家务活动与老年人步行速度的相关性研究  

The relationship between doing housework and gait speed among the elderly

作　　者：戴雅伦 韩怡文[1] 云春凤 庞婧[1] 宫环[1] 黎健[1] 张铁梅[1] 曾平[1] Dai Yalun;Han Yiwen;Yun Chunfeng;Pang Jing;Gong Huan;Li Jian;Zhang Tiemei;Zeng Ping(The MOH Key Laboratory of Geriatrics,Beijing Hospital,National Center of Gerontology,Beijing 100730,China)

机构地区：[1]北京医院国家老年医学中心,国家卫生健康委员会老年医学重点实验室,100730

出　　处：《中华老年医学杂志》2020年第3期341-344,共4页Chinese Journal of Geriatrics

基　　金：卫生部卫生行业科研专项基金(201302008)。

摘　　要：目的探讨家务活动与步行速度(GS)之间的关系,以探寻维持老年人身体活动能力的途径。方法2011年1—12月开展本项横断面调查研究,研究对象来自全国6大地区,为年龄≥60岁且能完成GS测试的老年人,其中男性2519例、女性2541例。GS以小于健康参考人群20%的速度(GS<0.7 m/s)作为慢步速(SGS)的界定值;参与打扫房间、购买和烹饪食物、照顾孙辈等活动,且回答频率为经常(≥5 d/周)定义为做家务。用倾向性评分匹配法(PSM)控制影响因素,匹配特征可比的做家务组与不做家务组。结果共匹配3290例(1645对)研究对象,Logistic回归分析结果显示,家务活动与SGS呈稳定的负相关关系,家务活动使SGS风险降低60%(OR=0.40,95%CI:0.35~0.46)。结论参加家务活动的老年人更可能维持GS,应鼓励老年人积极参与日常活动有助于保持良好的身体活动能力。Objective To explore the relationship between doing housework and gait speed(GS)in order to identify ways to maintain physical capability in elderly people.Methods A nationwide cross-sectional survey was conducted from Jan.2011 to Dec.2011.Subjects in this survey,with a sample of 2519 males and 2541 females aged≥60 years,came from six regions across the country and satisfactorily completed a GS test.A GS in the lower 20%of the reference population(<0.7 m/s)was used as the cut-off point to define slow GS(SGS).Housework was defined as activities such as house cleaning,shopping,cooking and taking care of grandchildren and a response of"often"(≥5 d/week)was considered as doing housework.Propensity Score Matching(PSM)was performed to select comparable sub-groups of the study population to evaluate the association between housework and GS.Results There were 3290 subjects(1645 pairs)selected by PSM.Logistic regression analysis showed that doing housework was inversely associated with SGS,and housework activities reduced the risk of SGS by 60%(OR=0.40,95%CI:0.35-0.46,P<0.01).Conclusions Elderly people who conduct housework often are more likely to maintain GS and therefore should be encouraged to engage in daily activities to help maintain adequate physical performance.

关 键 词：步行速度 家务活动 

分 类 号：R1[医药卫生—公共卫生与预防医学]