Initial validation of the university of Alabama Birmingham study of aging life-space assessment in older adults with multiple sclerosis.
Initial validation of the university of Alabama Birmingham study of aging life-space assessment in older adults with multiple sclerosis.
复制标题
阿拉巴马大学伯明翰分校对患有多发性硬化症的老年人的衰老生活空间评估研究的初步验证。
DOI：
10.1016/j.msard.2023.105354
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发表时间：
2024
影响因子：
4
通讯作者：
Holtzer,Roee
中科院分区：
文献类型：
--
作者：
Motl,RobertW;Foley,FrederickW;Picone,MaryAnn;Lipton,MichaelL;Izzetoglu,Meltem;Hernandez,ManuelE;Holtzer,Roee
背景：患有多发性硬化症（OAMS）的老年人行走和身体活动能力下降，这可能会削弱社区活动能力，社区活动能力是指人们在日常生活和环境中活动的空间范围。目的本研究首次将阿拉巴马大学伯明翰分校的老年生活空间评估（UAB LSA）作为OAMS社区流动性的衡量指标进行应用和验证。方法样本包括97名OAMS和108名健康对照（hc），他们完成了基线评估，作为正在进行的纵向研究的一部分。主要评估包括在OAMS和hc中的UAB LSA和定时25英尺步行（T25FW）、短时间物理性能测试（SPPB）、整体健康评分（GHS）和老年抑郁量表（GDS），以及仅在OAMS中的患者确定疾病步骤（PDDS）量表。结果soams组的UAB - LSA评分明显低于hc组（p< 0.001）。UAB LSA评分与T25FW有较强的相关性（rs= -）。641)和SPPB（rs= 0.507）在OAMS中呈中等相关性(rs= -。300 &rs= 0.384)。UAB LSA与GHS和GDS评分之间的相关性显著，但在OAMS中相关性较小（rs= -）。239 &rs= -。231)，而hcc无统计学意义(rs= -。009 &rs= - 0.166)。在OAMS样本中，UAB LSA与PDDS评分之间存在很强的相关性（rs= - 0.605）。我们为UAB LSA评分作为OAMS社区流动性的衡量指标提供了初步证据。
BackgroundOlder adults with multiple sclerosis (OAMS) have declines in walking and physical performance that may erode community mobility defined as the spatial extent of mobility in one's daily life and environment.ObjectiveThis study provided the first application and validation of the University of Alabama Birmingham Study of Aging Life-Space Assessment (UAB LSA) as a measure of community mobility in OAMS.MethodsThe sample included 97 OAMS and 108 healthy controls (HCs) who completed baseline assessments as part of an ongoing, longitudinal study. The primary assessments included the UAB LSA and timed 25-foot walk (T25FW), short physical performance battery (SPPB), global health score (GHS), and geriatric depression scale (GDS) in both OAMS and HCs, and patient determined disease steps (PDDS) scale in only OAMS.ResultsOAMS had significantly lower UAB LSA scores than HCs (p< .001). UAB LSA scores had strong correlations with T25FW(rs= –.641) and SPPB(rs= 0.507) in OAMS, and moderate correlations in HCs (rs= –.300 &rs= 0.384). The correlations between UAB LSA and GHS and GDS scores were significant, but small in OAMS (rs= –.239 &rs= –.231), and not statistically significant in HCs (rs= –.009 &rs= –.166). There was a strong correlation between UAB LSA and PDDS scores in the OAMS sample (rs= –.605).ConclusionWe provided initial evidence for UAB LSA scores as a measure of community mobility in OAMS.