内科老年住院患者日常体育锻炼与衰弱状态的相关性研究  

Association between daily physical exercise and frailty state in elderly inpatients in internal medicine department

作　　者：马钊[1] 王建军[1] 褚科 丁钥 吕梦龙 王筝 王华[2] Ma Zhao;Wang Jianjun;Chu Ke;Ding Yue;Lyu Menglong;Wang Zheng;Wang Hua(Department of Rehabilitation Medicine,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Cardiology,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]北京医院康复医学科,国家老年医学中心,中国医学科学院老年医学研究院,北京100730 [2]北京医院心内科,国家老年医学中心,中国医学科学院老年医学研究院,北京100730

出　　处：《中华老年医学杂志》2025年第3期342-345,共4页Chinese Journal of Geriatrics

基　　金：北京市科技重大专项北京老年人健康评估及维护关键技术研究(D181100000218003)。

摘　　要：目的研究内科老年住院患者日常体育锻炼与其衰弱状态之间的相关性。方法横断面研究,纳入2018年9月至2019年3月在北京医院内科住院的符合条件的老年患者,采用FRAIL衰弱筛查量表进行衰弱筛查,通过入院时问卷调查对老年患者住院前日常体育锻炼情况进行评估,经相关性分析、单因素logistic回归和多因素logistic回归探讨二者之间的关系。结果共纳入533例符合条件的内科老年住院患者,其中男性269例(50.5%)、女性264例(49.5%),年龄60~93(75.0±6.6)岁;衰弱者129例(24.2%)、衰弱前期者296例(55.5%)、无衰弱者108例(20.3%)。每周锻炼次数≥5次者328例(61.5%)、每周几乎不锻炼者102例(19.1%)。日常体育锻炼次数与FRAIL衰弱量表评分呈负相关性(r=-0.576,P<0.001)。经单因素和多因素logistic回归分析结果显示,日常体育锻炼次数与老年住院患者的衰弱风险相关,是降低衰弱发生风险的独立影响因素(OR=0.56,95%CI:0.49~0.65,P<0.001)。结论内科老年住院患者的日常体育锻炼次数与衰弱状态密切相关,是降低该人群衰弱发生风险的独立影响因素。因此,增加这部分人群的日常体育锻炼频次是降低衰弱风险的有效措施。ObjectiveTo investigate the relationship between daily physical exercise and frailty state among elderly inpatients in internal medicine department.MethodsA cross-sectional study was conducted among eligible elderly patients who hospitalized at the internal medicine department of Beijing Hospital from September 2018 to March 2019.Frailty was screened using the FRAIL scale,and their pre-hospitalization daily physical exercise was assessed through a questionnaire upon admission.The statistical methods include correlation analysis and logistic regression univariate and multivariate analysis.ResultsA total of 533 eligible elderly patients in internal medicine were included in the study,with 129(24.2%)frail,296(55.5%)pre-frail,and 108(20.3%)non-frail patients.328 patients(61.5%)exercised more than 5 times a week,while 102 patients(19.1%)hardly exercised at all.Physical exercise frequency had negative correlation with the FRAIL frailty score(r=-0.576,P<0.001).Both univariate and multivariate logistic regression analysis shown daily physical exercise frequency was significantly associated with frailty(OR=0.56,95%CI:0.49-0.65,P<0.001)among elderly inpatients in internal medicine.ConclusionsFor elderly inpatients in internal medicine department,daily physical exercise frequency is closely related to frailty status,serving as an independent factor in reducing the occurrence of frailty.Therefore,increasing the frequency of daily physical exercises is an effective measure to reduce the risk of frailty for this group of patients.

关 键 词：内科住院患者 日常体育锻炼 衰弱 

分 类 号：R47[医药卫生—护理学]