国际老年医学杂志2024,Vol.45Issue(2) :142-146.DOI:10.3969/j.issn.1674-7593.2024.02.003

老年住院患者握力及躯体活动能力与骨密度的相关性研究

Correlation Analysis between Bone Mineral Density and Grip Strength and Physical Mobility in Hospitalized Elderly Patients

朱敏 佟佳欣 刘亚男 高晓云 金博 张春玉
国际老年医学杂志2024,Vol.45Issue(2) :142-146.DOI:10.3969/j.issn.1674-7593.2024.02.003

老年住院患者握力及躯体活动能力与骨密度的相关性研究

Correlation Analysis between Bone Mineral Density and Grip Strength and Physical Mobility in Hospitalized Elderly Patients

朱敏 1佟佳欣 2刘亚男 2高晓云 2金博 2张春玉2
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作者信息

  • 1. 大连医科大学附属第二医院老年医学科,大连 116023;西安市第三医院全科医学科,西安 710021
  • 2. 大连医科大学附属第二医院老年医学科,大连 116023
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摘要

目的 探究老年住院患者握力及躯体活动能力与骨密度(BMD)之间的关系.方法 选取2020年10月-2021年10月在大连医科大学附属第二医院老年医学科治疗的235例老年患者(≥60岁),评估其握力及躯体活动能力(步速、5次起坐试验时间、起立-行走试验时间),分析其与BMD的相关性.结果 单因素分析显示握力、步速与BMD呈正相关,起立-行走试验时间、5次起坐试验时间与BMD呈负相关,这种相关性在不同性别的患者中均存在(P<0.001).偏相关分析显示握力、步速与BMD呈正相关(P<0.001);5次起坐试验时间、起立-行走试验时间与BMD呈负相关(P<0.001).多元线性回归分析结果显示BMI、握力、起立-行走试验时间、5次起坐试验时间为BMD的主要影响因素(R2=0.449,P<0.05).结论 增加BMI、肌肉力量并改善躯体活动能力有利于维持老年患者的BMD.

Abstract

Objective To investigate the relationship between grip strength and physical mobility and bone mineral density(BMD)in elderly hospitalized patients.Methods 235 elderly patients(≥ 60 years)treated in the Department of Geriatrics of the Second Affiliated Hospital of Dalian Medical University from October 2020 to October 2021 were selected to assess their grip strength and physical mobility(gait speed,5 sitting up test time,and up-and-go test time)and analyze their correlation with BMD.Re-sults Univariate analysis showed that grip strength and gait speed were positively correlated with BMD,and up-and-go test time and 5 sitting up test time were negatively correlated with BMD,and this correlation was present in patients of both genders(P<0.001).Partial correlation analysis showed that grip strength and gait speed were positively correlated with BMD(P<0.001);5 sit-ting up test time and get-up and go test times were negatively correlated with BMD(P<0.001).The results of multiple linear re-gression analysis showed that BMI,grip strength,time of get-up and go test,and time of 5 sitting up test were the main influencing factors of BMD(R2=0.449,P<0.05).Conclusion An appropriate increase in BMI,muscle strength and improving physical mobility may be beneficial in maintaining BMD for the elderly patients.

关键词

老年患者/骨密度/握力/躯体活动能力

Key words

Elderly patients/Bone mineral density/Grip strength/Physical mobility

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基金项目

大连医科大学附属第二医院临床能力提升"1+X"计划临床研究孵化项目(2022)(2022LCYJYB19)

大连医科大学附属第二医院-中国科学院大连化学物理研究所医工联合创新基金(DMU-2&DICPUN202310)

出版年

2024
国际老年医学杂志
吉林大学

国际老年医学杂志

CSTPCD
影响因子:0.435
ISSN:1674-7593
参考文献量23
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