Hyperkyphotic posture and poor physical functional ability in older community-dwelling men and women: The Rancho Bernardo study
Hyperkyphotic posture and poor physical functional ability in older community-dwelling men and women: The Rancho Bernardo study
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DOI：
10.1093/gerona/60.5.633
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发表时间：
2005-05-01
影响因子：
5.1
通讯作者：
Greendale, GA
中科院分区：
文献类型：
--
作者：
Kado, DM;Huang, MH;Greendale, GA
背景。身体机能下降往往是导致老年人丧失独立性的决定因素。识别身体残疾的风险因素可能会导致采取干预措施，从而预防或延缓功能衰退的发生。我们的研究目的是确定后凸姿势与身体功能限制之间的关联。方法。参与者是来自 Rancho Bernardo 研究的 1578 名老年男性和女性，他们的后凸姿势是通过枕骨到桌子的距离来测量的（单位 = 1.7 厘米块，当参与者仰卧在放射科台上时放置在头下）。通过标准问卷评估自我报告的弯腰、行走和攀爬困难。通过测量握力和不使用手臂从椅子上站起来的能力来评估身体表现。结果。男性比女性更有可能患有高血压 (p < .0001)。在多重调整的比较中，弯曲、行走和攀爬的难度、测量的握力以及从椅子上站起来的能力都呈阶梯式增加。例如，必须使用手臂从椅子上站起来的比值比 (OR) 从 1.6（95% 置信区间 [CI]：0.9-3.0）（定义为后凸过度的个体）增加到 2.9（95% CI：1.7-5.1）（定义为后凸过度的个体定义为 2 后凸）到 3.7（95% CI：2.1-6.3）（定义为后凸过度的个体）与非后凸畸形患者相比，后凸畸形程度增加 >= 3 个区块（趋势 p < .0001）。结论。具有过度后凸姿势的老年人更容易出现身体功能障碍。
Background. Physical functional decline is often the determining factor that leads to loss of independence in older persons. Identifying risk factors for physical disability may lead to interventions that may prevent or delay the onset of functional decline. Our study objective was to determine the association between hyperkyphotic posture and physical functional limitations.Methods. Participants were 1578 older men and women from the Rancho Bernardo Study who had kyphotic posture measured as the distance from the occiput to table (units = 1.7-cm blocks, placed under the participant's head when lying supine on a radiology table). Self-reported difficulty in bending, walking, and climbing was assessed by standard questionnaires. Physical performance was assessed by measuring grip strength and ability to rise from a chair without the use of the arms.Results. Men were more likely to be hyperhyphotic than were women (p < .0001). In multiply adjusted comparisons, there was a graded stepwise increase in difficulty in bending, walking and climbing, measured grip strength, and ability to rise from a chair. For example, the odds ratio (OR) of having to use the arms to stand up from a chair increased from 1.6 (95% confidence interval [CI]: 0.9-3.0) for individuals defined as hyperkyphotic by 1 block to 2.9 (95% CI: 1.7-5.1) for individuals defined as hyperkyphotic by 2 blocks to 3.7 (95% CI: 2.1-6.3) for individuals defined as hyperkyphotic by >= 3 blocks compared to those who were not hyperkyphotic (p for trend < .0001).Conclusions. Older persons with hyperkyphotic posture are more likely to have physical functional difficulties.