Association between everyday walking activity, objective and perceived risk of falling in older adults.
Association between everyday walking activity, objective and perceived risk of falling in older adults.
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日常步行活动，客观和感知到老年人跌倒的风险之间的关联。
DOI：
10.1093/ageing/afab037
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发表时间：
2021-09-11
期刊：
影响因子：
6.7
通讯作者：
Schwenk M
中科院分区：
文献类型：
--
作者：
Jansen CP;Klenk J;Nerz C;Todd C;Labudek S;Kramer-Gmeiner F;Becker C;Schwenk M
根据跌倒的客观风险和感知风险，可将老年人分为“精力充沛”（低ORF/PRF）、“焦虑”（低ORF/高PRF）、“坚忍”（高ORF/低PRF）和“清醒”（高ORF/PRF）。这四组的传感器评估的日常步行活动尚未进行研究。我们检查了这四组的日常步行活动及其与ORF和PRF的关系。横截面。社区N = 294名年龄在70岁及以上的参与者。基于多个独立风险因素确定ORF;基于国际短福尔斯疗效量表确定PRF。将受试者相应地分配到四个组。使用线性回归来量化这些组与1周内每天加速度计评估步数的平均数作为因变量的相关性。“活力”被用作参考组。四个组别的平均每日步数分别为6，339步（“精力充沛组），5，781步（”焦虑组），4，555步（“坚忍组）及4，528步（”清醒组）。与“精力充沛”、“坚忍”（-1，482;置信区间（CI）：-2，473;-491）和“意识到”（-1，481; CI：-2，504;-458）的参与者相比，他们走的步数明显更少，但“焦虑”（-580步; CI：-1，440; 280）的参与者则不然。我们已经将数字移动结果整合到基于ORF和PRF的跌倒风险分类中。在这一样本的社区居住的老年人每天的步数是按照他们的ORF，而不是他们的PRF。在参与预防福尔斯和同时促进身体活动的计划时，这种分组方法是否可以用于指定参与者的需求，仍有待于干预研究回答。
older persons can be grouped according to their objective risk of falling (ORF) and perceived risk of falling (PRF) into ‘vigorous’ (low ORF/PRF), ‘anxious’ (low ORF/high PRF), ‘stoic’ (high ORF/low PRF) and ‘aware’ (high ORF/PRF). Sensor-assessed daily walking activity of these four groups has not been investigated, yet. we examined everyday walking activity in those four groups and its association with ORF and PRF. cross-sectional. community. N = 294 participants aged 70 years and older. ORF was determined based on multiple independent risk factors; PRF was determined based on the Short Falls Efficacy Scale-International. Subjects were allocated to the four groups accordingly. Linear regression was used to quantify the associations of these groups with the mean number of accelerometer-assessed steps per day over 1 week as the dependent variable. ‘Vigorous’ was used as the reference group. average number of steps per day in the four groups were 6,339 (‘vigorous’), 5,781 (‘anxious’), 4,555 (‘stoic’) and 4,528 (‘aware’). Compared with the ‘vigorous’, ‘stoic’ (−1,482; confidence interval (CI): −2,473; −491) and ‘aware’ (−1,481; CI: −2,504; −458) participants took significantly less steps, but not the ‘anxious’ (−580 steps; CI: −1,440; 280). we have integrated a digital mobility outcome into a fall risk categorisation based on ORF and PRF. Steps per day in this sample of community-dwelling older persons were in accordance with their ORF rather than their PRF. Whether this grouping approach can be used for the specification of participants’ needs when taking part in programmes to prevent falls and simultaneously promote physical activity remains to be answered in intervention studies.
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影响因子：
4.1
作者：
Jefferis BJ;Merom D;Sartini C;Wannamethee SG;Ash S;Lennon LT;Iliffe S;Kendrick D;Whincup PH
通讯作者：
Whincup PH
影响因子：
6.7
作者：
Delbaere, Kim;Close, Jacqueline C. T.;Lord, Stephen R.
通讯作者：
Lord, Stephen R.
影响因子：
3.2
作者：
Landers, Merrill R.;Oscar, Sarrie;Vaughn, Kyle
通讯作者：
Vaughn, Kyle
影响因子：
4
作者：
Peeters, G. M. E. E.;van Schoor, N. M.;Lips, P.
通讯作者：
Lips, P.
影响因子：
--
作者：
ROBBINS, AS;RUBENSTEIN, LZ;FINE, G
通讯作者：
FINE, G