Participation in Social Activities and Relationship between Walking Habits and Disability Incidence.
Participation in Social Activities and Relationship between Walking Habits and Disability Incidence.
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社会活动参与以及步行习惯与残疾发生率之间的关系
DOI：
10.3390/jcm10091895
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发表时间：
2021-04-27
影响因子：
3.9
通讯作者：
Shimada H
中科院分区：
文献类型：
--
作者：
Katayama O;Lee S;Bae S;Makino K;Chiba I;Harada K;Shinkai Y;Shimada H
确定社区老年人身体活动、社交活动与残疾之间的关系，可能为实施有针对性的干预措施以预防残疾进展提供重要信息。本研究旨在确定社交活动的数量对老年人步行习惯与残疾发生率之间关系的影响。
我们纳入了来自日本国立老年医学和老年病学中心老年综合征研究项目的2873名老年人（平均年龄73.1岁；标准差±5.9岁）。基线测量内容包括身体活动和社交活动的频率、健康状况、身体功能、认知功能、代谢参数以及其他潜在的残疾风险因素（如受教育年限）；从基线开始，通过长期护理保险认证对残疾情况进行每月评估，监测时间至少为2年。
在平均35.1个月（标准差6.4个月）的随访期间，有133名参与者出现残疾。步行频繁（每周≥3次）和不频繁（每周≤3次）的参与者，残疾发生率分别为每1000人年19.0例和27.9例。经潜在混杂因素调整后的残疾风险比为0.67（95%置信区间为0.46至0.96；p = 0.030）。习惯性步行与社交活动数量之间的关系具有统计学意义（p = 0.004）。在社交活动较少的参与者中，步行对降低残疾风险的作用更大。
习惯性步行与残疾发生率相关，在社交活动参与度较低的老年人中，这种关联更为明显 。
Identifying the relationship between physical and social activity and disability among community-dwelling older adults may provide important information for implementing tailored interventions to prevent disability progression. The aim of this study was to determine the effect of the number of social activities on the relationship between walking habits and disability incidence in older adults. We included 2873 older adults (mean age, 73.1 years; SD, ±5.9 years) from the National Center for Geriatrics and Gerontology—Study of Geriatric Syndromes. Baseline measurements, including frequencies of physical and social activities, health conditions, physical function, cognitive function, metabolic parameters, and other potential disability risk factors (for example, the number of years of education); monthly assessment for disability was monitored through long-term care insurance certification for at least 2 years from baseline. During a mean follow-up of 35.1 months (SD, 6.4 months), 133 participants developed disability. The disability incidence was 19.0 and 27.9 per 1000 person-years for participants who walked more (≥3 times per week) and less (≤3 times per week) frequently, respectively. The potential confounding factor-adjusted disability hazard ratio was 0.67 (95% confidence interval, 0.46 to 0.96; p = 0.030). The relationship between habitual walking and the number of social activities was statistically significant (p = 0.004). The reduction of disability risk by walking was greater among participants with fewer social activities. Habitual walking was associated with disability incidence, with a more pronounced effect among older adults who were less likely to engage in social activities.
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影响因子：
168.9
作者：
Christensen, Kaare;Doblhammer, Gabriele;Rau, Roland;Vaupel, James W.
通讯作者：
Vaupel, James W.
DOI：
10.3390/ijerph15091814
发表时间：
2018-08-22
影响因子：
--
作者：
Kikuchi H;Nakaya T;Hanibuchi T;Fukushima N;Amagasa S;Oka K;Sallis JF;Inoue S
通讯作者：
Inoue S
影响因子：
3.7
作者：
Camhi, Sarah M.;Troped, Philip J.;Crouter, Scott E.
通讯作者：
Crouter, Scott E.
影响因子：
6.3
作者：
Fancourt, Daisy;Steptoe, Andrew
通讯作者：
Steptoe, Andrew
影响因子：
18.4
作者：
Carr LJ;Dunsiger SI;Marcus BH
通讯作者：
Marcus BH