经常遛狗与晚年行动能力、跌倒和害怕跌倒的关系

Eleanor Gallagher, Amanda Lavan, Rose Anne Kenny, Robert Briggs
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Results Regular dog walkers (629/4,161, 15%) had a significantly faster TUG (10.3 (10.1-10.5) vs 11.7 (11.1-12.2) seconds, t=2.11, p=0.0343) and lower likelihood of unexplained falls (OR 0.60 (0.38–0.96; p=0.034), fear of falling (OR 0.79 (95% CI 0.64–0.98); p=0.032) and mobility problems (0.64 (0.45–0.91); p=0.015) in fully-adjusted models. Regular dog walking was also associated with a significantly lower likelihood of fear of falling (OR 0.79 (95% CI 0.64–0.98); p = 0.032). Discussion This study demonstrates a significantly lower prevalence of mobility impairment, falls and fear of falling amongst community-dwelling older people who regularly walk their dog. 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摘要

有人认为遛狗可以预防跌倒和晚年行动不便,但迄今为止很少有研究对此进行研究。这项研究的目的是评估定期遛狗是否与减少跌倒、害怕跌倒和行动不便的可能性有关,研究对象是一大批居住在社区的老年人。方法纳入爱尔兰老龄化纵向研究第5期≥60岁的参与者。自述定期遛狗≥4天/周。对照组由没有养狗或不经常遛狗的参与者组成。跌倒和害怕跌倒都是自我报告。移动性用time - up -and- go (TUG)测量。逻辑回归模型评估了定期遛狗与感兴趣的结果之间的关系。结果常规遛狗者(629/4,161,15%)的TUG速度显著加快(10.3 (10.1-10.5)vs 11.7(11.1-12.2)秒,t=2.11, p=0.0343),不明原因跌倒的可能性较低(OR 0.60 (0.38-0.96;p=0.034),害怕跌倒(OR 0.79 (95% CI 0.64-0.98);P =0.032)和活动能力问题(0.64 (0.45-0.91);P =0.015)。经常遛狗也与害怕摔倒的可能性显著降低相关(OR 0.79 (95% CI 0.64-0.98);P = 0.032)。这项研究表明,在经常遛狗的社区老年人中,行动障碍、跌倒和害怕跌倒的患病率明显较低。虽然需要进行纵向和专门的研究,但应鼓励老年人在可行的情况下继续定期遛狗,因为这可能有助于保持活动能力并减少跌倒。
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The Association of Regular Dog Walking with Mobility, Falls and Fear of Falling in Later Life
Background It has been suggested that dog walking may protect against falls and mobility problems in later life, but little work to date has examined this. The aim of this study was to assess if regular dog walking was associated with reduced likelihood of falls, fear of falling and mobility problems in a large cohort of community-dwelling older people. Methods Participants ≥60 years at Wave 5 of The Irish Longitudinal Study on Ageing were included. Regular dog walking was ≥4 days/week by self-report. The control group consisted of participants who did not own a dog or who did not regularly walk their dog. Falls and fear of falling were by self-report. Mobility was measured with Timed-Up-and-Go (TUG). Logistic Regression models assessed associations between regular dog walking and outcomes of interest. Results Regular dog walkers (629/4,161, 15%) had a significantly faster TUG (10.3 (10.1-10.5) vs 11.7 (11.1-12.2) seconds, t=2.11, p=0.0343) and lower likelihood of unexplained falls (OR 0.60 (0.38–0.96; p=0.034), fear of falling (OR 0.79 (95% CI 0.64–0.98); p=0.032) and mobility problems (0.64 (0.45–0.91); p=0.015) in fully-adjusted models. Regular dog walking was also associated with a significantly lower likelihood of fear of falling (OR 0.79 (95% CI 0.64–0.98); p = 0.032). Discussion This study demonstrates a significantly lower prevalence of mobility impairment, falls and fear of falling amongst community-dwelling older people who regularly walk their dog. While longitudinal and dedicated studies are required, older people should be encouraged to continue regular dog walking where feasible, as it may help in maintaining mobility and reducing falls.
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