探索有跌倒史的老年人主观与客观平衡指标之间的相关性
Exploration of the correlation between subjective and objective balance indicators in older adults with falls.
文献信息
| PMID | 42703107 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Yao Cui |
| 作者单位 | Department of Geriatrics, Beijing Tongren Hospital, Capital Medical University, Beijing, Chin. |
| 期刊 | JPMA. The Journal of the Pakistan Medical Association |
| SCI 分区 | Q3 |
| IF | 0.9 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 准确确定有跌倒经历的老年人主观与客观平衡指标之间的相关性。
方法： 这项横断面比较研究于2022年1月至2023年1月在中国北京首都医科大学附属北京同仁医院老年门诊和康复科进行，纳入老年患者，并根据所选个体在过去一年中是否经历过一次或多次跌倒，将其分为跌倒组A和无跌倒组B。对患者进行了简易体能状况量表（SPPB）和计算机动态姿势描记测试。数据使用SPSS 22进行分析。
结果： 在266例患者中，131例（49.2%）属于A组；其中男性89例（68%），女性42例（32%），平均年龄81.38±7.30岁。B组有135例（50.8%）患者；其中男性100例（74%），女性35例（26%），平均年龄79.66±8.26岁（p>0.05）。与B组相比，A组的SPPB、VIS、VEST、SOT-COM、EPE、MXE和DCL评分较低（p<0.05）。SPPB与SOT-COM（r=0.254，p<0.001）、VIS（r=0.220，p<0.001）、VEST（r=0.246，p<0.001）、MVL（r=0.247，p<0.001）、EPE（r=0.370，p<0.001）、MXE（r=0.399，p<0.001）和DCL（r=0.233，p<0.001）呈正相关。二元logistic回归证实VEST（OR：1.019，95%CI：1.008-1.030，p<0.001）和MXE（OR：1.041，95%CI：1.012-1.072，p=0.006）是SPPB的独立正向预测因素。
结论： 在老年人中，较好的身体功能以及改善的视觉/前庭感觉与较低的跌倒风险相关。主观与客观平衡指标的结合可能产生更全面、更精确的评估。
英文摘要
OBJECTIVES: To precisely determine the correlation between subjective and objective balance indicators among older adults having experienced falls.
METHODS: The cross-sectional, comparative study was conducted at the Geriatric Outpatient Clinic and Rehabilitation Department of Beijing Tongren Hospital, Capital Medical University, Beijing, China, from January 2022 to January 2023, and comprised elderly patients who were divided into falls group A and no-falls group B, based on whether the selected individuals had experienced one or more falls in the preceding year. The patients were subjected to the Short Physical Performance Battery and Computer Dynamic Posturography testing. Data was analysed using SPSS 22.
RESULTS: Of the 266 patients, 131(49.2%) were in group A; 89(68%) males and 42(32%) females with mean age 81.38±7.30 years. There were 135(50.8%) patients in group B; 100(74%) males and 35(26%) females with mean age 79.66±8.26 years (p>0.05). SPPB,VIS, VEST, SOT-COM, EPE, MXE and DCL scores were lower in group A compared to group B (p<0.05).SPPB was positively correlated with SOT-COM (r=0.254, p<0.001), VIS (r=0.220, p<0.001), VEST (r=0.246, p<0.001), MVL (r=0.247, p<0.001), EPE (r=0.370,p<0.001), MXE (r=0.399, p<0.001), and DCL (r=0.233, p<0.001).Binary logistic regression confirmed VEST (OR: 1.019, 95%CI: 1.008-1.030, p<0.001) and MXE (OR: 1.041, 95%CI: 1.012-1.072, p=0.006) as independent positive predictors of SPPB.
CONCLUSIONS: Better physical function and improved visual/vestibular senses were found to be associated with lower fall risk in older adults. The integration of subjective and objective balance indicators could yield a more comprehensive and precise assessment.