杭州成功老龄化老年人的躯体功能分析
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(1. 杭州市五云山医院健康管理中心,杭州 310009;2. 中国医学科学院北京协和医学院北京协和医院老年医学科,北京 100005)

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R592

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杭州市医学重点学科建设项目(OO20200190)


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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    摘要:

    目的 调查及分析健康状况良好老年人的躯体功能指标,为社区老年人躯体功能评估提供参考。方法 对2018年至2019年于杭州市五云山医院体检的符合成功老龄化(SA)标准的233名社区老年人进行老年综合评估。根据年龄分为年轻老年人组(65~74岁,n=67)及年长老年人组(≥75岁,n=166)。比较2组患者握力、步速、5次起坐试验、3m计时起立行走试验和简易躯体功能评定(SPPB)等躯体功能评估指标。采用SPSS 25.0软件对数据进行统计分析。结果 共纳入233名社区老年人,中位年龄[82.0(73.0,87.0)]岁,男性占79.0%(184/233)。与年轻老年人组比较,年长老年人组握力[男性28.9(23.3,33.6)和37.1(32.0,41.0)kg,女性20.4(17.7,22.8)和23.4(21.0,23.6)kg]、步速[男性1.0(0.8,1.2)和1.3(1.2,1.5)m/s,女性1.0(0.9,1.2)和1.4(1.1,1.5)m/s]及SPPB[男性11(8.0,12.0)和12(12.0,12.0)分,女性11(9.0,11.5)和12(12.0,12.0)分]均较低,5次起坐试验[男性10.5(9.3,13.6)和8.0(6.7,9.8)s,女性10.9(8.7,13.9)和8.9(7.6,9.5)s]及3m计时起立行走试验[男性11.0(9.3,14.4)和8.4(7.4,9.7)s,女性10.4(8.9,12.3)和8.5(7.8,9.4)s]均较高,差异均有统计学意义(均P<0.05)。选择最低的五分位数作为临界值,SA老年人的躯体功能参考值在男性和女性中,握力分别为24.8kg和17.6kg,步速分别为0.9m/s和0.9m/s,5次起坐试验分别为13.4s和13.9s,3m计时起立行走试验分别为13.2s和12.5s,SPPB分别为9分和9分。结论 符合SA标准的老年人躯体功能随增龄而下降,杭州SA老年人的躯体功能参考值可为社区老年人躯体功能评估提供参考。

    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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郭君萍,李娇娇,刘晓红.杭州成功老龄化老年人的躯体功能分析[J].中华老年多器官疾病杂志,2022,21(6):434~438

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  • 收稿日期:2021-07-25
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  • 在线发布日期: 2022-06-29
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