天津市社区老年人身体活动能力与认知功能关联的横断面研究  

A cross-sectional study on the association between physical activity function and cognitive function of the community-based elderly in Tianjin

作　　者：寇钰 熊英[2] 竹丽萍 吴晓敏 刘柯杉 马菲 KOU Yu;XIONG Ying;ZHU Li-ping;WU Xiao-min;LIU Ke-shan;MA Fei(Department of Epidemiology and Health Statistics,School of Public Health,Tianjin Medical University,Tianjin 300070,China;Department of Community,Wangdingdi Hospital,Nankai District,Tianjin City,Tianjin 300190,China)

机构地区：[1]天津医科大学公共卫生学院流行病与卫生统计学系,天津300070 [2]天津市南开区王顶堤医院社区科,天津300191

出　　处：《天津医科大学学报》2023年第1期59-62,共4页Journal of Tianjin Medical University

基　　金：国家自然科学基金面上项目(81874261);中国营养学会-振东国人体质与健康研究基金(CNS-ZD2019080)。

摘　　要：目的:探讨社区老年人身体活动能力与认知功能的关联,为认知功能改善提供建议。方法:采用整群抽样的方法选取社区老年人,记录受试者的人口学资料,使用韦氏成人智力量表—中国修订版评估认知功能,得出总智商(FIQ)。采用闭眼单腿站立测试、步速测试、5次起坐试验、握力测试评估身体活动能力。采用SPSS23.0进行t检验、单因素方差分析、简单直线回归和多重线性回归分析。结果:本研究共纳入868名老年人,年龄(76.73±9.43)岁。男性297人,占34.22%,女性571人,占65.78%。受教育程度:大学本科339名,占39.06%;中学414名,占47.70%;小学及以下115名,占13.25%。多因素分析结果显示:在校正了混杂因素后,闭眼单腿站立时间(β=0.053,P=0.025)、低握力(β=-2.157,P=0.044)与FIQ的关联有统计学意义,闭眼单腿站立时间与FIQ呈正向关联,低握力与FIQ呈负向关联。结论:老年人身体活动能力与认知功能有关,坚持平衡和握力的练习可能对改善认知功能有重要作用。Objective:To explore the relationship between physical activity function and cognitive function of the elderly in the community,and provide suggestions for the improvement of cognitive function. Methods:Cluster sampling method was used to select community-based elders,and subject demographics were recorded. Wechsler Adult Intelligence Scale-Chinese revised was used to evaluate cognitive function,and full intelligence quotient(FIQ)was obtained. Physical activity function was evaluated by One-leg standing test with eyes closed,step speed test,5-time sit-to-stand test and grip test. SPSS23.0 was used to analyze the data by t-test,oneway analysis of variance,simple linear regression analysis and multiple linear regression analysis. Results:A total of 868 elderly,aged76.73 ±9.43 years,were included in this study. There were 297 males,accounting for 34.22%,and 571 females,accounting for 65.78%.Education level:339 undergraduate students,accounting for 39.06%,had bachelor degree or above;414 senior high school students,accounting for 47.70%;115 students from primary schools and below,accounting for 13.25%. The results of multivariate analysis showed that after adjusting for confounding factors,the time of standing on one leg with eyes closed(β=0.053,P=0.025),low grip strength(β=-2.157,P=0.044)were significantly associated with FIQ,standing time on one leg with eyes closed was positively associated with FIQ,and low grip strength was negatively associated with FIQ. Conclusion:The physical activity ability of the elderly is related to cognitive function,and the practice of keeping balance and grip strength may play an important role in improving cognitive function.

关 键 词：身体活动能力 认知功能 韦氏成人智力量表 老年人 

分 类 号：R181.1[医药卫生—流行病学]