摘要
背景:老年人运动功能量表(geriatric locomotive function scale,GLFS)-25、平衡功能评定、步态测试等常用于筛查老年人运动功能障碍和预测跌倒风险的方法均属于主观评定方法,因此结合客观的评价指标能更为全面地反映老年人的运动功能状态和平衡功能。目的:探讨GLFS-25量表联合骨密度测试在筛查天津市6个社区老年人基础运动障碍和评估患者跌倒风险中的应用效果。方法:采用分区整群随机抽样调查法抽取天津市和平区、南开区的6个社区老年人1458例进行调查,根据GLFS-25得分情况将其分为运动功能障碍组(198例,GLFS-25≥16分)和非运动功能障碍组(1 260例,GLFS-25<16分)。比较两组调查对象的身高、体质量、体质量指数、体脂肪率、内脏脂肪面积等相关因素,比较两组受试者骨密度、跌倒次数、膝关节灵活度和下肢力量、平衡功能评分及步态分析,并进行相关性分析;采用受试者工作特征曲线分析GLFS-25联合骨密度测试诊断老年人基础运动障碍及跌倒风险的效能。结果与结论:(1)运动功能障碍组身高显著低于非运动功能障碍组、体质量指数和体脂肪率显著高于非运动功能障碍组(P <0.05),运动功能障碍组骨密度值显著低于非运动功能障碍组(t=7.467,P=0.000);(2)非运动功能障碍组的过去1年平均跌倒次数和跌倒危险指数显著低于运动功能障碍组,30 s内坐立姿势转换次数、自我平衡感觉评分显著高于运动功能障碍组(P均为0.000);非运动功能障碍组的总路程、平均步速、左右平均步长均显著高于运动功能障碍组,其左右步幅变异系数均显著低于运动障碍组(P <0.05);(3)Pearson相关性分析结果显示,GLFS-25评分、骨密度与身高、体质量指数和体脂肪率无明显相关性(P>0.05),GLFS-25评分与骨密度、自我平衡感觉、总路程、平均步速、左右平均步长均呈负相关,与跌倒次数、跌倒危险指数、左右
BACKGROUND: Subjective assessments, such as 25-question Geriatric Locomotive Function Scale (GLFS-25), balance function assessment, and gait test, are commonly used to screen for motor dysfunction and predict the risk of falls in the elderly. Therefore, the combination of impersonal assessment indicators and these subjective assessments can fully reflect the motor and balance functions of the elderly. OBJECTIVE: To explore the application of GLFS-25 combined with bone mineral density test in screening for locomotive syndrome and risk of falls in the older adults. METHODS: A total of 1 458 elderly people who resided in six communities of Heping District, Tianjin, China were enrolled by the method of zoning cluster random sampling. According to the GLFS-25 scores, the subjects were divided into locomotive syndrome group (198 cases, GLFS-25 ≥ 16) and non-locomotive syndrome group (1260 cases, GLFS-25 < 16). The height, weight, body mass index, body fat percentage, and visceral fat area were compared between the two groups. The bone mineral density, fall frequency, knee flexibility and lower limb strength, balance function and gait parameters were also tested and compared between the two groups. The Pearson method was used to analyze the correlation between GLFS-25 score, bone mineral density and fall frequency, the frequency of sitting posture conversion, gait parameters and balance function score in 30 seconds. Receiver operating characteristic curve was used to analyze the efficacy of GLFS-25 combined with bone mineral density test in the diagnosis of locomotive syndrome and fall risk in the elderly. RESULTS AND CONCLUSION:(1) Compared with the non-locomotive syndrome group, height, body mass index, and fat percentage were significantly higher in the locomotive syndrome group (P < 0.05), while the bone mineral density was significantly lower (t=7.467, P=0.000).(2) Compared with the locomotive syndrome group, the non-locomotive syndrome group showed significantly less fall frequency within 1 year and lower risk o
作者
宋超
田鑫
刘琳
徐雅雯
孟圆
李晓丽
彭萌
李华东
王志涛
戈莎
Song Chao;Tian Xin;Liu Lin;Xu Yawen;Meng Yuan;Li Xiaoli;Peng Meng;Li Huadong;Wang Zhitao;Ge Sha(College of Sports Science, Tianjin Normal University, Tianjin 300387, China;Sports Competition Training Center, Tianjin Normal University, Tianjin 300387, China;Department of Neurosurgery, General Hospital Affiliated to Tianjin Medical University, Tianjin 300052, China)
出处
《中国组织工程研究》
CAS
北大核心
2019年第7期990-995,共6页
Chinese Journal of Tissue Engineering Research
基金
天津市教委科研计划项目(2017SK149)
项目名称:天津市老年人群基础运动功能障碍筛查方法研究
项目负责人:宋超~~
