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Anthropometric indicators as screening instrument for falls in the elderly

机译:人体测量指标作为老年人跌倒的筛查工具

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Anthropometric indicators enable professionals for predicting risk of falls in the elderly; however, there is a gap in literature on reference values. This study analyzes anthropometric indicators such as screening tests for falls in the elderly. Cross-sectional population-based systematic sampling was conducted through a household survey and body composition assessment. Anthropometric measurements were performed using portable electronic scale and stadiometer. Bioimpedance device was used to measure body mass index, body fat and lean body mass. Falls were evaluated in the 12 months preceding the interview as a dependent variable. Discriminatory analysis was performed for falls through the ROC curve, sensitivity, specificity, positive and negative predictive values. Overall, 275 older adults participated in this study, whose prevalence of falls was 23.6%. The average body mass index was 27.8kg/cm 2 and 52.1% of individuals were overweight. Among older men, height (ROC=0.68; 95%CI 0.54-0.78) and lean body mass (ROC=0.63, 95%CI 0.58-0.76) were associated to the occurrence of falls. When considering cutoff of 52.2kg and 166cm, sensitivity was obtained in 75% and high negative predictive values (88.1% and 89.1% respectively). For women, lean body mass (ROC=0.61, 95%CI 0.30-0.49) and body mass (ROC=0.60, 95%CI 0.53-0.72) were relevant from the optimal cutoff point of 28.9% and 57.2kg/m 2 . Lean body mass was more sensitive (63.2%) and body mass little more specific (64.3%), both with high negative predictive values (82.0% and 83.0%). The indicators used were able to discriminate older adults who have suffered from falls.
机译:人体测量指标使专业人员能够预测老年人跌倒的风险;但是,参考值方面的文献存在差距。这项研究分析了人体测量指标,例如针对老年人跌倒的筛查测试。通过家庭调查和身体成分评估,进行了基于人群的横断面系统抽样。人体测量使用便携式电子秤和测距仪进行。生物阻抗设备用于测量体重指数,体脂和瘦体重。在访谈前的12个月中将跌倒作为因变量进行评估。通过ROC曲线,敏感性,特异性,阳性和阴性预测值对跌落进行区分分析。总体上,有275位老年人参加了这项研究,其跌倒发生率为23.6%。平均体重指数为27.8kg / cm 2,超重率为52.1%。在老年男性中,身高(ROC = 0.68; 95%CI 0.54-0.78)和瘦体重(ROC = 0.63、95%CI 0.58-0.76)与跌倒的发生有关。当考虑截断52.2kg和166cm时,灵敏度为75%和较高的阴性预测值(分别为88.1%和89.1%)。对于女性,从最佳临界点28.9%和57.2kg / m 2开始,瘦体重(ROC = 0.61,95%CI 0.30-0.49)和体重(ROC = 0.60,95%CI 0.53-0.72)相关。瘦体重更敏感(63.2%),体重更不敏感(64.3%),均具有较高的阴性预测值(82.0%和83.0%)。所使用的指标能够区分遭受跌倒的老年人。

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