步速降低与老年人健康及相关状况的关系

被引：24

作者：

曾平

韩怡文

庞婧

宫环

张延

张恩毅

张毅

张铁梅

机构：

[1] 北京医院卫计委老年医学研究所卫生部老年医学重点实验室

来源：

中华老年医学杂志 | 2016年 / 35卷 / 07期

关键词：

步行; 认知; 日常生活活动; 抑郁;

D O I：

暂无

中图分类号：

R161.7 [老年卫生]; R592 [老年病学];

学科分类号：

100201 [内科学]; 100404 [儿少卫生与妇幼保健学];

摘要：

目的分析步速降低与老年人健康及相关状况的关系, 旨在为及早识别老年人健康及功能减退提供依据。方法采用横断面调查的方法, 用标准问卷询问相关信息, 内容包括人口学资料、现患史、生活习惯等信息。测量20 m折返步行速度, 将<0.70 m/s定义为步速降低。结果步速降低与老年人健康密切相关, 常见慢病患病率可比对照高10%以上(调整性别、年龄影响后的均P<0.05)。Logistic回归分析结果显示, 老年人生活不规律(OR=1.39, P<0.01)、共患慢病多(OR=2.00, P<0.01)、工具性日常活动能力(IADL)降低(OR=1.15, P<0.01)、抑郁状态(OR=1.02, P=0.001)等, 均与步速降低有关。而受教育水平高(OR=0.95, P=0.044)、经常饮酒(OR=0.78, P=0.002)、认知状态好(OR=0.95, P<0.01)与步速下降呈相反关系。结论步速与老年人健康状况、认知能力、日常活动能力及心理状况之间的呈明显的相关性, 测定步速有助于及早发现老年人健康和功能减退等问题。

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