屏幕时间与中老年人自我报告的平衡失调之间的关系:全国健康与营养状况调查。

IF 3.4 3区 医学 Q2 GERIATRICS & GERONTOLOGY
Minjun Fu, Lingju Zhang, Xiaoyu Zhao, Zhijun Lv, Pei Tang
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引用次数: 0

摘要

背景:平衡失调可引起不稳定、头晕、眩晕、不平衡或晕厥等感觉,最终导致严重的医疗、身体、情绪和社会后果。这些症状在 40 岁及以上的人群中非常普遍。屏幕时间包括与看电视、玩电子游戏和使用与工作无关的电脑有关的活动。长时间接触屏幕可能会引发一系列健康问题,甚至会提高总体死亡率。目的:本研究的主要目的是探讨长时间接触屏幕与平衡功能受损之间可能存在的联系:这项横断面研究利用了 1999 年至 2002 年期间在 NHANES 数据库中填写综合问卷的参与者的数据,所有参与者的年龄都在 40 岁以上、85 岁以下。参与者的屏幕时间被分为两组(结果:共有 5176 人参加了这项研究,其中男性 2586 人,女性 2590 人,平衡失调发生率为 25.7%(1331/5176)。研究发现,与使用屏幕时间较少的人相比,每天使用屏幕时间达到或超过 4 小时的人的平衡失调发生率明显更高(PConclusions:在控制了所有协变量后,屏幕时间(看电视、玩电子游戏和工作之余使用电脑)与中老年人的平衡功能障碍有关。这一发现为预防头晕和平衡失调提供了可能的思路。不过,要进一步验证这些结果,还必须进行更多的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Association between screen time and self-reported balance disorders in middle-aged and older adults: national health and nutrition examination survey.

Association between screen time and self-reported balance disorders in middle-aged and older adults: national health and nutrition examination survey.

Background: Balance disorders can give rise to sensations of instability, lightheadedness, vertigo, disequilibrium, or syncope, ultimately leading to grave medical, physical, emotional, and societal ramifications. These conditions are highly prevalent among individuals aged 40 and above. Screen time encompasses activities associated with television viewing, video game playing, and non-work-related computer usage. Prolonged screen exposure may engender a spectrum of health issues and even elevate overall mortality rates. However, the available evidence on the potential link between excessive screen time and balance dysfunction remains limited.

Aims: The primary aim of this study was to explore the possible association between prolonged screen exposure and impaired balance function.

Methods: This cross-sectional study utilized data from participants who completed a comprehensive questionnaire in the NHANES database between 1999 and 2002, all of whom were aged over 40 and under 85 years. Participants' screen time was categorized into two groups (< 4 h/d and  ≥4 h/d) for subsequent data analysis. Logistic regression, combined with propensity score matching (PSM), was employed to investigate the correlation between screen time and balance disorders.

Results: A total of 5176 participants were enrolled in this study, comprising 2,586 men and 2,590 women, with a prevalence rate of balance disorders at 25.7% (1331/5176). The incidence of balance disorders was found to be significantly higher among individuals who spent 4 hours or more per day on screen time compared to those with less screen time (P<0.001). Multivariate logistic analysis conducted on the unmatched cohort revealed a significant association between screen time and balance disorders, with an odds ratio (OR) 1.8 (95%CI 1.57 ∼ 2.05). These findings remained consistent even after adjusting for confounding factors, yielding an OR 1.43 (95%CI 1.24 ∼ 1.66). Moreover, the association persisted when employing various multivariate analyses such as propensity score matching adjusted model, standardized mortality ratio weighting model and pairwise algorithmic model; all resulting in ORs ranging from 1.38 to 1.43 and p-values < 0.001.

Conclusions: After controlling for all covariates, screen time (watching TV, playing video games, and using computers outside of work) was associated with balance dysfunction among middle-aged and older adults. This finding may offer a possible idea for the prevention of dizziness and balance disorders. Nevertheless, additional research is imperative to further validate these results.

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来源期刊
CiteScore
7.90
自引率
5.00%
发文量
283
审稿时长
1 months
期刊介绍: Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.
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