社区老年人群体力活动水平与疲劳之间的相关性研究-东南大学学报医学版

社区老年人群体力活动水平与疲劳之间的相关性研究

作者：杨斌¹ 叶青² 3 王志勇² 胡彩红² 王硕³ 黄昱铖³ 邓天瑞³ 许慧清³ 张学宁⁴ 5 6 徐斐² 3

单位：1. 南京市鼓楼区疾病预防控制中心办公室, 江苏南京 210015;
2. 南京市疾病预防控制中心慢病防制科, 江苏南京 210003;
3. 南京医科大学公共卫生学院, 江苏南京 211166;
4. 国家卫生健康委避孕药具警戒与生育力监测重点实验室, 江苏南京 210036;
5. 江苏省

关键词：疲劳体力活动社区老年人老龄化

分类号：R544.1

出版年·卷·期（页码）：2025·44·第二期（197-205）

摘要：

目的:了解南京市社区老年人群体力活动与疲劳之间的流行病学关联。方法:采用多阶段分层随机抽样方法,于2023年7月至12月在南京市12个行政区随机抽取5 556名60岁及以上社区老年人作为研究对象,使用匹兹堡疲劳量表(PFS)测量老年人的疲劳状况;采用国际身体活动量表(IPAQ)中文版短卷评估老年人的体力活动水平;应用混合效应Logistic回归模型计算比值比(OR)及其95%可信区间(CI),分析体力活动与老年疲劳之间的关联。结果:在调查的5 556名社区老年人中,身体疲劳的流行率为58.9%(95% CI 57.6%~60.2%),精神疲劳的流行率为58.4%(95% CI 57.1%~59.6%)。调整年龄、性别、居住地、婚姻状况、受教育水平、吸烟、饮酒、体质指数(BMI)、高血压、糖尿病及其它慢性病、抑郁/焦虑状态和睡眠质量后,与体力活动不足者相比,体力活动充足者身体疲劳的发生风险下降0.29倍(OR=0.71, 95%CI 0.58~0.86)、精神疲劳的发生风险下降0.36倍(OR=0.64, 95%CI 0.53~0.77)。结论:南京市社区老年人群疲劳的流行率较高,充足的体力活动水平与老年人群疲劳之间存在负向的相关性。

Objective: To investigate the epidemiological association between physical activity and fatigue among community-dwelling older adults in Nanjing. Methods: From July to December 2023, totally 5 556 community-dwelling older adults aged 60 years and above were selected from 12 districts in Nanjing municipality with multi-stage stratified cluster random sampling. The Pittsburgh Fatigability Scale(PFS) was used to measure the fatigue status of older adults, and the Chinese version of the International Physical Activity Questionnaire(IPAQ) short form was used to assess their physical activity levels. A multivariate Logistic regression model was applied to calculate the odds ratio(OR) and 95% confidence interval(CI) to analyze the association between physical activity and fatigue among older adults. Results: Among the older adults, the prevalence of physical fatigue was 58.9%(95% CI 57.6%-60.2%), while the prevalence of mental fatigue stood at 58.4%(95% CI 57.1%-59.6%). After adjusting for age, sex, place of residence, marital status, education level, smoking, alcohol consumption, body mass index(BMI), hypertension, diabetes, other chronic diseases, depressive/anxiety status, and sleep quality, individuals with sufficient physical activity had a 0.71-tims risk(95% CI 0.58-0.86) of physical fatigue and a 0.64-tims risk(95% CI 0.53-0.77) of mental fatigue compared to those with insufficient physical activity. Conclusion: The prevalence of fatigue is relatively high among community-dwelling older adults in Nanjing. There is a negative association between sufficient physical activity levels and fatigue among this population.

参考文献：

[1] Multiple Sclerosis Clinical Practice Guidelines.Fatigue and multiple sclerosis:evidence-based management strategies for fatigue in multiple sclerosis[M].Washington D.C.:Paralyzed Veterans of America,1998:56-63.
[2] DAVID A,PELOSI A,MCDONALD E,et al.Tired,weak,or in need of rest:fatigue among general practice attenders[J].BMJ,1990,301(6762):1199-1202.
[3] AVLUND K.Fatigue in older adults:an early indicator of the aging process?[J].Aging Clin Exp Res,2010,22(2):100-115.
[4] TOROSSIAN M,JACELON C S.Chronic illness and fatigue in older individuals:a systematic review[J].Rehabil Nurs,2021,46(3):125-136.
[5] YU D S,LEE D T,MAN N W.Fatigue among older people:a review of the research literature[J].Int J Nurs Stud,2010,47(2):216-228.
[6] LIN W Q,JING M J,TANG J,et al.Factors associated with fatigue among men aged 45 and older:a cross-sectional study[J].Int J Environ Res Public Health,2015,12(9):10897-10909.
[7] SILVA J P,PEREIRA D S,COELHO F M,et al.Clinical,functional and inflammatory factors associated with muscle fatigue and self-perceived fatigue in elderly community-dwelling women[J].Rev Bras Fisioter,2011,15(3):241-248.
[8] NICKLAS B J,BEAVERS D P,MIHALKO S L,et al.Relationship of objectively-measured habitual physical activity to chronic inflammation and fatigue in middle-aged and older adults[J].J Gerontol A Biol Sci Med Sci,2016,71(11):1437-1443.
[9] KARAKURT P,üNSAL A.Fatigue,anxiety and depression levels,activities of daily living of patients with chronic obstructive pulmonary disease[J].Int J Nurs Pract,2013,19(2):221-231.
[10] HU Y,ZHANG H,XU W,et al.Validation of perceived physical fatigability using the simplified-Chinese version of the Pittsburgh Fatigability Scale[J].BMC Geriatr,2021,21(1):336.
[11] GLYNN N W,SANTANASTO A J,SIMONSICK E M,et al.The Pittsburgh Fatigability scale for older adults:development and validation[J].J Am Geriatr Soc,2015,63(1):130-135.
[12] KROENKE K,SPITZER R L,WILLIAMS J B.The PHQ-9:validity of a brief depression severity measure[J].J Gen Intern Med,2001,16(9):606-613.
[13] SPITZER R L,KROENKE K,WILLIAMS J B,et al.A brief measure for assessing generalized anxiety disorder:the GAD-7[J].Arch Intern Med,2006,166(10):1092-1097.
[14] SIMONSICK E M,SCHRACK J A,SANTANASTO A J,et al.Pittsburgh Fatigability Scale:one-page predictor of mobility decline in mobility-intact older adults[J].J Am Geriatr Soc,2018,66:2092-2096.
[15] WASSON E,ROSSO A L,SANTANASTO A J,et al.Neural correlates of perceived physical and mental fatigability in older adults:a pilot study[J].Exp Gerontol,2019,115(11):139-147.
[16] 樊萌语,吕筠,何平平.国际体力活动问卷中体力活动水平的计算方法[J].中华流行病学杂志,2014,35(8):961-964.
[17] Global Recommendations on Physical Activity for Health [M].Geneva:World Health Organization,2010:17-29.
[18] XU F,HE J,WANG Z, et al. The relationship between socio-economic status and diagnosed Type 2 diabetes is changing with economic growth in Nanjing,China[J].Diabet Med,2018,35(5):567-575.
[19] CHEN C,LU F C.The guidelines for prevention and control of overweight and obesity in Chinese adults[J].Biomed Environ Sci,2004,17(Suppl):1-36.
[20] BUYSSE D J,REYNOLDS C F,MONK T H,et al.The Pittsburgh Sleep Quality Index:a new instrument for psychiatric practice and research[J].Psychiatry Res,1989,28(2):193-213.
[21] LASORDA K R,GMELIN T,KUIPERS A L,et al.Epidemiology of perceived physical fatigability in older adults:the Long Life Family Study[J].J Gerontol A Biol Sci Med Sci,2020,75(9):e81-e88.
[22] COOPER R,POPHAM M,SANTANASTO A J,et al.Are BMI and inflammatory markers independently associated with physical fatigability in old age?[J].Int J Obes(Lond),2019,43(4):832-841.
[23] COHEN R W,MEINHARDT A J,GMELIN T,et al.Prevalence and severity of perceived mental fatigability in older adults:The Long Life Family Study[J].J Am Geriatr Soc,2021,69(5):1401-1403.
[24] STRAIN T,FLAXMAN S,GUTHOLD R,et al.National,regional,and global trends in insufficient physical activity among adults from 2000 to 2022:a pooled analysis of 507 population-based surveys with 5·7 million participants[J].Lancet Glob Health,2024,12(8):e1232-e1243.
[25] QIAO Y S,GMELIN T,RENNER S W,et al.Evaluation of the bidirectional relations of perceived physical fatigability and physical activity on slower gait speed[J].J Gerontol A Biol Sci Med Sci,2021,76(10):e237-e244.
[26] GRAVES J L,QIAO Y S,MOORED K D,et al.Profiles of Accelerometry-derived physical activity are related to perceived physical fatigability in older adults[J].Sensors(Basel),2021,21(5):1718.
[27] World Health Organization[EB/OL].[2024-10-21]https://www.who.int/zh/news-room/fact-sheets/detail/physical-activity.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录