日本老年人手指敲击动作与虚弱状态的关系:一项横断面研究

IF 3.3 Q2 GERIATRICS & GERONTOLOGY
R Shi, W Hao, W Zhao, T Kimura, T Mizuguchi, S Ukawa, K Kondo, A Tamakoshi
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引用次数: 0

摘要

背景:在老年人中,手指敲击障碍和虚弱在病理生理学和症状上有重叠之处,但两者之间的关系以前还没有研究过:调查日本老年人的手指敲击运动与虚弱状态之间的相关性:数据来自一项名为 "2018 年北海道老年人调查农村环境中的认知和活动 "的横断面研究。共纳入 244 名居住在社区的老年人(平均年龄 75.3 岁):参与者接受了体格检查、步态和手指敲击测试,并填写了自填问卷。采用弗里德的虚弱表型对虚弱程度进行评估,并进行因子分析以提取相关的手指敲击因素。采用多项式逻辑回归分析相关性,得出调整后的几率比:结果:在参与者中,18 人为体弱者,145 人为体弱前期。分析确定了三种不同的手指敲击模式:"活动范围--非惯用手"、"可变性--惯用手--反 "和 "可变性--非惯用手--反"。这些模式与弗里德的虚弱表型有明显关联,尤其是低体力活动(P = 0.002)、虚弱(P = 0.003)和迟钝(P = 0.004)。非支配手的运动幅度越大,虚弱风险越低(Odds Ratio:0.09,95% CI:0.02-0.46),而同一只手的运动幅度越大,虚弱前风险越高(Odds Ratio:2.19,95% CI:1.09-4.39):结论:手指敲击动作与弗里德表型所确定的虚弱状态有很大关系。这些发现强调了进一步开展纵向研究以了解运动功能与虚弱之间关系的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of Finger Tapping Movements with Frailty Status in older Japanese Adults: A Cross-Sectional Study.

Background: Finger tapping impairment and frailty share overlapping pathophysiology and symptoms in older adults, however, the relationship between each other has not been previously studied.

Objectives: To investigate how finger tapping movements correlate with frail status in older Japanese adults.

Design, setting, and participants: Data were from a cross-sectional study called the Cognition and Activity in Rural Environment of Hokkaido Senior Survey 2018. A total of 244 community-dwelling older adults (mean age 75.3 years) were included.

Measurements: Participants underwent physical examinations, gait and finger tapping tests, and completed self-administered questionnaires. Frailty was assessed using Fried's frailty phenotype, and factor analysis was conducted to extract relevant finger tapping factors. Multinomial logistic regression was employed to analyze associations, generating adjusted odds ratios.

Results: Of the participants, 18 were frail, and 145 pre-frail. Analysis identified three distinct finger tapping patterns: "Range of Motion - Nondominant Hand," "Variability - Dominant Hand - Anti," and "Variability - Nondominant Hand - Anti." These patterns showed significant associations with aspects of Fried's frailty phenotype, particularly low physical activity (P = 0.002), weakness (P = 0.003), and slowness (P = 0.004). A larger range of motion in the nondominant hand correlated with a lower frailty risk (Odds Ratio: 0.09, 95% CI: 0.02-0.46), while higher variability in the same hand increased the risk of pre-frailty (Odds Ratio: 2.19, 95% CI: 1.09-4.39).

Conclusion: Finger tapping movements are significantly associated with frailty status as determined by Fried's phenotype. The findings underscore the importance of further longitudinal studies to understand the relationship between motor function and frailty.

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来源期刊
Journal of Frailty & Aging
Journal of Frailty & Aging GERIATRICS & GERONTOLOGY-
CiteScore
5.90
自引率
7.70%
发文量
54
期刊介绍: The Journal of Frailty & Aging is a peer-reviewed international journal aimed at presenting articles that are related to research in the area of aging and age-related (sub)clinical conditions. In particular, the journal publishes high-quality papers describing and discussing social, biological, and clinical features underlying the onset and development of frailty in older persons.          The Journal of Frailty & Aging is composed by five different sections: - Biology of frailty and aging In this section, the journal presents reports from preclinical studies and experiences focused at identifying, describing, and understanding the subclinical pathophysiological mechanisms at the basis of frailty and aging. - Physical frailty and age-related body composition modifications Studies exploring the physical and functional components of frailty are contained in this section. Moreover, since body composition plays a major role in determining physical frailty and, at the same time, represents the most evident feature of the aging process, special attention is given to studies focused on sarcopenia and obesity at older age. - Neurosciences of frailty and aging The section presents results from studies exploring the cognitive and neurological aspects of frailty and age-related conditions. In particular, papers on neurodegenerative conditions of advanced age are welcomed. - Frailty and aging in clinical practice and public health This journal’s section is devoted at presenting studies on clinical issues of frailty and age-related conditions. This multidisciplinary section particularly welcomes reports from clinicians coming from different backgrounds and specialties dealing with the heterogeneous clinical manifestations of advanced age. Moreover, this part of the journal also contains reports on frailty- and age-related social and public health issues. - Clinical trials and therapeutics This final section contains all the manuscripts presenting data on (pharmacological and non-pharmacological) interventions aimed at preventing, delaying, or treating frailty and age-related conditions.The Journal of Frailty & Aging is a quarterly publication of original papers, review articles, case reports, controversies, letters to the Editor, and book reviews. Manuscripts will be evaluated by the editorial staff and, if suitable, by expert reviewers assigned by the editors. The journal particularly welcomes papers by researchers from different backgrounds and specialities who may want to share their views and experiences on the common themes of frailty and aging.The abstracting and indexing of the Journal of Frailty & Aging is covered by MEDLINE (approval by the National Library of Medicine in February 2016).
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