Characteristics of physically inactive older adults with arthritis: results of a population-based study
Characteristics of physically inactive older adults with arthritis: results of a population-based study
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DOI：
10.1016/s0091-7435(03)00059-8
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发表时间：
2003-07-01
影响因子：
5.1
通讯作者：
McFarland, BH
中科院分区：
文献类型：
--
作者：
Kaplan, MS;Huguet, N;McFarland, BH
背景。关节炎是北美65岁及以上人群中最常见的慢性疾病。这一人群缺乏身体活动与功能限制、心血管疾病风险增加、生活质量下降和残疾有关。本研究的目的是确定缺乏运动的危险因素。采用logistic回归分析对1996-1997年加拿大全国人口健康调查中6256名社区居住的关节炎老年人的全国数据进行了检查。自变量包括社会人口学特征、健康状况、心理社会因素、健康行为和药物使用情况。不运动的人群中，女性、老年人（75岁以上）、功能受限、体重过轻（BMI < 20）或超重（BMI bbb25）、剧烈疼痛或没有处方药保险的可能性更大（P < 0.05）。这些人未婚、受过良好教育、来自西部省份、经常去教堂、不经常喝酒、有较高的社会支持水平、自我评估健康状况较好、或使用止痛药的可能性较小。卫生保健提供者在教育关节炎患者关于久坐行为对健康的不良影响时，应充分考虑本研究中提出的情况。处方药保险可以促进老年人关节炎患者的活动。(C) 2003年美国卫生基金会和爱思唯尔科学（美国）。版权所有。
Background. Arthritis is the most prevalent chronic condition among persons age 65 and older in North America. Physical inactivity in this population is linked to functional limitations, increased risk for cardiovascular disease, diminished quality of life, and disability. The purpose of this study was to identify risk factors for inactivity.Methods. National data for 6256 community-dwelling older adults with arthritis from the 1996-1997 Canadian National Population Health Survey were examined using logistic regression analyses. The independent variables included sociodemographic characteristics, health status, psychosocial factors, health behaviors, and medication use.Results. Inactive persons were significantly (P < 0.05) more likely to be women, older (75+), have functional limitations, be underweight (BMI < 20) or overweight (BMI > 25), have severe pain, or not have prescription drug insurance coverage. The same group was less likely to be unmarried, well educated, from western provinces, attend church frequently, consume alcohol infrequently, have higher levels of social support, have better self-rated health, or use pain medication.Conclusions. The profile presented in this study should be fully considered by health care providers when educating patients with arthritis about the adverse health effects of sedentary behavior. Prescription drug insurance coverage may facilitate activity among elders with arthritis. (C) 2003 American Health Foundation and Elsevier Science (USA). All rights reserved.