老年人生活中的身体、精力和社会平衡

V. Hošek, M. Krejčí, J. Kajzar, D. Jandová, M. Hill
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摘要

身体平衡能力被认为是预防老年人跌倒和随后受伤的关键因素。关于生命的整体概念中的平衡,平衡评价导致了物理平衡的可操作的整体定义。本研究的目的是在65岁及以上老年人能量和社会平衡方面的背景下,分析65岁及以上老年人整体身体平衡的预测成分和决定因素,包括步态平衡。该调查包括500名年龄在65岁及以上的老年人,通过分层随机抽样从捷克共和国的所有地区选出。老年人监测组男性234例(平均年龄74.5 SD±7.74),女性266例(平均年龄76.9 SD±7.23)。选择“医学记忆”、“记忆自我评估”、“功能人类学检查”、“Tinetti平衡评估工具”、健康调查表(SF-36)进行诊断。采用多元回归方法,如正交潜在结构投影(OPLS)法进行统计评价。提出了Tineti综合平衡评分与遗忘自我评估结果、人体测量参数和社会心理指标与性别的相关性分析。讨论了SF-36单项与老年人身体平衡表现的正相关或负相关关系。分析了对平衡能力有重要意义的功能性人类学指标。使用镇痛药和心理药物对社会平衡和心理健康评分均有显著的负向影响。此外,高BMI和体脂率与社会平衡呈负相关。
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Physical, energetic, and social balance in the life of seniors
The ability of physical balance is considered as a key factor in preventing falls and subsequent injuries in the elderly. With regard to balance in the global concept of life, balance evaluation leads to an operational holistic definition of physical balance. The aim of the study is to analyze the predictive components and determinants of overall physical balance, including gait balance in seniors aged sixty five years and older in the context of energy and social balance aspects in seniors aged sixty five years and over. The survey included 500 seniors aged 65 years and older selected by stratified randomized sampling from all regions of the Czech Republic. In the monitored group of seniors there were 234 males (age mean: 74.5 SD ± 7.74) and 266 females (age mean: 76.9 SD ± 7.23). Selected methods of “Medical anamnesis”, “Anamnestic self-assessment”, “Functional anthropological examination”, “Tinetti Balance Assessment Tool”, Short Form Health Survey (SF-36) were used for diagnostics. Multivariate dimensional regression, such as the orthogonal latent structure projection (OPLS) method, was chosen for statistical evaluation. The correlation analyses of the Tineti summary balance score and the results of Anamnestic Self-assessment, anthropometric parameters and psychosocial indices in relation to gender are presented. SF-36 items, positively or negatively correlate with the physical balance performance of seniors, are discussed. Functional anthropological indicators significant to the balance ability were analyzed. Use of analgesics and psych pharmaceuticals, has a significant negative impact on both social balance and the mental health score. Also, high BMI and body fat percentage negatively correlate with social balance.
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