Chronic diseases, locomotor activity limitation and social participation in older women: cross sectional survey of British Women's Heart and Health Study
Chronic diseases, locomotor activity limitation and social participation in older women: cross sectional survey of British Women's Heart and Health Study
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DOI：
10.1093/ageing/afh090
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发表时间：
2004-05-01
期刊：
影响因子：
6.7
通讯作者：
Ebrahim, S
中科院分区：
文献类型：
--
作者：
Adamson, J;Lawlor, DA;Ebrahim, S
目的：为探讨英国老年妇女慢性退行性疾病与运动活动受限和社会参与的关系，采用横断面调查方法，对英格兰、苏格兰和威尔士23个城镇4,286名60-79岁的老年妇女进行调查，结果：运动活动受限的患病率为37.2%，有33.5%的老年妇女在社会参与的某些方面存在困难。随着年龄的增长和慢性疾病的增加，运动活动受限和社会参与困难的患病率也在增加。所有评估的慢性疾病均独立（彼此和混杂因素）与自主活动受限相关。中风（OR 5.44，95% CI 3.38-8.75）、关节炎（OR 3.95，95% CI 3.25-4.81）和冠心病（OR 2.26，95% CI 1.77-2.88）的相关性尤其强。关节炎和冠心病的自发活动受限人群归因分数最高：分别为37.8%（95% CI 32.0-43.1）和6.7%（95% CI 4.8-8.8）。运动活动受限与社会参与密切相关。大多数慢性疾病的老年人独立（自主活动限制，其他慢性疾病和混杂因素）与减少社会participation.Conclusions：自主活动限制和困难，在社会参与是常见的。关节炎和冠心病是导致运动活动受限和社会参与困难的重要原因。预防或限制这些疾病的致残影响的有效战略对于改善老年妇女的生活质量至关重要。
Objectives: to examine the association of chronic degenerative diseases with locomotor activity limitation and social participation among older British women.Methods: cross-sectional survey of 4,286 women aged 60-79 years from 23 towns in England, Scotland and Wales.Results: the prevalence of locomotor activity limitation was 37.2% and 33.5% of women had difficulty with some aspect of social participation. This prevalence of locomotor activity limitation and difficulties with social participation increased with increasing age and with increasing number of chronic diseases. All chronic diseases assessed were independently (of each other and confounding factors) associated with locomotor activity limitation. Associations were particularly strong for stroke (OR 5.44, 95% CI 3.38-8.75), arthritis (OR 3.95, 95% CI 3.25-4.81) and coronary heart disease (OR 2.26, 95% CI 1.77-2.88). The population attributable fraction for locomotor activity limitation was greatest for arthritis: 37.8% (95% CI 32.0-43.1) and coronary heart disease: 6.7% (95% CI 4.8-8.8). Locomotor activity limitation was strongly associated with social participation. Most chronic diseases of ageing were independently (of locomotor activity limitation, other chronic diseases and confounding factors) associated with reduced social participation.Conclusions: locomotor activity limitation and difficulties in social participation are common. Arthritis and coronary heart disease contribute importantly to locomotor activity limitation and difficulties with social participation. Effective strategies to prevent or limit the disabling impact of these conditions are essential to improving the quality of life of older women.