The SF-36: a simple, effective measure of mobility-disability for epidemiological studies.

The SF-36: a simple, effective measure of mobility-disability for epidemiological studies.
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DOI:
10.1007/s12603-009-0010-4
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发表时间:
2009-01
影响因子:
5.8
通讯作者:
Sayer, A. Aihie
Sayer, A. Aihie
中科院分区:
医学3区
文献类型:
--
作者:
Syddall, H. E.;Martin, H. J.;Harwood, R. H.;Cooper, C.;Sayer, A. Aihie

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行动不便是老年人的一个主要问题。有许多衡量残疾的尺度,但这些尺度往往不允许在研究群体之间进行比较。已建立并广泛使用的SF-36问卷的身体功能(PF)领域询问了10项活动的限制。描述老年人群中行动不便的患病率,调查SF-36 PF评分作为行动不便指标的有效性,并建立PF评分的年龄和性别特异性标准。我们探讨了SF-36 PF评分和客观测量的体能变量之间的关系,349名男性和280名女性,59-72岁,谁参加了赫特福德郡队列研究(HCS)。规范性数据来自1996年英格兰健康调查(HSE)。32%的男性和46%的女性在PF量表项目中至少有一些限制。SF-36 PF评分较差(性别-特异性分布的最低五分之一)与以下因素相关:握力较低;男性和女性的起立行走、3 m步行和椅子上升测试时间较长;女性股四头肌峰值扭矩较低,但男性无此现象。HSE规范性数据显示,男性和女性的PF评分中位数随着年龄的增长而下降。我们的研究结果是一致的SF-36 PF评分是一个有效的措施,流动性残疾的流行病学研究。这一方法可能是实现对不同老年人研究之间的行动残疾流行率进行简单比较的第一步。SF-36 PF评分可以有效地补充现有的详细残疾分类计划,现在需要对这些计划进行验证。
Mobility disability is a major problem in older people. Numerous scales exist for the measurement of disability but often these do not permit comparisons between study groups. The physical functioning (PF) domain of the established and widely used Short Form-36 (SF-36) questionnaire asks about limitations on ten mobility activities. To describe prevalence of mobility disability in an elderly population, investigate the validity of the SF-36 PF score as a measure of mobility disability, and to establish age and sex specific norms for the PF score. We explored relationships between the SF-36 PF score and objectively measured physical performance variables among 349 men and 280 women, 59-72 years of age, who participated in the Hertfordshire Cohort Study (HCS). Normative data were derived from the Health Survey for England (HSE) 1996. 32% of men and 46% of women had at least some limitation in PF scale items. Poor SF-36 PF scores (lowest fifth of the gender-specific distribution) were related to: lower grip strength; longer timed-up-and-go, 3m walk, and chair rises test times in men and women; and lower quadriceps peak torque in women but not men. HSE normative data showed that median PF scores declined with increasing age in men and women. Our results are consistent with the SF-36 PF score being a valid measure of mobility disability in epidemiological studies. This approach might be a first step towards enabling simple comparisons of prevalence of mobility disability between different studies of older people. The SF-36 PF score could usefully complement existing detailed schemes for classification of disability and it now requires validation against them.
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发表时间: 2004-10-02
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