The influence of lower-extremity function in elderly individuals' quality of life (QOL): An analysis of the correlation between SPPB and EQ-5D
The influence of lower-extremity function in elderly individuals' quality of life (QOL): An analysis of the correlation between SPPB and EQ-5D
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DOI：
10.1016/j.archger.2013.10.008
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发表时间：
2014-03-01
影响因子：
4
通讯作者：
Cho, Sung-Il
中科院分区：
文献类型：
--
作者：
Oh, Bumjo;Cho, Belong;Cho, Sung-Il
背景资料：如果体能下降和主观生活质量之间的关联被证实，SPPB可以被用来作为一个预测下降的生活质量在老年人。目的：本研究旨在阐明之间的联系，短期体能电池（SPPB）和生活质量（EQ-5D），以确定的效用SPPB作为预测下降的生活质量。方法：SPPB和EQ-5D测试使用韩国老龄化纵向研究（KLoSA）面板中嵌套的参与者随机样本进行。比较正常和异常SPPB组之间EQ-5D指数的校正平均分。我们选择EQ-5D指数变量的四分位数进行分析。采用多项logistic回归分析研究EQ-5D指数与SPPB异常之间的相关性。此外，步态速度和椅子站立时间和EQ-5D指数之间的关联进行了检查，使用相同的analysis.Results：四百二十二名受试者被纳入分析。当SPPB评分异常时，EQ-5D指数的校正均值显著降低（男性p = 0.022，女性p = 0.047）。SPPB评分异常与EQ-5D指数评分的最低四分位数显著相关（男性最低四分位数的校正OR为3.54;女性最低和第二四分位数的校正OR为2.50和3.37）。步态速度显着相关的EQ-5D指数的参与者的两种性别，但站立时间与EQ-5D指数仅为man.Conclusions：SPPB评分异常与较低的生活质量。因此，SPPB有可能在临床环境和流行病学研究中用作生活质量下降的早期预测因子。(C)由Elsevier爱尔兰有限公司出版。
Background: If an association between a decline in physical performance and subjective QOL is confirmed, the SPPB could be used as a predictor for declining QOL in older people.Objective: This study aimed to elucidate the association between the short physical performance battery (SPPB) and QOL (EQ-5D) to determine the utility of the SPPB as a predictor of declining QOL.Methods: The SPPB and the EQ-5D test were performed with a random sample of participants nested in the Korean Longitudinal Study of Aging (KLoSA) panel. Comparisons of the adjusted mean scores on the EQ-5D index between normal and abnormal SPPB groups were performed. We selected the quartiles of the EQ-5D index variables for the analysis. The association between the EQ-5D index and SPPB abnormality was examined using multinomial logistic regression analysis. Additionally, the associations between gait speed and chair stand time and the EQ-5D index were examined using the same analysis.Results: Four hundred and twenty-two subjects were included in the analysis. The adjusted means for the EQ-5D index were significantly lower when the SPPB score was abnormal (p = 0.022 for men, p = 0.047 for women). An abnormal SPPB score was significantly associated with the lowest quartile of EQ-5D index score (adjusted OR 3.54 in the lowest quartile for men; adjusted OR 2.50 and 3.37 in the lowest and second quartiles for women). Gait speed was significantly associated with the EQ-5D index for participants of both sexes, but standup time was associated with the EQ-5D index only for men.Conclusions: An abnormal SPPB score was associated with lower QOL. Thus, the SPPB has the potential to be used as an early predictor of declining QOL in clinical settings and epidemiological studies. (C) 2013 Published by Elsevier Ireland Ltd.