Relationship between dynamic-static balance ability and other physical fitness indicators in older adults with sarcopenia
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(1. School of Nursing, Suzhou Medical College of Soochow University, Suzhou 215006, Jiangsu Province, China;2. School of Nursing, Hong Kong Polytechnic University, HongKong 999077, China;3. Suzhou Vocational Health College, Suzhou 215009, Jiangsu Province, China)

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R685

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    Abstract:

    Objective To explore the correlation between dynamic-static balance function and other various physical fitness indicators in community-dwelling elderly patients with sarcopenia. Methods Using convenient sampling method, 178 elderly patients with sarcopenia in the community were recruited for outpatient treatment and physical examination at multiple health service centers around Suzhou University. After informed consent, they received the test, and 110 patients ultimately completed all the test items. Static balance function was evaluated using a eye-closed and single legged standing test, and dynamic balance function was evaluated using a stand-up and go test (TUGT). The 6-minute walking test (6MWT), biceps flexion and lift test, 30-second seat standing test, back grasping test, seat forward tilt test, and body mass index measurement were performed on the subjects. SPSS statistics 23.0 was used for data analysis. Spearman correlation analysis and multiple linear regression analysis were used to analyze the relationship between dynamic-static balance function and other physical fitness indicators. Results The standing time of elderly patients with sarcopenia in the community with eye-closed and single legged standing was (2.66±0.64) seconds, and the TUGT time was (7.68±0.22) seconds. Compared with patients without other chronic diseases, patients with other chronic diseases significantly reduced the duration of eye-closed and single legged standing [1.83 (1.03,2.88) vs 2.83 (1.41,3.81) s], with statistically significant differences (P<0.05). Compared with patients with irregular exercise, the patients with regular exercise had significantly reduced duration of TUGT [7.27 (6.43,8.29) vs 7.73 (7.03,8.76) s], with statistically significant differences (P<0.05). The duration of eye-closed and single legged standing was significantly positively correlated with the distance between 6MWT, back grip test, and seat forward tilt distance (r=0.607,0.286,0.361; P<0.05), and negatively correlated with age (r=-0.300; P<0.05). The duration of TUGT was significantly positively correlated with age (r=0.413; P<0.001), and negatively correlated with 6MWT, biceps flexion and lift frequency, 30-second seat standing frequency, back grasping test distance, and seat forward tilt distance(r=-0.538, -0.605, -0.759, -0.274, -0.366; P<0.05). The results of multiple linear regression analysis showed that the combination of other chronic diseases and a distance of 6MWT were the influencing factors for the duration of eye-closed and single legged standing (β=1.181,0.008; P<0.05). The factors affecting the duration of TUGT included the combination of other chronic diseases, the frequency of biceps flexion and lift, the frequency of 30-second seat standing, and the distance of back grasping test (β=-0.859, -0.197, -0.342, -0.053; P<0.05). Conclusion Among community-dwelling elderly individuals with sarcopenia, comorbidity with other chronic diseases is a significant influencing factor for dynamic-static balance function; walking ability is a significant influencing factor for static balance function; upper and lower limb muscle strength and flexibility are significant influencing factors for dynamic balance function.

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History
  • Received:September 15,2022
  • Revised:
  • Adopted:
  • Online: June 26,2023
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