置信区间
逻辑回归
握力
医学
优势比
考试(生物学)
老年学
物理疗法
老年人
日常生活活动
内科学
生物
古生物学
作者
Miyuki Nemoto,Noriko Yabushita,Satoshi Seino,Miji Kim,Tomoaki Matsuo,Songee Jung,Yosuke Osuka,Yoshiro Okubo,Kiyoji Tanaka
出处
期刊:Japanese Journal of Physical Fitness and Sports Medicine
[The Japanese Society of Physical Fitness and Sports Medicine]
日期:2011-01-01
卷期号:60 (4): 413-422
被引量:6
标识
DOI:10.7600/jspfsm.60.413
摘要
The purposes of this study were (i) to determine the characteristics of physical function for frail older adults, compared with those for the independent and the dependent, (ii) to examine validity of the "health check-up questionnaire" (Kihon Check-list: CL) for finding frail older adults. Five hundred thirty-nine older Japanese people (75.5 ± 7.0 years) were assigned to each one of the three categories: the independent, the frail and the dependent according to the classification criteria of long-term care insurance system. Physical function score (PFS) was estimated by principal components analysis. Logistic regression analysis was conducted to assess validity of the CL and to examine the screening tool for detecting frail older adults who have a higher risk for becoming the dependent. Significant differences were observed among the three groups in PFS (the independent, 0.580 ± 0.467; the frail, -0.309 ± 0.733; the dependent -1.347 ± 0.949). The Odds ratio (OR) of the dependent for older adults to whom the CL was applied was 2.4 (95% confidence interval (CI): 1.3 - 4.5), and the OR for those to whom both the CL and the hand-grip strength test were applied was 5.4 (2.6 - 11.5). These data suggest that the comprehensive status of physical function of frail older adults, which varied widely, was intermediate between the independent and the dependent. It is useful to add the hand-grip strength test to the CL as a screening tool to subdivide frail older adults.
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