老年肌少症患者动静态平衡功能与其他体适能指标的相关性  

Relationship between dynamic-static balance ability and other physical fitness indicators in older adults with sarcopenia

作　　者：陈雅[1] 李娇娇[1] 黎梦丽 张慧[1,3] 殷曈曈[1] 王丽 Chen Ya;Li Jiaojiao;Li Mengli;Zhang Hui;Yin Tongtong;Wang Li(School of Nursing,Suzhou Medical College of Soochow University,Suzhou 215006,Jiangsu Province,China;School of Nursing,Hong Kong Polytechnic University,HongKong 999077,China;Suzhou Vocational Health College,Suzhou 215009,Jiangsu Province,China)

机构地区：[1]苏州大学苏州医学院护理学院,江苏苏州215006 [2]香港理工大学护理学院,中国香港999077 [3]苏州卫生职业技术学院,江苏苏州215009

出　　处：《中华老年多器官疾病杂志》2023年第6期407-412,共6页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：国家自然科学基金(81501944);苏州大学人文社会科学科研项目(21XM2012)。

摘　　要：目的探讨社区老年肌少症患者动静态平衡功能与其他多方面体适能指标的相关性。方法采取方便抽样法,招募于苏州大学周围多个卫生服务中心门诊就诊及体检的社区老年肌少症患者178例,知情同意后纳入测试,最终完成所有测试项目者110例。采用闭眼单腿站立测试评估静态平衡功能,起立-步行计时测试(TUGT)评估动态平衡功能。对患者行6 min步行试验(6MWT)、肱二头肌屈举试验、30 s座椅站立试验、抓背试验、座椅体前倾试验及体质量指数测量。采用SPSS 23.0统计软件进行数据分析。采用Spearman相关分析及多重线性回归分析法,分析动静态平衡功能与其他体适能指标之间的关系。结果社区老年肌少症患者闭眼单腿站立时长(2.66±0.64)s,TUGT用时(7.68±0.22)s。与未合并其他慢性疾病患者相比,合并其他慢性疾病者闭眼单脚站立时长显著降低[1.83(1.03,2.88)和2.83(1.41,3.81)s],差异有统计学意义(P<0.05)。与无规律运动患者相比,有规律运动者TUGT时长显著降低[7.27(6.43,8.29)和7.73(7.03,8.76)s],差异有统计学意义(P<0.05)。闭眼单腿站立时长与6MWT距离、抓背试验距离及座椅体前倾距离呈显著正相关(r=0.607,0.286,0.361;P<0.05),与年龄呈显著负相关(r=-0.300;P<0.05)。TUGT时长与年龄呈显著正相关(r=0.413;P<0.001),与6MWT、肱二头肌屈举次数、30 s座椅站立次数、抓背试验距离和座椅体前倾距离呈显著负相关(r=-0.538,-0.605,-0.759,-0.274,-0.366;P<0.05)。多元线性回归分析结果显示,合并其他慢性疾病及6MWT距离是闭眼单腿站立时长的影响因素(β=1.181,0.008;P<0.05);合并其他慢性病、肱二头肌屈举次数、30 s座椅站立次数和抓背试验距离是TUGT时长的影响因素(β=-0.859,-0.197,-0.342,-0.053;P<0.05)。结论社区肌少症老年人中,合并其他慢性疾病是动静态平衡功能共同的显著影响因素,步行能力是静态平衡功能的显著影响因素,上�Objective To explore the correlation between dynamic-static balance function and other various physical fitness indicators in community-dwelling elderly patients with sarcopenia.Methods Using convenient sampling method,178 elderly patients with sarcopenia in the community were recruited for outpatient treatment and physical examination at multiple health service centers around Suzhou University.After informed consent,they received the test,and 110 patients ultimately completed all the test items.Static balance function was evaluated using a eye-closed and single legged standing test,and dynamic balance function was evaluated using a stand-up and go test(TUGT).The 6-minute walking test(6MWT),biceps flexion and lift test,30-second seat standing test,back grasping test,seat forward tilt test,and body mass index measurement were performed on the subjects.SPSS statistics 23.0 was used for data analysis.Spearman correlation analysis and multiple linear regression analysis were used to analyze the relationship between dynamic-static balance function and other physical fitness indicators.Results The standing time of elderly patients with sarcopenia in the community with eye-closed and single legged standing was(2.66±0.64)seconds,and the TUGT time was(7.68±0.22)seconds.Compared with patients without other chronic diseases,patients with other chronic diseases significantly reduced the duration of eye-closed and single legged standing[1.83(1.03,2.88)vs 2.83(1.41,3.81)s],with statistically significant differences(P<0.05).Compared with patients with irregular exercise,the patients with regular exercise had significantly reduced duration of TUGT[7.27(6.43,8.29)vs 7.73(7.03,8.76)s],with statistically significant differences(P<0.05).The duration of eye-closed and single legged standing was significantly positively correlated with the distance between 6MWT,back grip test,and seat forward tilt distance(r=0.607,0.286,0.361;P<0.05),and negatively correlated with age(r=-0.300;P<0.05).The duration of TUGT was significantly positivel

关 键 词：老年人 肌少症 平衡功能 体适能 

分 类 号：R685[医药卫生—骨科学]