张美珍,杨锋,白怡椿.老年人人体测量学参数与滑动摔倒危险性的关系[J].北京体育大学学报,2016,39(2):55-60.
老年人人体测量学参数与滑动摔倒危险性的关系
Relationship Between Anthropometric Indexes and Slip-Related Falls Risk Factors in Older Adults
投稿时间:2015-03-30  
DOI:
中文关键词:  关键词:滑倒  性别  肥胖  身高  足长
英文关键词:Keywords: slip  gender  obesity  body height  foot length
基金项目:基金项目:美国国家卫生部资助项目(编号:NIH 2R01-AG16727;R01-AG029616)。
作者单位
张美珍 太原理工大学体育学院山西 太原 030024 
杨锋 美国德克萨斯大学埃尔帕索分校运动人体科学学院埃尔帕索德克萨斯79988美国 
白怡椿 美国伊利诺伊大学芝加哥分校物理治疗系芝加哥 60612美国 
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中文摘要:
      摘要:目的:摔倒是目前世界范围内老年人群身体健康所面临的一个主要威胁。然而对于老年人人体测量学参数与摔倒危险之间关系的研究很少。通过对老年人进行滑倒模拟测试,来确定人体测量学参数与摔倒的关系。方法:187名健康老年人在美国伊利诺伊大学芝加哥分校临床步态和运动分析实验室参加了滑动测试。实验采集了受试者的人体测量学参数(身高、体重和足长)以及年龄和性别指标。所有受试者在一个安装有滑板装置的7 m长跑道上完成数次正常行走后,经历了一次事先未知的滑动,测试过程中有护具保证其安全。结果:测试中98名(52.4%)受试者摔倒,89名能够恢复正常步态。女性比男性(79% vs. 58%, P < 0.01)受试者,肥胖组比非肥胖组(39% vs. 20%, P < 0.01)老年人,身高低(P < 0.01)和足长小(P< 0.01)的老年人更容易发生摔倒。通过多元回归分析得到身体质量指数(BMI)、性别和身高是摔倒的危险因素。另外,身高与性别具有显著性交互作用。结论:研究结果表明女性、身高低、肥胖者(BMI> 30 kg/m2)以及足长小的老年人发生摔倒的危险性较大。
英文摘要:
      Abstract: Purpose: Slip-related fall is a major worldwide public health problem that older adults are facing. Little is known about the relationship between the anthropometric parameters and fall risk in older adults. The purpose of this study was to determine whether anthropometric parameters are related to falls by simulation test of slip-related fall in old adults. Methods: One hundred and eighty seven community-dwelling healthy old adults were recruited in this study and they finished the falls tests in laboratory of clinical gait and motion analysis, University of Illinois, Chicago, USA. The demographic (age and gender) and anthropometric (body height, mass, and foot size) parameters were collected for each subject. After several times normal walking, all subjects experienced an unannounced slip while walking on a suddenly unlocked low-friction section of the 7-m walkway under the protection of safety harness. Results: Ninety-eight old adults (52.4%) fell and 89 subjects recovered from the slip (without fall). More falls happened in women (79% vs. 58%, P < 0.01), obesity people (39% vs. 20%, P < 0.01), shorter height people (P < 0.01), and smaller foot length (P < 0.01). BMI, gender, and height were independent risk factors of falls by multivariate analysis. There was significant interaction between gender and height. Conclusions: The results revealed that female obese (BMI> 30) old people with short height and smaller foot length have a greater risk of fall.
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