Analysis of physical functions in the elderly who aging successfully in Hangzhou
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(1. Health Management Center, Wuyunshan Hospital of Hangzhou, Hangzhou 310009, China;2. Department of Geriatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100005, China)

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R592

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    Abstract:

    Objective To investigate and analyze the physical function indexes of the elderly in good health, so as to provide refe-rence for the evaluation of physical function among the elderly in the community. Methods A comprehensive elderly assessment was conducted on 233 old adults living in the community who took physical examination and met the criteria of successful aging (SA) in Hangzhou Wuyunshan Hospital from 2018 to 2019. They were divided into young elderly group (65~74 years old, n=67) and older elderly group (≥75 years old, n=166). Assessments of physical performance, including grip strength, walking speed, five-repetition sit-to-stand test, 3-meter timed up and go test, and short physical performance battery (SPPB) were performed, and the results were compared between the 2 groups. The data were statistically analyzed by SPSS 25.0 software. Results For the 233 subjected community elderly people, their median age was 82.0 (73.0,87.0) years, and men accounted for 79.0% (184/233). When compared with the young elderly group, the older elderly group had significantly lower grip strength [male:28.9 (23.3,33.6) vs 37.1 (32.0,41.0) kg, female:20.4 (17.7,22.8) vs 23.4 (21.0,23.6) kg], waking speed [male:1.0 (0.8,1.2) vs 1.3 (1.2,1.5) m/s, female:1.0 (0.9,1.2) vs 1.4 (1.1,1.5) m/s], and SPPB score [male:11.0 (8.0,12.0) vs 12.0 (12.0,12.0), female:11.0 (9.0,11.5) vs 12.0 (12.0,12.0)]; significanthy higher result of five-repetition sit-to-stand test [male:10.5 (9.3,13.6) vs 8.0 (6.7,9.8) s, female:10.9 (8.7,13.9) vs 8.9 (7.6,9.5) s], and result of 3-meter timed up and go test [male:11.0 (9.3,14.4) vs 8.4 (7.4, 9.7) s, female:10.4 (8.9,12.3) vs 8.5 (7.8,9.4) s] (all P<0.05). When the lowest quintile was selected as the critical value, the reference values of physical function for the SA elderly were as follows:grip strength was 24.8 and 17.6 kg, walking speed was 0.9 and 0.9 m/s, time for five-repetition sit-to-stand test was 13.4 and 13.9 s, time for 3-meter timed up and go was 13.2 and 12.5 s, and SPPB score was 9 and 9, for men and women, respectively. Conclusion The physical function of the elderly who meet the SA standard is declined with aging. The reference values of Hangzhou SA elderly can provide a reference for the physical function evaluation of the elderly in the community.

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History
  • Received:July 25,2021
  • Revised:
  • Adopted:
  • Online: June 29,2022
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