Physical performance reference values for Japanese oldest old: a SONIC study.
Physical performance reference values for Japanese oldest old: a SONIC study.
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DOI：
10.1186/s12877-022-03299-7
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发表时间：
2022-09-13
期刊：
影响因子：
4.1
通讯作者：
Ishizaki, Tatsuro
中科院分区：
文献类型：
--
作者：
Matsumoto, Kiyoaki;Gondo, Yasuyuki;Masui, Yukie;Yasumoto, Saori;Yoshida, Yuko;Ikebe, Kazunori;Arai, Yasumichi;Kabayama, Mai;Kamide, Kei;Akasaka, Hiroshi;Ishizaki, Tatsuro
年龄最大的老年人，即90岁或以上的老年人，是目前增长最快的人口群体。本研究旨在利用国际标准化的测量方法确定90岁老人的几种身体表现测量（PPMs）的参考值，并通过将90岁老人的结果与70岁和80岁老人的结果进行比较，阐明这些指标的特征。我们使用了2010年至2018年的七旬老人、八旬老人和百岁老人调查（SONIC）研究数据。研究对象是70岁、80岁和90岁的老年人，他们在目标地区有资格参加这个活动。除去那些获得长期护理资格的人，最终符合条件的人数为70年代队列1000人（2010年），80年代队列973人（2011年），90年代队列690人。90后群体只包括三次调查浪潮：2012年、2015年和2018年。我们使用握力和短物理性能电池（SPPB）的分数来测量我们的物理性能。此外，我们统计分析了性别和年龄的差异。简单的均值±标准差(SD) 90岁的男性受访者,手握力,24.1±5.4公斤0.80±0.22 m / s通常的步速,17.2±6.73 s在5倍的椅子上站,5.89±4.42年代串联平衡,和分别为8.3±2.2在SPPB妇女,手握力,14.4±4.0公斤0.72±0.20 m / s通常的步速,17.8±7.89 s在5倍的椅子上站,4.72±4.35年代串联平衡,分别在SPPB和7.5±2.4。对于所有PPMs， 90岁队列与70岁和80岁队列在统计学上有显著差异（所有趋势P < 0.001）。握力随年龄群增加10岁而下降，男女比例相似。相比之下，SPPB下肢评分在80 - 90岁年龄组的下降幅度大于70 - 80岁年龄组。我们还根据五分位数构建了性别特异性评价标准。我们的研究得出了包括性别的参考值和评估标准，这些主要的身体表现指标没有被认证为需要长期护理、社区居住、最老的日本老人。在上肢和下肢评估中，与年龄相关的身体机能下降的特征有所不同。
The oldest old, defined as those aged 90 or over, is now the fastest-growing population sector. This study aimed to determine reference values for several physical performance measures (PPMs) among 90-year-olds using internationally standardized measurements and to clarify the characteristics of these indices by comparing their results for 90-year-olds with those for older people 70 and 80. We used the Septuagenarians, Octogenarians, and Nonagenarians Investigation with Centenarians (SONIC) study data from 2010 to 2018. The study subjects were 70, 80, and 90-year-olds in the target area eligible to participate in the venue. Excluding those certified for long-term care, the final number of eligible persons is 70s cohort 1000 (2010), 80s cohort 973 (2011), and 90s cohort 690. 90s cohort only consisted of three survey waves: 2012, 2015, and 2018. We used hand grip strength and score on the Short Physical Performance Battery (SPPB) for our physical performance measurements. In addition, we statistically analyzed sex and age differences. The simple mean ± standard deviation (SD) for the 90-year-old respondents were in men, 24.1 ± 5.4 kg in hand grip strength, 0.80 ± 0.22 m/s in usual gait speed, 17.2 ± 6.73 s in 5times chair stand, 5.89 ± 4.42 s in tandem balance, and 8.3 ± 2.2 in SPPB respectively and in women, 14.4 ± 4.0 kg in hand grip strength, 0.72 ± 0.20 m/s in usual gait speed, 17.8 ± 7.89 s in 5times chair stand, 4.72 ± 4.35 s in tandem balance, and 7.5 ± 2.4 in SPPB, respectively. For all PPMs, the age 90 cohort was statistically significantly different from the age 70 and 80 cohorts (all trends P < 0.001). Hand grip strength decreased with a similar gradient with age cohort increase of 10 years for both sexes. In contrast, SPPB lower limb score showed a larger drop between the age 80 and 90 cohorts than between the age 70 and 80 cohorts. We also constructed sex-specific appraisal standards according to quintiles. Our study yielded inclusive sex-specific reference values and appraisal standards for major physical performance measures not certified as requiring long-term care, community-dwelling, oldest old Japanese. The characteristics of age-related decline in physical performance differed between the upper and lower extremity assessments.
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