社区老年人身体功能评估工具的研究进展

摘要/Abstract

摘要： 老龄化带来的健康问题日益凸显,准确评估老年人身体功能是制定针对性干预措施的前提和基础。国内外关于身体功能的评估工具较多,然而在工具使用方面存在一些不恰当情况。本文对国内外开发的社区老年人身体功能评估工具进行综述,着重探讨不同评估工具在适用人群、评价内容和评判方法上的差异,分析其优缺点、信效度、国内外应用情况等,旨在为更加合理应用身体功能评估工具对社区老年人进行评估提供参考,为我国开发或引入适合的工具提供借鉴。

关键词: 老年人, 身体功能, 评估工具, 社区

Abstract: The health problems caused by aging are becoming increasingly prominent,and accurately assessing the physical function of the elderly is the prerequisite and foundation for developing targeted intervention measures. There are many assessment tools for physical function both domestically and internationally,but there are some inappropriate situations in the use of these tools. This article provides a review of community elderly physical function assessment tools developed both domestically and internationally,with a focus on exploring the differences in applicable populations,evaluation content,and evaluation methods among different assessment tools. The article analyzes their advantages,disadvantages,reliability,validity,and application status both domestically and internationally. The aim is to provide reference for the more rational use of physical function assessment tools for evaluating community elderly,and to offer guidance for the development or introduction of suitable tools in China.

Key words: Older people, Physical function, Assessment tools, Community

中图分类号:

R181.2

殷曈曈, 陈嘉怡, 黄露, 王丽, 李铁. 社区老年人身体功能评估工具的研究进展. [J]职业与健康, 2024, 40(16): 2294-2298.

YIN Tongtong, CHEN Jiayi, HUANG Lu, WANG Li, LI Tie. Research progress on physical function assessment tools for elderly people in communities. [J]OCCUPATION AND HEALTH, 2024, 40(16): 2294-2298.

参考文献

[1] 罗淳. 论中国人口老龄化的变异与转型[J].西北人口,2023,44(4):29-39.
[2] 张洋,苏艳红,郭建军,等.体医融合背景下老年人健康评价新思路[J].中国预防医学杂志,2023,24(1):58-61.
[3] 陈玲,郝志梅,魏霞霞,等.三种ADL量表在我国中老年人失能评定中的应用比较——基于CHARLS 2018的数据分析[J].现代预防医学,2021,48(13):2401-2404,2413.
[4] GURALNIK J M,SIMONSICK E M,FERRUCCI L,et al.A short physical performance battery assessing lower extremity function:Association with self-reported disability and prediction of mortality and nursing home admission[J].J Gerontol,1994,49(2):M85-M94.
[5] PAVASINI R,GURALNIK J,BROWN J C,et al.Short physical performance battery and all-cause mortality:Systematic review and meta-analysis[J].BMC Med,2016,14(1):215.
[6] WESTERN M J,MALKOWSKI O S.Associations of the short physical performance battery(SPPB) with adverse health outcomes in older adults:A 14-year follow-up from the english longitudinal study of ageing(ELSA)[J].Int J Environ Res Public Health,2022,19(23):16319.
[7] 马昊哲,赵良渊,张晓红.中国老年人简易机体功能评估结果及其影响因素分析[J].护理研究,2022,36(14):2491-2496.
[8] KUDELKA J,GERITZ J,WELZEL J,et al.What contributes most to the SPPB and its subscores in hospitalized geriatric patients:an ICF model-based approach[J].BMC Geriatr,2022,22(1):668.
[9] 邓介超,唐海,刘建泉,等.Otago运动训练对老年骨质疏松症患者平衡能力和跌倒风险的影响[J].中华骨质疏松和骨矿盐疾病杂志,2022
15(1):31-35.
[10] 耿佳旭,魏雅楠,王晶桐.相位角与住院老年慢病患者肌少症的相关性分析[J].中国骨质疏松杂志,2022,28(4):499-504.
[11] 李欣,孙超,胡慧秀,等.养老机构老年人认知功能现状及影响因素分析[J].中华护理杂志,2023,58(4):446-451.
[12] WELCH S A,WARD R E,BEAUCHAMP M K,et al.The short physical performance battery(SPPB):A quick and useful tool for fall risk stratification among older primary care patients[J].J Am Med Dir Assoc,2021,22(8):1646-1651.
[13] DE FáTIMA RIBEIRO SILVA C,OHARA D G,MATOS A P,et al.Short physical performance battery as a measure of physical performance and mortality predictor in older adults:a comprehensive literature review[J].Int J Environ Res Public Health,2021,18(20):10612.
[14] GHIOTTO L,MUOLLO V,TATANGELO T,et al.Exercise and physical performance in older adults with sarcopenic obesity:A systematic review[J].Front Endocrinol(Lausanne),2022,13:913953.
[15] SIMONSICK E M,NEWMAN A B,NEVITT M C,et al.Measuring higher level physical function in well-functioning older adults:Expanding familiar approaches in the health ABC study[J].J Gerontol A Biol Sci Med Sci,2001,56(10):M644-M649.
[16] REUBEN D B,SIU A L.An objective measure of physical function of elderly outpatients.The Physical Performance Test[J].Amer Geriatr Society,1990,38(10):1105-1112.
[17] ROZZINI R,FRISONI G B,BIANCHETTI A,et al.Physical performance test and activities of daily living scales in the assessment of health status in elderly people[J].J Am Geriatr Soc,1993,41(10):1109-1113.
[18] 李艳玲,张瑞丽,杜小静.老年人身体功能研究进展及对策[J].中国老年学杂志,2013,33(4):978-981.
[19] WATERS D L,AGUIRRE L,GURNEY B,et al.Effect of aerobic or resistance exercise,or both,on intermuscular and visceral fat and physical and metabolic function in older adults with obesity while dieting[J].J Gerontol A Biol Sci Med Sci,2022,77(1):131-139.
[20] 段子才,王蕾,徐琪.基于表现的老年人身体功能测评方法研究进展[J].中国老年学杂志,2017,37(14):3630-6333.
[21] WILKINS C H,ROE C M,MORRIS J C.A brief clinical tool to assess physical function:The mini-physical performance test[J].Arch Gerontol Geriatr,2010,50(1):96-100.
[22] 徐巍,张莺,杜文津,等.简易躯体功能评估工具的初步研究[J].护理研究,2011,25(16):1491-1493.
[23] 徐巍,陈大伟,张莺,等.中文版简易躯体功能评估工具的信效度检验[J].护理学杂志,2011,26(9):22-24.
[24] CRESS M E,BUCHNER D M,QUESTAD K A,et al.Continuous-scale physical functional performance in healthy older adults:A validation study[J].Arch Phys Med Rehabil,1996,77(12):1243-1250.
[25] CRESS M E,PETRELLA J K,MOORE T L,et al.Continuous-scale physical functional performance test:validity,reliability,and sensitivity of data for the short version[J].Phys Ther,2005,85(4):323-335.
[26] HEARTY T M,SCHENKMAN M L,KOHRT W M,et al.Continuous scale physical functional performance test:Appropriateness for middle-aged adults with and without Parkinson's disease[J].J Neurol Phys Ther,2007,31(2):64-70.
[27] MANNS P J,TOMCZAK C R,JELANI A,et al.Use of the continuous scale physical functional performance test in stroke survivors[J].Arch Phys Med Rehabil,2009,90(3):488-493.
[28] DE VREEDE P L,SAMSON M M,VAN MEETEREN N L,et al.Reliability and validity of the assessment of daily activity performance (ADAP) in community-dwelling older women[J].Aging Clin Exp Res,2006,18(4):325-333.
[29] RIKLI R E,JONES C J.Development and validation of a functional fitness test for community-residing older adults[J].J Aging Phys Act,1999,7(2):129-161.
[30] MAESTRE-CASCALES C,CASTILLO-PAREDES A,ROMERO-PARRA N,et al.Gradual strength training improves sleep quality,physical function and pain in women with fibromyalgia[J].Int J Environ Res Public Health,2022,19(23):15662.
[31] RIKLI R E,JONES C J.Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years[J].Gerontologist,2013,53(2):255-267.
[32] ALBRECHT B M,STALLING I,BAMMANN K.Sex- and age-specific normative values for handgrip strength and components of the Senior Fitness Test in community-dwelling older adults aged 65-75 years in Germany:Results from the OUTDOOR ACTIVE study[J].BMC Geriatr,2021,21(1):273.
[33] VALDÉS-BADILLA P,CONCHA-CISTERNAS Y,GUZMÁN-MUÑOZ E,et al.Reference values for the senior fitness test in Chilean older women[J].Rev Med Chil,2018,146(10):1143-1150.
[34] GUSI N,PRIETO J,OLIVARES P R,et al.Normative fitness performance scores of community-dwelling older adults in Spain[J].J Aging Phys Act,2012,20(1):106-126.
[35] CHUNG P K,ZHAO Y,LIU J D,et al.Functional fitness norms for community-dwelling older adults in Hong Kong[J].Arch Gerontol Geriatr,2016,65:54-62.
[36] 徐静. 基于老年人体适能测试的苏州社区老年人功能性体适能评价标准构建及应用[D].苏州:苏州大学,2022.
[37] ZHAO Y,WANG Z,CHUNG P K,et al.Functional fitness norms and trends of community-dwelling older adults in urban China[J].Sci Rep,2021,11(1):17745.
[38] XU J,CHEN Y,LI J,et al.Normative values and integrated score of functional fitness among Chinese community-dwelling older adults in Suzhou[J].Front Physiol,2022,13:1063888.
[39] CHOLEWA J,CHOLEWA J,NAWROCKA A,et al.Senior Fitness Test in the assessment of the physical fitness of people with Parkinson's disease[J].Exp Gerontol,2021,151:111421.
[40] 陈日宇,赵经营,陈笑银,等.养心瑜伽对老年冠心病患者体适能的影响[J].护理学报,2021,28(1):57-61.
[41] 徐静,李娇娇,陈雅,等.社区老年人功能性体适能现状及与慢性病共病的相关性分析[J].实用老年医学,2022,36(9):897-901.
[42] 王嘉智,黄力平,张琳,等.可能肌肉衰减症与肌肉衰减症前期老年人功能性体适能比较研究[J].中国运动医学杂志,2022,41(6):450,458.
[43] STANGHELLE B,BENTZEN H,GIANGREGORIO L,et al.Effects of a resistance and balance exercise programme on physical fitness,health-related quality of life and fear of falling in older women with osteoporosis and vertebral fracture:A randomized controlled trial[J].Osteoporos Int,2020,31(6):1069-1078.
[44] RIKLI R E,JONES C J.The reliability and validity of a 6-minute walk test as a measure of physical endurance in older adults[J].J Aging Phys Act,1998,6(4):363-375.
[45] SIU A L,REUBEN D B,HAYS R D.Hierarchical measures of physical function in ambulatory geriatrics[J].J Am Geriatr Soc,1990,38(10):1113-1119.
[46] ROSOW I,BRESLAU N.A Guttman health scale for the aged[J].J Gerontol,1966,21(4):556-559.
[47] MARQUES E A,BAPTISTA F,SANTOS R,et al.Normative functional fitness standards and trends of portuguese older adults:Cross-cultural comparisons[J].J Aging Phys Act,2014,22(1):126-137.
[48] MERELLANO-NAVARRO E,COLLADO-MATEO D,GARCíA-RUBIO J,et al.Criterion-referenced fitness standards associated with maintaining functional capacity in chilean older adults[J].Rejuvenation Res,2017,20(6):484-491.
[49] WARE J E,SHERBOURNE C D.The MOS 36-item short-form health survey(SF-36).I.Conceptual framework and item selection[J].Med Care,1992,30(6):473-483.
[50] 李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109-113.
[51] 李栋,徐涛,吴多文,等.SF-36量表应用于老年一般人群的信度和效度研究[J].中国康复医学杂志,2004,19(7):515-517.
[52] 黄奎,袁飞飞,王红,等.SF-36量表用于中国大学生生活质量评价的信度与效度分析[J].安徽医药,2017,21(11):2002-2005.