Walking Speed Is Better Than Hand Grip Strength as an Indicator of Early Decline in Physical Function with Age in Japanese Women Over 65: A Longitudinal Analysis of the Tanno-Sobetsu Study Using Linear Mixed-Effects Models.
Walking Speed Is Better Than Hand Grip Strength as an Indicator of Early Decline in Physical Function with Age in Japanese Women Over 65: A Longitudinal Analysis of the Tanno-Sobetsu Study Using Linear Mixed-Effects Models.
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DOI：
10.3390/ijerph192315769
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发表时间：
2022-11-27
影响因子：
--
通讯作者：
Ohnishi, Hirofumi
中科院分区：
文献类型：
--
作者：
Ogawa, Shunichi;Himuro, Nobuaki;Koyama, Masayuki;Seko, Toshiaki;Mori, Mitsuru;Ohnishi, Hirofumi
随着年龄的增长，身体机能下降是需要长期护理的主要原因。横断面研究报告了与年龄相关的握力、膝关节伸展和步行速度的变化，但还需要纵向数据。这项纵向研究测量了 2017 年至 2019 年间参加一般健康检查的 65-89 岁社区居住成年人这三项指标的变化。分析按性别分层。使用针对混杂因素进行调整的线性混合效应模型来检查不同变化模式与三种措施的年龄之间的相互作用。共有 284 名参与者参与了分析。以年龄×握力为参考的年龄×步行速度的交互项在女性中具有统计学显着性，并且在步行速度和握力方面表现出不同的模式。在男性中，年龄×身体功能交互作用项在任何模型中都不显着。为了及早识别老年人身体功能下降的发生，男性可以使用这三种措施中的任何一种，但步行速度可能比握力更适合女性。这些发现可能有助于制定针对性别的筛查策略。
The decline in physical function with age is a major contributor to the need for long-term care. Age-related changes in hand grip strength, knee extension, and walking speed have been reported in cross-sectional studies, but longitudinal data are needed. This longitudinal study measured changes in these three measures among community-dwelling adults aged 65–89 years who participated in general health examinations between 2017 and 2019. Analyses were stratified by sex. Linear mixed-effects models adjusted for confounding factors were used to examine the interaction of different patterns of change with age of the three measures. A total of 284 participants were included in the analysis. The interaction term of age × walking speed, with age × handgrip strength as the reference, was statistically significant in women and showed different patterns in walking speed and hand grip strength. In men, none of the age × physical function interaction terms were significant in any model. For early recognition of the onset of physical function decline in older adults, any of the three measures may be used in men, but walking speed may be more suitable than hand grip strength in women. These findings may be useful in devising sex-specific screening strategies.
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影响因子：
3.3
作者：
Seko, Toshiaki;Akasaka, Hiroshi;Ohnishi, Hirofumi
通讯作者：
Ohnishi, Hirofumi
影响因子：
4.1
作者：
Cawthon, Peggy M.;Parimi, Neeta;Orwoll, Eric S.
通讯作者：
Orwoll, Eric S.
影响因子：
6.7
作者：
Shinkai, S;Watanabe, S;Shibata, H
通讯作者：
Shibata, H
影响因子：
6.1
作者：
Tagawa R;Watanabe D;Ito K;Ueda K;Nakayama K;Sanbongi C;Miyachi M
通讯作者：
Miyachi M
DOI：
10.1136/bmj.n1743
发表时间：
2021-08-04
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Landré B;Fayosse A;Ben Hassen C;Machado-Fragua MD;Dumurgier J;Kivimaki M;Sabia S;Singh-Manoux A
通讯作者：
Singh-Manoux A