社区高龄老年人步速、握力与跌倒风险的相关性研究

Abstract
Figure/Table
References (21)
Related Citation (15)

Download: PDF (597 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the association between gait speed, grip strength and the risk of falls among the oldest old in communities. Methods Data of the China Health and Retirement Longitudinal Study in 2013 was collected, subjects aged≥80 years, who had measured their gait speed and grip strength, and who had fall data were selected. A total of 497 elderly people in communities were included in the study and divided into two groups based on whether they fell or not: 122 elderly people in the fall group and 375 elderly people in the non-fall group. Association between gait speed, grip strength and risk of falls was examined with logistic regression models. Results In 24 months of follow-up, 25.4% of study participants (n = 122) experienced a fall. After adjusting for age, gender, and hyperlipidemia, it was found that low gait speed (RR = 2.57, 95%CI: 1.29-5.14) was independently associated with a higher risk of falls. After analyzing the combination of gait speed and grip strength, it was found that participants with normal gait speed combined with low grip strength (RR = 1.95, 95%CI: 1.12-3.42) or with normal grip strength combined with low gait speed (RR = 2.82, 95%CI: 1.49-5.34) had a higher risk of fall, participants with both low gait speed and low grip strength had highest risk of fall (RR = 3.14, 95%CI: 1.41-7.00). Conclusion Gait speed and grip strength can predict future falls independently and jointly, taking the measurement of gait speed and grip strength into the fall risk assessment of the oldest old in the community may improve the accuracy of fall risk prediction.

Key words： Oldest old Community Gait speed Grip strength Fall

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	SHEN Jiangqiong1 WANG Xiaoyuan1 XU Weihao2 MENG Wenwen3

Cite this article:

SHEN Jiangqiong1 WANG Xiaoyuan1 XU Weihao2 MENG Wenwen3. Study on the association between gait speed, grip strength and the risk of falls among the oldest old in community[J]. 中国医药导报, 2020, 17(14): 146-149.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I14/146

[1] World Health Organization.World Report on Ageing and Health [R]. Geneva，WHO.2015：25-42.
[2] 世界卫生组织.关于老龄化和健康的全球报告[R].日内瓦：世卫组织网络，2016：61.
[3] 岳月娟，赵亚珍，邓莉莹．城市社区老年人跌倒流行病学调查[J].医学理论与实践，2012，25（24）：3106-3108.
[4] 王浩，赵鸣，段蕾蕾，等．社区60岁及以上老年人跌倒现状及相关因素分析[J].伤害医学：电子版，2016，5（3）：16-21.
[5] 陆春华，马纪林，黄丽妹．城镇社区老年人跌倒状况与风险因素分析及防范对策研究[J].世界最新医学信息文摘，2016，16（68）：1-2.
[6] 中华医学会老年医学分会.老年患者衰弱评估与干预中国专家共识[J].中华老年医学杂志，2017，36（3）：251-256.
[7] 中华医学会骨质疏松和骨矿盐疾病分会.肌少症共识[J].中华骨质疏松和骨矿盐疾病杂志，2016，9（3）：215-227.
[8] Thomas E，Battaglia G，Patti A，et al. Physical activity programs for balance and fall prevention in elderly：A systematic review [J]. Medicine，2019，98（27）：e16218.
[9] 北京医院.居家（养护）老年人跌倒干预指南[J].中国老年保健医学杂志，2018，16（3）：32-34.
[10] Zhao Y，Hu Y，Smith JP，et al. Cohort profile：The China Health and Retirement Longitudinal Study （CHARLS） [J]. Int J Epidemiol，2014，43（1）：61-68.
[11] Cooper C，Dere W，Evans W，et al. Frailty and sarcopenia：definitions and outcome parameters [J]. Osteoporos Int，2012，23（7）：1839-1848.
[12] Tanaka T，Takahashi K，Hirano H，et al. Oral Frailty as a Risk Factor for Physical Frailty and Mortality in Community-Dwelling Elderly [J]. J Gerontol A Biol Sci Med Sci，2018，73（12）：1661-1667.
[13] Zhang X，Wang C，Dou Q，et al. Sarcopenia as a predictor of all-cause mortality among older nursing home residents：a systematic review and meta-analysis [J]. BMJ Open，2018，8（11）：e021252.
[14] 曾平，韩怡文，庞婧，等.步速降低与老年人健康及相关状况的关系[J].中华老年医学杂志，2016，35（7）：773-777.
[15] Kerr A，Syddall HE，Cooper C，et al. Does admission grip strength predict length of stay in hospitalised older patients? [J] Age Ageing，2006，35（1）：82-84.
[16] Chou MY，Nishita Y，Nakagawa T，et al. Role of gait speed and grip strength in predicting 10-year cognitive decline among community-dwelling older people [J]. BMC Geriatrics，2019，19（1）：186.
[17] 陈巧聪，楼慧玲，彭程，等.中老年人骨折风险与握力、步速、肌肉量的相关性[J].实用医学杂志，2020，36（1）：69-73.
[18] Sanders JB，Bremmer MA，Comijs HC，et al. Gait Speed and Processing Speed as Clinical Markers for Geriatric Health Outcomes [J]. Am J Geriatr Psychiatry，2017，25（4）：374-385.
[19] Ikegami S，Takahashi J，Uehara M，et al. Physical performance reflects cognitive function，fall risk，and quality of life in community-dwelling older people [J]. Sci Rep，2019， 9（1）：122-142.
[20] 王雅磊，刘腊梅，张振香.老年人跌倒评估工具的研究进展[J].中国老年学杂志，2019，39（9）：251-255.
[21] Naczk M，Marszalek S，Naczk A. Inertial Training Improves Strength，Balance，and Gait Speed in Elderly Nursing Home Residents [J]. Clin Interv Aging，2020，7（15）：177-184.