中国 70 岁以上老年人身体老化特征研究

Jin-Bo Shen, Yuan-Yuan Ma, Qian Niu
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摘要

基于老龄化问题与老年人健康之间的互动逻辑,本研究对 70 岁以上老年人进行了问卷调查和全国范围内的体质测试,将其分为不同年龄组(70-74 岁、75-79 岁、80-84 岁、85 岁及以上)和不同性别。有效样本为 8 400 个,每组 1 050 人。1)身体形态:男性腰围、男性腰高比、女性体重指数随年龄增长呈逐渐下降趋势;(2)生理功能:男性、女性生命容量随年龄增长呈逐渐下降趋势,女性脉压呈逐渐上升趋势。(3)身体素质:男女肌肉力量、柔韧性、有氧耐力、平衡能力等指标随着年龄的增长呈下降趋势,生命容量、柔韧性、肌肉力量、有氧耐力、平衡能力等指标随着年龄的增长明显下降。80岁是各项指标快速下降的拐点。血压、无声脉搏、体重指数、腰臀比、腰高比等指标随年龄增长没有规律性变化。血压、体重指数、腰臀比、腰高比等指标处于代谢性疾病和心脑血管疾病的高危范围。该研究对全国 7 个地区 70 岁以上老年人进行了体质测试,这是首次在全国范围内对老年人进行体质测试,是国民体质监测体系的延伸和拓展,也表明《健康体质量表》所涉及的测试指标简单可行。同时,该研究增加了一系列70岁以上的测试数据,为科学合理制定老年人体质评价标准提供了依据,对完善国民体质数据库、掌握国民体质健康状况动态变化具有重要意义,为科学指导老年人体育锻炼提供了数据支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A study on the physical aging characteristics of the older people over 70 years old in China
In China, with the increase of life expectancy and the decrease of fertility rate, the aging problem has become increasingly prominent, and the physical problems of the older people over 70 years are the key and difficult problems.Based on the interactive logic between the aging problem and the older people health, in the study, a questionnaire survey and a nationwide physical fitness test were carried out on the older people over 70, to divide into different age groups (70–74 years old, 75–79 years old, 80–84 years old, 85 years old and older) and different genders. There were 8,400 valid samples, and 1,050 persons in each group. One-way ANOVA was used to compare the differences among groups of different ages, and a broken line chart was drawn to discuss the aging characteristics of various physical indexes of the older people over 70 in China.(1) Body morphology: male waist circumference, male waist-to-height ratio and female BMI showed a gradual downward trend with the increase of age; (2) Physiological function: male and female vital capacity showed a decreasing trend with the increase of age, while female pulse pressure showed a gradual upward trend. (3) Physical quality: the indicators of male and female muscle strength, flexibility quality, aerobic endurance and balance showed a downward trend with the increase of age.Vital capacity, flexibility quality, muscle strength, aerobic endurance, balance ability and so on, decreased significantly with the growth of age. 80 years old is the inflection point of the rapid decline of various indicators. Blood pressure, silent pulse, BMI, waist-to-hip ratio, waist-to-height ratio and other indicators did not change regularly with age. Indicators such as blood pressure, BMI, waist-to-hip ratio and waist-to-height ratio were in the high-risk range of metabolic diseases and cardiovascular and cerebrovascular diseases. The study conducted physical fitness test on the older people over 70 years old in 7 geographical regions of China, which is the first nationwide physical fitness test for the older people, which is an extension and expansion of the national physical fitness monitoring system, and also shows that the test indicators involved in the “Health fitness scale” are simple and feasible. And the study added a series of test data over 70 years old, which is the basis for scientific and reasonable formulation of physical fitness evaluation standards for the older people, and is of great significance for improving the national physical fitness database and grasping the dynamic changes of national physical health status, and providing data support for scientific guidance of physical exercise for the older people.
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