Physical Function in Midlife and Older Adults From an African American Church-Based Health Screening.
Physical Function in Midlife and Older Adults From an African American Church-Based Health Screening.
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DOI：
10.1016/j.amepre.2020.12.017
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发表时间：
2021-06
影响因子：
5.5
通讯作者：
Lynch EB
中科院分区：
文献类型：
--
作者：
Lange-Maia BS;Dugan SA;Crane MM;Williams JL;Epting RSM Sr;Lynch EB
身体功能的局限性预示着不良的健康结果，建议在老年人的临床环境中进行筛查。很少在基于社区的环境中进行评估，身体功能可以为定制与健康相关的社区计划提供洞察力，并提高对健康这一重要方面的认识。这项横断面研究旨在论证通过大型健康伙伴关系在伊利诺伊州芝加哥的非裔美国人教堂中将身体功能评估整合到健康筛查中的可行性，并确定中年(40-59岁)和晚年(60岁≥)参与者身体功能受限的患病率和相关性。2018年春季，7座教堂举行了放映活动。使用短时物理性能电池评估身体功能。评估了人口统计学、病史、健康状况和健康行为。年龄分层Logistic回归确定了中老年参与者身体功能受限的独立预测因素(得分≤为9)(2018年至2019年的数据分析)。在731名参与者中，(中位年龄=57岁[IQR=51-65]岁，58%女性，97%非裔美国人)，25%的中年参与者和56%的晚年参与者有身体功能限制。对于中年受试者，健康状况一般/差(OR=1.83，95%CI=1.10，3.05)、中风/神经系统疾病(OR=2.42，95%CI=1.07，5.46)和关节炎(OR=2.25，95%CI=1.32，3.81)与限制的几率较高。健康状况一般/较差(OR=1.97，95%CI=1.11，3.50)和中风/神经系统疾病(OR=7.85，95%CI=2.22，27.74)与老年参与者的局限性有关。身体机能筛查成功地实施到这个大规模的教会健康筛查计划中。身体机能限制很普遍，特别是在中年；这些信息将被用来指导未来的计划。
Limitations in physical function are predictive of adverse health outcomes, and screening has been recommended in clinical settings for older adults. Rarely assessed in community-based settings, physical function could provide insight for tailoring health-related community-based programs and raise awareness about this important aspect of health. This cross-sectional study seeks to demonstrate the feasibility of integrating physical function assessments into health screenings in African American churches in Chicago, IL through a large health partnership, and to determine the prevalence and correlates of physical function limitations among midlife (age 40–59 years) and late-life (age ≥60 years) participants. Screenings were held in 7 churches in Spring 2018. Physical function was assessed using the Short Physical Performance Battery. Demographics, medical history, health status, and health behaviors were assessed. Age-stratified logistic regression identified independent predictors of physical function limitations (score ≤9) among midlife and late-life participants (data analyzed in 2018–2019). Among 731 participants, (median age=57 [IQR=51–65] years, 58% women, 97% African American), 25% of midlife and 56% of late-life participants had physical function limitations. For midlife participants, fair/poor health (OR=1.83, 95% CI=1.10, 3.05), stroke/neurologic conditions (OR=2.42, 95% CI=1.07, 5.46), and arthritis (OR=2.25, 95% CI=1.32, 3.81) were associated with higher odds of limitations. Fair/poor health (OR=1.97, 95% CI=1.11, 3.50) and stroke/neurologic conditions (OR=7.85, 95% CI=2.22, 27.74) were related to limitations among late-life participants. Physical function screening was successfully implemented into this large-scale church-based health screening program. Physical function limitations were prevalent, particularly at midlife; this information will be used to guide future programs.
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影响因子：
39.2
作者：
Brown RT;Diaz-Ramirez LG;Boscardin WJ;Lee SJ;Steinman MA
通讯作者：
Steinman MA
影响因子：
3
作者：
Hung, William W.;Ross, Joseph S.;Siu, Albert L.
通讯作者：
Siu, Albert L.
DOI：
10.1186/s40695-020-00053-0
发表时间：
2020-01-01
期刊：
Women's midlife health
影响因子：
--
作者：
Lange-Maia, Brittney S;Karavolos, Kelly;Kravitz, Howard M
通讯作者：
Kravitz, Howard M
影响因子：
120.7
作者：
NELSON, HD;NEVITT, MC;CUMMINGS, SR
通讯作者：
CUMMINGS, SR
影响因子：
4.1
作者：
Bergland, Astrid;Strand, Bjorn Heine
通讯作者：
Strand, Bjorn Heine