The relationship between physical fitness and falling risk and fear of falling in community-dwelling elderly people with different physical activity levels
The relationship between physical fitness and falling risk and fear of falling in community-dwelling elderly people with different physical activity levels
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DOI：
10.3906/sag-1511-101
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发表时间：
2017-01-01
影响因子：
2.3
通讯作者：
Genc, Arzu
中科院分区：
文献类型：
--
作者：
Duray, Mehmet;Genc, Arzu
背景/目的：本研究的目的是确定体力活动水平（PAL）和体质对社区居住老年人跌倒参数的影响。材料与方法：76例老年人根据PAL评分分为低PAL组（1组，n: 38）和高PAL组（2组，n: 38）。PAL采用《老年人体力活动量表》测量，采用肌力、肌肉耐力、有氧耐力和柔韧性测试；计算身体质量指数（BMI）来衡量身体健康。跌倒评估包括跌倒风险（Berg Balance Scale）、动态平衡（Time Up and Go Test）和跌倒恐惧（FOF）（跌倒效能量表）评估。结果：组2除柔韧性外各项体能指标均显著优于组1 (P < 0.05)，组间跌倒评估无显著差异（P < 0.05）。在两组中，除BMI外的体质参数与跌倒风险和FOF呈正、低或中显著相关，而相同的体质参数与动态平衡呈负、低或中显著相关。结论：PAL可能通过提高体质对跌倒参数有间接影响。
Background/aim: The aim of this research was to determine the effects of physical activity level (PAL) and physical fitness on falling parameters in community-dwelling elderly people.Materials and methods: Seventy-six elderly people were grouped as low PAL group (group 1, n: 38) and high PAL (group 2, n: 38) according to their PAL scores. PAL was measured by the Physical Activity Scale for the Elderly and muscle strength, muscle endurance, aerobic endurance, and flexibility tests were applied; body mass index (BMI) was calculated for physical fitness measurement. Fall assessment included falling risk (Berg Balance Scale), dynamic balance (Time Up and Go Test), and fear of falling (FOF) (Falls Efficacy Scale) evaluation.Results: While physical fitness parameters except flexibility in group 2 were significantly better than they were in group 1 (P < 0.05), no significant difference was found between the groups with regard to fall assessments (P > 0.05). In both groups, while physical fitness parameters except BMI showed a positive and low or medium significant correlation with falling risk and FOF, the same fitness parameters showed a negative and low or medium significant correlation with dynamic balance.Conclusion: The results show that PAL may have an indirect effect on fall parameters by increasing physical fitness.