重要,但养老院居民表现出主要的久坐行为.
研究的目的:
- 为了分析传感器测量的身体活动 (PA) 模式在养老院居民.
- 在这个人群中调查PA,神经精神症状 (NPS) 和身体功能 (PF) 之间的关系.
主要方法:
- 利用了来自HUNT4 70+队列中的163个养老院居民的加速仪数据.
- 评估了PA模式 (行走,站立,坐着,躺着,发作,过渡) 并将它们与NPS (NPI-NH) 和PF (SPPB) 措施联系起来.
- 用DSM-5和CDR标准根据认知障碍和痴呆症严重程度对参与者进行分类.
主要成果:
- 居民每天平均步行17.6分钟,站立1.1小时,坐着9.9小时,躺着12.7小时,其中94%的时间是静坐.
- 在所有认知状态中,PA主要发生在短时间内 (<10分钟).
- 在PA模式和NPS之间没有发现显著的关联,但PA (走路,站立,躺着,过渡) 与PF有显著的关联.
结论:
- 养老院居民表现出高度久坐的行为,短暂的活动,PA与NPS无关.
- 观察到步行和站立时间有限,但这些活动,以及从久坐行为过渡,与身体功能 (PF) 有着显著的关联.
- 即使是少量的体力活动也可能对维持或增强老年护理院人口的身体能力至关重要.
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