Onset of mobility disability among community-dwelling old men and women. The role of tiredness in daily activities
Onset of mobility disability among community-dwelling old men and women. The role of tiredness in daily activities
复制标题
DOI：
10.1093/ageing/afg101
复制
发表时间：
2003-11-01
期刊：
影响因子：
6.7
通讯作者：
Hendriksen, C
中科院分区：
文献类型：
--
作者：
Avlund, K;Vass, M;Hendriksen, C
背景：在老年人残疾的一级预防中，在功能衰退发生之前识别出功能衰退高风险的个体可能会有所帮助。目的：在非残疾老年男性和女性中，在 1(1)/(2) 年随访中，检查日常活动中的疲劳是否是行动障碍发作的独立决定因素。设计：一项为期 1(1)/(2) 年随访的前瞻性研究。背景：丹麦四个县的 34 个社区。受试者：居住在 17 个参与社区的 1396 名老年非残疾人（74-75 岁和 80 岁）。方法：基线问卷调查和 1(1)/(2) 年随访。通过询问六项移动活动中的疲劳程度来衡量日常活动中的疲劳程度。行动障碍的发生是通过一到六次行动活动中开始需要帮助来衡量的。结果：在基线时在日常活动中感到疲倦的男性和女性在经过协变量调整后，在 1(1)/(2) 年的随访中出现行动障碍的风险较高。此外，社会参与度低、心理功能差、身体活动不足是男性发生行动障碍的独立危险因素，家政服务、一致性感低、身体缺乏活动是女性发生行动障碍的独立危险因素。结论：抱怨疲倦的老年人比其他人发生行动障碍的风险更高。这凸显了需要从预防的角度警惕和管理这种功能衰退的早期迹象。
Background: in the primary prevention of disability among older adults it might be useful to identify individuals at high risk for functional decline before it occurs.Objective: to examine whether tiredness in daily activities is an independent determinant of onset of mobility disability at 1(1)/(2)-year follow-up among non-disabled older men and women.Design: a prospective study with 1(1)/(2)-year follow-up.Setting: 34 communities in four counties in Denmark.Subjects: 1396 older non-disabled adults (74-75 and 80 years old) living in 17 of the participating communities.Methods: questionnaire surveys at baseline and at 1(1)/(2)-year follow-up. Tiredness in daily activities was measured by questions about tiredness in six mobility activities. Onset of mobility disability was measured as onset of need for help in one to six mobility activities.Results: men and women who felt tired in their daily activities at baseline had a higher risk of onset of mobility disability at 1(1)/(2)-year follow-up, when adjusted by the covariates. In addition, low social participation, poor psychological function, and physical inactivity were independent risk factors of onset of mobility disability among men, and home help, low sense of coherence and physical inactivity were independent risk factors of onset of mobility disability among women.Conclusion: older people who complain about tiredness are at higher risk of becoming disabled than others. This highlights the need for alertness and management of this early sign of functional decline in a preventive perspective.