预测在社区居住的老年人跌倒的有效指标,通过持续运动干预预防护理需求。

IF 2.1 Q3 GERIATRICS & GERONTOLOGY Gerontology and Geriatric Medicine Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI:10.1177/23337214241229328
Mitsuru Sato, Tomoko Yamashita, Daisuke Okazaki, Harumi Asada, Kazuhiko Yamashita
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引用次数: 0

摘要

在许多国家,为预防有跌倒风险的老年人跌倒而采取的体育锻炼干预措施非常普遍;然而,人们对长期锻炼对现有跌倒预测指标的跌倒判别能力的影响还缺乏足够的了解。本研究测量了 124 名在社区居住且有护理需求的老年人跌倒风险的身体和认知指标,包括定时起立行走(TUG)、行走速度(WS)和足底触觉阈值(PTT)。通过逻辑回归分析,确定了 87 名能连续坚持锻炼 12 个月的参与者中与跌倒有关的因素。跌倒者的 PTT 明显较高,而跌倒者和非跌倒者的 TUG 和 WS 没有明显差异。唯一与跌倒明显相关的指标是 PTT(OR = 1.20)。PTT的跌倒识别能力较好(AUC = 0.63),而TUG(AUC = 0.57)和WS(AUC = 0.52)则低于之前报道的分数。总之,研究发现长期锻炼可以通过体能表现提高跌倒预测指标的得分,但会降低其识别未来跌倒的能力。PTT可补充识别此类老年人跌倒的能力。
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Valid Indicators for Predicting Falls in Community-Dwelling Older Adults Under Ongoing Exercise Intervention to Prevent Care Requirement.

Physical exercise interventions to prevent falls for older adults at risk of falling are widespread in many countries; however, there is insufficient knowledge of the impact of long-term exercise on the fall discriminating ability of existing fall-prediction indicators. This study measured physical and cognitive indicators of the fall risk, including the timed up and go (TUG), walking speed (WS), and plantar tactile threshold (PTT), in 124 community-dwelling older adults with care needs who were continuing an exercise program. Logistic regression analyses were used to determine factors associated with falls in the 87 participants who could adhere to the exercise continuously for 12 months. The PTT was significantly higher in fallers, while the TUG and WS did not differ significantly between fallers and non-fallers. The only index significantly associated with falls was the PTT (OR = 1.20). The fall identification ability was better for PTT (AUC = 0.63), whereas TUG (AUC = 0.57) and WS (AUC = 0.52) were lower than previously reported scores. In conclusion, long-term exercise was found to improve scores on the fallprediction indicators by physical performance, but to decrease their ability to identify future falls. PTT may complement the ability to identify falls in such elderly populations.

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来源期刊
Gerontology and Geriatric Medicine
Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology
CiteScore
2.90
自引率
3.70%
发文量
119
审稿时长
12 weeks
期刊介绍: Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.
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