Characteristics of Walking, Activity, Fear of Falling, and Falls in Community‐Dwelling Older Adults by Residence

Characteristics of Walking, Activity, Fear of Falling, and Falls in Community‐Dwelling Older Adults by Residence
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按居住地划分的社区老年人步行、活动、害怕跌倒、跌倒的特征

DOI:
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发表时间:
2010
影响因子:
2.4
通讯作者:
J. VanSwearingen
J. VanSwearingen
中科院分区:
医学2区
文献类型:
--
作者:
David M. Wert;J. Talkowski;J. Brach;J. VanSwearingen

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目的对社区居住的老年人进行研究,包括老年人生活住宅(SLR)和独立社区住宅(ICR)。行走、身体活动、害怕跌倒和跌倒史可能因居住地而异。目的:研究社区老年人的步行、身体活动、跌倒恐惧和跌倒史的特征。方法该二次分析的参与者包括来自高级生活护理社区(SLR)独立生活单元的社区居住老年人和来自匹兹堡社区(ICR)的老年人。收集了人口统计信息和身体(步态速度和身体活动)、心理社会(对跌倒的恐惧和走路的信心)和跌倒史测量。结果与ICR组相比,SLR组成人年龄更大,更容易独居,疾病负担更重。与ICR组的个体相比,SLR组的个体报告的跌倒恐惧较少(老年人活动和跌倒恐惧调查结果分别为0.24和0.50)。与ICR组相比,SLR组的老年人在过去一年中报告下降的人数较少。生活在SLR的老年人与生活在ICR的老年人相比,身体功能相似,但在跌倒恐惧报告和跌倒史上存在差异。认识到不同居住地在心理社会功能方面可能存在的差异,对于为社区居住的老年人进行干预和研究的卫生保健提供者和研究人员非常重要。
ObjectivesResearch focusing on community-dwelling older adults includes adults living in senior living residences (SLR) and independent community residences (ICR). Walking, physical activity, fear of falling, and fall history may differ on the basis of residence. PurposeWe describe characteristics of walking, physical activity, fear of falling, and fall history between community-dwelling older adults by residence. MethodsParticipants of this secondary analysis included community-dwelling older adults from independent living units within a senior life care community (SLR) and older adults recruited from the Pittsburgh community (ICR). Demographic information and physical (gait speed and physical activity), psychosocial (fear of falling and confidence in walking), and fall history measures were collected. ResultsAdults living in SLR compared with those in ICR were older, were more likely to live alone, and had greater disease burden. Compared with individuals in ICR, individuals in SLR reported less fear of falling (Survey of Activity and Fear of Falling in the Elderly tool fear results 0.24 and 0.50, respectively). Fewer older adults in SLR compared with those in ICR reported falling in the past year. DiscussionOlder adults living in SLR compared with those in ICR had similar physical function but differed in report of fear of falling and fall history. Recognizing the possible differences in psychosocial function by place of residence is important for health care providers and researchers conducting interventions and studies for community-dwelling older adults.
社区社会环境和死亡风险:来自阿拉米达县研究的多层次证据。
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