匈牙利社区生活老年人与机构老年人功能活动能力的比较分析

É. Kovács, I. Sztruhár, L. Mészáros, Zsigmond Gyombolai, András Simon, Valéria Farkas
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引用次数: 1

摘要

功能活动能力降低是跌倒的危险因素。Timed Up and Go测试是一种复杂的功能移动测量工具。我们的目的是评估:(a)参加锻炼计划的社区生活老年人的功能活动能力(n = 40;平均年龄= 73.7岁),(b)社区生活老年人,缺乏身体活动(n = 40;平均年龄= 74.1岁)和(c)机构老年人(n = 40;平均年龄= 73.5岁),并将结果与跌倒风险的临界值进行比较。测量功能迁移度后,采用单因素独立方差分析和样本t检验进行分析。积极参与者的功能流动性优于不积极参与者(p < .001)和制度化参与者(p < .001)。不活动和制度化参与者之间无显著差异(p = .990)。运动参与者的功能活动能力较好,而不运动参与者的功能活动能力低于社区生活老年人跌倒风险的临界值13.5 s。机构参与者的功能活动能力与预测跌倒风险的15-s参考值没有差异。结果表明,有规律的身体活动对社区生活和机构老年人的功能活动能力维持均有积极作用。
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Comparative analysis of functional mobility among Hungarian community-living and institutionalized elderly individuals
Reduced functional mobility is a risk factor for falls. The Timed Up and Go test is a complex measurement tool for functional mobility. Our aims were to assess the functional mobility of: (a) community-living elderly who were participating in an exercise programme (n = 40; mean age = 73.7 years), (b) community-living elderly who were physically inactive (n = 40; mean age = 74.1 years), and (c) institutionalized elderly (n = 40; mean age = 73.5 years) and to compare the results with cut-off values for risk of fall. After measuring functional mobility, one-way independent ANOVAs and sample t-tests were used for analysis. The functional mobility of the active participants was better than that of the inactive (p < .001) and institutionalized participants (p < .001). There was no significant difference between the inactive and institutionalized participants (p = .990). The functional mobility of the active participants was better, whereas the functional mobility of the inactive participants was worse than the cut-off value of 13.5 s for risk of fall for community-living elderly. The functional mobility of the institutionalized participants did not differ from the 15-s reference value for predicting risk of fall. The results indicate that regular physical activity has a positive effect on maintaining functional mobility among both community-living and institutionalized elderly individuals.
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