Effect of Exercising with Others on Incident Functional Disability and All-Cause Mortality in Community-Dwelling Older Adults: A Five-Year Follow-Up Survey
Effect of Exercising with Others on Incident Functional Disability and All-Cause Mortality in Community-Dwelling Older Adults: A Five-Year Follow-Up Survey
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DOI：
10.3390/ijerph17124329
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发表时间：
2020-06-01
影响因子：
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通讯作者：
Okura, Tomohiro
中科院分区：
文献类型：
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作者：
Fujii, Yuya;Fujii, Keisuke;Okura, Tomohiro
我们澄清了在社区居住的成年人中，与他人一起锻炼对意外功能残疾和全因死亡率的影响。我们对日本Kasama市的1520名独立生活的老年人（平均年龄：73.4 +/- 6.3岁）进行了为期五年的跟踪调查。受试者于2014年6月完成了一份自我报告问卷。对运动习惯和运动伙伴的存在进行了评估。研究对象被分为三组：不运动、单独运动和与他人一起运动。从数据库中收集5年随访期间的随访信息和功能性残疾和死亡事件的日期。为了比较运动习惯与功能障碍和死亡率之间的关系，我们进行了Cox回归分析。与不运动组相比，在协变量模型中，与他人一起运动的功能残疾风险比（hr）（0.59, 95%置信区间（CI） 0.40-0.88）和死亡率（0.40,95% CI 0.24-0.66）显著降低。与单独运动相比，在未调整的模型中，与他人一起运动降低了功能性残疾事件的hr （0.53, 95% CI: 0.36-0.80）和死亡率（0.50,95% CI 0.29-0.85）；这些关联在协变量模型中不显著。与他人一起锻炼有助于预防功能性残疾和延长寿命。
We clarified the effect of exercising with others on the risks of incident functional disability and all-cause mortality among community-dwelling adults. We used an inventory mail survey with a five-year follow-up for 1520 independently living older adults (mean age: 73.4 +/- 6.3 years) in Kasama City, Japan. Subjects responded to a self-reported questionnaire in June 2014. Exercise habits and the presence of exercise partners were assessed. Subjects were classified into three groups: Non-exercise, exercising alone, and exercising with others. Follow-up information and date of incident functional disability and death during the five-year follow-up were collected from the database. To compare the association between exercise habits and functional disability and mortality, Cox regression analysis was conducted. Compared with the non-exercise group, exercising with others had significantly lower hazard ratios (HRs) for functional disability (0.59, 95% confidence interval (CI) 0.40-0.88) and mortality (0.40, 95% CI 0.24-0.66) in the covariate models. Compared with exercising alone, exercising with others decreased the HRs for incident functional disability (0.53, 95% CI: 0.36-0.80) and mortality (0.50, 95% CI 0.29-0.85) rates in the unadjusted model; these associations were not significant in the covariate models. Exercising with others can contribute to functional disability prevention and longevity.