Cardiovascular Health Is Associated With Physical Function Among Older Community Dwelling Men and Women.
Cardiovascular Health Is Associated With Physical Function Among Older Community Dwelling Men and Women.
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DOI：
10.1093/gerona/glw329
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发表时间：
2017-11-09
期刊：
影响因子：
--
通讯作者：
Talegawkar SA
中科院分区：
文献类型：
--
作者：
Jin Y;Tanaka T;Ma Y;Bandinelli S;Ferrucci L;Talegawkar SA
与年龄相关的身体功能下降是影响老年人生活质量的一个重要问题。我们研究了InCHIANTI队列中906名男性和女性的基线总体心血管健康（CVH）及其组成部分与身体功能之间的关系。使用短效体能成套测验评估身体功能，将身体功能差定义为短效体能成套测验评分小于10。总体CVH评分范围为0 - 12分，使用坚持理想水平的健康行为（包括吸烟状况、体力活动、体重指数和饮食质量）和健康因素（包括血压、血浆胆固醇、空腹血糖）进行操作，评分越高表明CVH越好。基线时的平均年龄为74岁（SD = 6.7），55%为女性。在基线和9年以上，与总体CVH评分的最低三分位数相比，最高三分位数分别与69%（p < .001）和63%（p < .001）的身体功能不良风险降低相关。在CVH的组成部分中，坚持理想水平的健康行为与身体功能差的几率比健康因素更强，更一致。更好的整体CVH是保护对身体功能不佳的社区居住的男性和女性年龄在65岁及以上。改善CVH可能有助于预防老年人身体机能不良。
Age related decline in physical function is a significant concern affecting the quality of life of older individuals. We examined the associations between baseline overall cardiovascular health (CVH), its components, and physical function in 906 men and women from the InCHIANTI cohort. Physical function was assessed using the Short Performance Physical Battery and poor physical function was defined as an Short Performance Physical Battery score less than 10. Overall CVH score, ranging from 0 to 12 in the cohort, was operationalized using adherence to ideal levels for health behaviors including smoking status, physical activity, body mass index, and diet quality; and health factors including blood pressure, plasma cholesterol, fasting blood glucose, with higher scores indicating better CVH. Mean age at baseline was 74 (SD = 6.7) years and 55% were women. At baseline and over 9 years, as compared to the lowest tertile of overall CVH score, the highest tertile was associated with a 69% (p < .001) and 63% (p < .001), respectively, lower risk of poor physical function. Among the CVH components, adherence to ideal levels of health behaviors was more strongly and consistently associated with lower odds of poor physical function than health factors. Better overall CVH was protective against poor physical function in community-dwelling men and women aged 65 years and older. Improving CVH may be instrumental in the prevention of poor physical function in older adults.
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影响因子：
6.3
作者：
Sabia S;Elbaz A;Rouveau N;Brunner EJ;Kivimaki M;Singh-Manoux A
通讯作者：
Singh-Manoux A
影响因子：
5.7
作者：
Rosano, C;Simonsick, EM;Newman, AB
通讯作者：
Newman, AB
影响因子：
5.4
作者：
Daltroy, LH;Larson, MG;Liang, MH
通讯作者：
Liang, MH
DOI：
10.1111/j.1532-5415.2000.tb03873.x
发表时间：
2000-12-01
影响因子：
6.3
作者：
Ferrucci, L;Bandinelli, S;Guralnik, JM
通讯作者：
Guralnik, JM
DOI：
10.1093/gerona/glr158
发表时间：
2011-12-01
影响因子：
5.1
作者：
Marsh, Anthony P.;Rejeski, W. Jack;Pahor, Marco
通讯作者：
Pahor, Marco