Association Between Short Physical Performance Battery and Falls in Older People: The Progetto Veneto Anziani Study
Association Between Short Physical Performance Battery and Falls in Older People: The Progetto Veneto Anziani Study
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DOI：
10.1089/rej.2013.1491
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发表时间：
2014-06-01
影响因子：
2.6
通讯作者：
Manzato, Enzo
中科院分区：
文献类型：
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作者：
Veronese, Nicola;Bolzetta, Francesco;Manzato, Enzo
众所周知，老年人的下肢无力与反复跌倒有关。在常规用于评估下肢力量的测试中，短物理性能电池(SPPB)是最常用的测试之一，但其与反复跌倒的关系研究较少。我们的目的是在2710名老年人的样本中确定SPPB分数是否与反复跌倒有关，并确定SPPB中的哪一项测试与较高的跌倒发生率最密切相关。在这项横断面研究中，我们证明了SPPB得分为0-6的参与者比那些得分为10-12的参与者更有可能反复跌倒(女性的优势比[OR]=3.46，95%可信区间[CI]2.04-5.88；男性的OR=3.82，95%CI 1.77-8.52)。SPPB评分7~9分仅与女性易复发有关(OR=2.03，95%可信区间1.28~3.22)。当SPPB项目单独分析时，即使女性步态速度得分较低，也与反复跌倒的存在显著相关(OR=2.11；95%CI 1.04-4.30)，而在男性中，只有完成五个计时椅子站立测试的时间显著增加，才与较高的跌倒发生率相关(OR=2.75；95%CI 1.21-6.23)。总而言之，我们的研究表明，无论男女，SPPB得分6都与较高的跌倒发生率相关；在女性中，即使SPPB得分在7到9之间，也会识别出受试者反复跌倒的可能性更高。在SPPB的单一项目中，与摔倒最密切相关的是女性的步态速度和男性的五个计时椅子站立测试。
It is known that weakness in the lower limbs is associated with recurrent falls in old people. Among the tests routinely used to assess lower extremity strength, the Short Physical Performance Battery (SPPB) is one of those used most often, but its relationship with recurrent falls is poorly investigated. We aimed to determine if SPPB scores are related to recurrent falling in a sample of 2710 older-aged people, and to ascertain which test in the SPPB is most strongly associated with a higher rate of falls. In this cross-sectional study, we demonstrated that participants scoring 0-6 in the SPPB were more likely to be recurrent fallers than those scoring 10-12 (odds ratio [OR] = 3.46, 95% confidence interval [CI] 2.04-5.88 in women; OR = 3.82, 95% CI 1.77-8.52, in men). SPPB scores of 7-9 were only associated with women being more likely to be recurrent fallers (OR = 2.03, 95% CI 1.28-3.22). When the SPPB items were analyzed separately, even a lower score in gait speed for women was significantly associated with the presence of recurrent falls (OR = 2.11; 95% CI 1.04-4.30), whereas in men only a significant increase in the time taken to complete the five timed chair stands test was associated with a higher rate of falls (OR = 2.75; 95% CI 1.21-6.23). In conclusion, our study demonstrated that SPPB scores 6 are associated with a higher fall rate in old people of both genders; in females, even an SPPB score between 7 and 9 identifies subjects at a higher likelihood of being recurrent fallers. Among the single items of the SPPB, the most strongly associated with falls were gait speed in women and the five timed chair stands test in men.