Quantitative relationship between grip strength and quality of life in the older adult based on a restricted cubic spline model

IF 3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Frontiers in Public Health Pub Date : 2024-09-18 DOI:10.3389/fpubh.2024.1417660
Fanhao Meng, Yunqing Zhang, Chaoxing Liu, Cailiang Zhou
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Abstract

BackgroundGrip strength have been showed diverse associations with quality of life for the older adult population in the literature, still there is lack of evidence of the threshold value of grip strength for maintaining good quality of life in older adults. The purpose of this study was to study the dose-effect relationship between grip strength and quality of life in the older adult, and to explore the factors affecting quality of life in the older adult, so as to provide effective theoretical basis for realizing healthy aging.MethodsA total of 105 older adult people over 60 years old were selected from 3 communities in Beijing. Grip strength was measured by hand dynamometer apparatus and quality of life was assessed by 36-item Short-Form (SF-36). On the basis of controlling confounding factors, the dose-effect relationship between grip strength and quality of life was analyzed with the restricted cubic spline model.ResultsThe results showed that there was a dose-effect relationship between grip strength and physical component summary (PCS) (p &lt; 0.01). However, grip strength was not significantly associated with mental component summary (MCS) (p &gt; 0.05). The threshold value of grip strength for male and female is 34.75 and 23.2 kg, for normal weight group and overweight and obesity group is 24.82 and 29.00 kg, for 60–69, 70–79, 80+ years group is 24.88, 23.37, and 22.97 kg, respectively. When the grip strength value is lower than the threshold value, the increase of grip strength was related to significant improvement of quality of life of the older adult, and when the grip strength value is higher than the threshold value, the quality of life can be maintained in good condition.ConclusionA dose-effect relationship was found between grip strength and physical health in quality of life. Results of our study indicated that the grip strength of the older adults needed to be greater than certain threshold values to maintain good quality of life.
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基于限制性三次样条模型的老年人握力与生活质量之间的定量关系
背景文献显示,握力与老年人群的生活质量有多种关联,但目前仍缺乏证据表明老年人保持良好生活质量的握力阈值。本研究旨在研究老年人握力与生活质量之间的剂量效应关系,探讨影响老年人生活质量的因素,为实现健康老龄化提供有效的理论依据。方法 从北京市 3 个社区选取 105 名 60 岁以上的老年人,用手测力计测量握力,用 36 项短表(SF-36)评估生活质量。在控制混杂因素的基础上,用限制性三次样条模型分析了握力与生活质量之间的剂量效应关系。结果表明,握力与体力成分总结(PCS)之间存在剂量效应关系(pamp &;lt;0.01)。然而,握力与精神成分摘要(MCS)并无明显关系(p&;gt; 0.05)。男性和女性的握力临界值分别为 34.75 和 23.2 千克,正常体重组和超重及肥胖组的握力临界值分别为 24.82 和 29.00 千克,60-69 岁、70-79 岁和 80 岁以上组的握力临界值分别为 24.88、23.37 和 22.97 千克。当握力值低于阈值时,握力的增加与老年人生活质量的显著改善有关,而当握力值高于阈值时,老年人的生活质量可保持良好状态。我们的研究结果表明,老年人的握力需要大于一定的临界值,才能保持良好的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Public Health
Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
7.70%
发文量
4469
审稿时长
14 weeks
期刊介绍: Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
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