|
|
|
| Factors affecting balance ability among middle-aged and elderly peoplewith depressive symptoms |
| ZHANG Li, ZHOU Rui, WANG Beijia, WANG Hongmei
|
| Department of Social Medicine, School of Public Health, Zhejiang University, Hangzhou, Zhejiang 310058, China |
|
|
|
|
Abstract Objective To explore the factors affecting balance ability among middle-aged and elderly people with depressive symptoms, so as to provide the evidence for improving balance ability and prevention of falls. Methods Based on the 2015 database of China Health and Retirement Longitudinal Study (CHARLS), demographic information, lifestyle and health status were collected from people aged 45 years and older who scored 10 and more on the Self-rating Depression Scale or took antidepressants. The balance ability was assessed by semi-tandem and full-tandem stand tests, which was defined as meeting the standard when both tests were completed. Factors affecting the balance ability among middle-aged and elderly people with depressive symptoms were identified using a multivariable logistic regression model. Results Data were collected from 4 263 participants with an mean age of (60.73±8.53) years, including 1 748 males (41.00%) and 2 515 females (59.00%). There were 1 241 people failed to meet the standard of balance ability test, accounting for 29.11%. Multivariable logistic regression analysis showed that participants who were at ages of 65 years and older (OR=1.234, 95%CI: 1.071-1.421), were female (OR=1.422, 95%CI: 1.161-1.741), were physically disabled (OR=1.309, 95%CI: 1.127-1.521) and had physical pain (OR=1.170, 95%CI: 1.023-1.340) had higher risks of failing to meet the standard of balance ability test, while participants who took naps (OR=0.856, 95%CI: 0.748-0.980), never smoked (OR=0.641, 95%CI: 0.517-0.793) and had social activities (OR=0.864, 95%CI: 0.755-0.988) had lower risks of failing to meet the standard of balance ability test. Conclusion The balance ability among middle-aged and elderly people with depressive symptoms was associated with age, gender, napping, smoking, social activities, physical disability and physical pain.
|
|
Received: 19 September 2023
Revised: 27 December 2023
Published: 21 February 2024
|
|
|
|
|
|
[1] 吴念韦,杨帆,夏静,等. 我国中老年人抑郁现况及其影响因素分析[J]. 四川大学学报(医学版),2021,52(5):767-771.
[2] 梁梅,胡才友,吕泽平,等. 影响社区老年人平衡能力相关因素的调查研究[J]. 中国老年保健医学,2020,18(3):18-22.
[3] 王金仙,姚瑞,龙永姣,等. 老年人步态、平衡特征与跌倒关系的研究现状及热点分析[J]. 护理研究,2020,34(13):2264-2270.
[4] 平敬东,刘庆华,王玉群,等. 老年2型糖尿病患者平衡能力及影响因素分析[J]. 预防医学,2020,32(10):1041-1044.
[5] THIAMWONG L,SUWANNO J.Effects of simple balance training on balance performance and fear of falling in rural older adults[J]. Int J Gerontol,2014,8(3):143-146.
[6] SHERRINGTON C,MICHALEFFZ A,FAIRHALL N,et al.Exercise to prevent falls in older adults:an updated systematic review and meta-analysis[J]. Br J Sports Med,2017,51(24):1750-1758.
[7] LIAO S M,ZHOU Y J,LIU Y F,et al.Variety,frequency,and type of Internet use and its association with risk of depression in middle-and older-aged Chinese:a cross-sectional study[J]. J Affect Disord,2020,273:280-290.
[8] 陈琛,张佳星,李江平,等. 我国中老年人睡眠时间与平衡能力的关系研究[J].宁夏医学杂志,2020,42(8):691-694.
[9] KERBER K A,ENRIETTO J A,JACOBSON K M,et al.Disequilibrium in older people:a prospective study[J]. Neurology,1998,51(2):574-580.
[10] CLARK D J,FIELDING R A.Neuromuscular contributions to age-related weakness[J]. J Gerontol A Biol Sci Med Sci,2012,67(1):41-47.
[11] 李艳霞,李林,程燕飞,等. 社区空巢老人平衡能力现状及其影响因素[J]. 中国老年学杂志,2014,34(16):4631-4632.
[12] 郝丽,于芳,兰江. 我国居民平衡能力的增龄性变化特征及影响因素分析——以山西省为例[J].吉林体育学院学报,2017,33(1):80-84,108.
[13] 汤淼,欧红霞,杨昕,等. 失眠症与抑郁症患者的心理韧性与睡眠不良信念的比较及对睡眠质量的影响[J]. 中国健康心理学杂志,2019,27(7):973-978.
[14] ROMDHANI M,SOUISSI N,CHAABOUNI Y,et al.Improved physical performance and decreased muscular and oxidative damage with postlunch napping after partial sleep deprivation in athletes[J]. Int J Sports Physiol Perform,2020,15(6):874-883.
[15] BLANCHFIELD A W,LEWIS-JONES T M,WIGNALL J R,et al. The influence of an afternoon nap on the endurance performance of trained runners[J]. Eur J Sport Sci,2018,18(9):1177-1184.
[16] NELSON H D,NEVITT M C,SCOTT J C,et al.Smoking,alcohol,and neuromuscular and physical function of older women[J]. JAMA,1994,272(23):1825-1831.
[17] 张沐钦. 未治疗的抑郁障碍患者吸烟与抑郁症状及神经认知功能的关系[D]. 广州:广州医科大学,2022.
[18] GE T,JIN S H.Social engagement and geriatric depression:under the pension system and the economic environment in China[J]. Curr Psychol,2021,42:10871-10879.
[19] 都文渊,苏书贞,赵玉斌,等. 八段锦改善老年人平衡能力和肠道菌群效果评价[J]. 预防医学,2020,32(4):425-428.
[20] ENKELAAR L,SMULDERS E,VAN SCHROJENSTEIN LANTMAN-DE VALK H,et al. A review of balance and gait capacities in relation to falls in persons with intellectual disability[J]. Res Dev Disabil,2012,33(1):291-306.
[21] BEDNARCZUK G,WISZOMIRSKA I,RUTKOWSKA I,et al.Role of vision in static balance in persons with and without visual impairments[J]. Eur J Phys Rehabil Med,2021,57(4):593-599.
[22] 刘智利,黄惠根,魏丽君,等. 老年住院病人跌倒危险因素的研究[J]. 护理研究,2014,28(9):1093-1095. |
|
|
|
