总体活动受限指数在中国老年人群中的适用性研究
The applicability of the global activity limitation indicator in the elderly population of China
张纹菱 1蔡玥 2江宇1
作者信息
- 1. 中国医学科学院北京协和医学院群医学及公共卫生学院流行病与生物统计学系,北京 100005
- 2. 国家卫生健康委统计信息中心统计处,北京 100044
- 折叠
摘要
目的 通过对比其他健康测量指标,验证总体活动受限指数(global activity limitation indicator,GALI)衡量中国老年人群活动受限的能力,为推广GALI指标在我国的应用提供依据.方法 利用中国老年健康影响因素跟踪调查(Chinese longitudinal healthy longevity survey,CLHLS)2018年数据,通过logistic回归分析模型和预测模型分析GALI与日常生活自理能力(activities of daily living,ADL)、工具性日常活动能力(instrumental activities of daily living,IADL)、躯体功能测量量表(physical performance test,PPT)之间的关联,探索GALI与抑郁症状间的关联.结果 Logistic回归分析模型分析结果显示,GALI活动受限与报告ADL受限(OR=13.355,95％CI:12.471～14.311)、IADL 受限(OR=5.321,95％CI:5.085～5.567)和PPT 躯体功能障碍(OR=4.073,95％CI:3.905～4.249)均相关(均P＜0.001).有抑郁症状的人群更可能报告GALI活动受限(OR=2.311,95％CI:2.211～2.416,P＜0.001).结论 GALI是测量中国老年人群一般身体活动受限状况的有效工具,在一定程度上可能反映抑郁症状的影响,在我国健康测量和监测指标体系中有一定的应用前景.
Abstract
Objective To compare other health measurement indicators and verify the effectiveness of the global activity limitation indicator(GALI)to measure activity limitations in the elderly population in China,providing a basis for promoting the application of GALI in China.Methods Using data from the 2018 Chinese longitudinal healthy longevity survey(CLHLS),logistic regression and predictive models were used to analyze the correlation between GALI and activities of daily living(ADL),instrumental activities of daily living(IADL),and physical performance test(PPT).Additionally,the study explored the association between GALI and depressive symptoms.Results The logistic regression results showed that the GALI activity was significantly associated with those who reported one or more ADL limitations(OR=13.355,95％CI:12.471-14.311),IADL limitations(OR=5.321,95％CI:5.085-5.567),and physical dysfunction as measured by PPT(OR=4.073,95％CI:3.905-4.249),respectively(all P＜0.001).Individuals with depressive symptoms were more likely to report GALI limitation(OR=2.311,95％CI:2.211-2.416,P＜0.001).Conclusions GALI proves to be an effec-tive instrument for assessing the general status of physical activity limitations among the elderly in China.And it may also reflect the impact of psychological factors,such as depressive symptoms.Thus,it has certain application prospects in China's health measurement and monitoring index system.
关键词
总体活动受限指数/健康预期寿命/健康测量/指标适用性Key words
Global activity limitation indicator/Healthy life expectancy/Health measurement/Indicator applicability引用本文复制引用
出版年
2024
NETL
NSTL
万方数据