골감소·골다공증 여성 노인의 허벅지 둘레와 체력 및 낙상효능감의 연관성
Association of Thigh Circumference with Physical Fitness and Fall Efficacy in Elderly Women with Osteopenia/Osteoporosis
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초록
[목적] 본 연구의 목적은 골감소/골다공증 여성 노인의 허벅지 둘레와 체력 및 낙상효능감이 어떠한 연관성을 가지는지검증하는데 있다. [방법] 대퇴 경부 골밀도에 근거하여 –1.0≥T-score에 해당하는 지역사회 여성 노인 166명(76.3±5.0세)을 대상으로하였으며, 허벅지 둘레에 따라 하위 25%, 중위 50%, 상위 25%로 집단을 분류하였다. 체력은 근력, 유연성, 심폐지구력, 평형성을 측정하였으며, 낙상효능감은 한국어판 낙상효능척도를 통해 조사하였다. 로지스틱 회귀분석을 이용하여허벅지 둘레에 따른 체력 및 낙상효능감 저하에 노출될 승산비(OR, odd ratio)를 산출하였다. [결과] 체력에서 허벅지 둘레 하위 25% 집단에 비해 중위 50%(OR=0.430, 95% CI=0.194-0.953), 상위25%(OR=0.129, 95% CI=0.049-0.343) 집단의 체력 저하 위험이 낮아지는 선 경향이 있는 것으로 나타났으며(p <0.001), 낙상효능감에서도 허벅지 둘레 하위 25% 집단에 비해 중위 50%(OR=0.279, 95% CI=0.119-0.656), 상위 25%(OR=0.100, 95% CI=0.036-0.275) 집단의 낙상효능감 저하 위험이 낮아지는 선 경향이 있는 것으로 나타났다(p <0.001). [결론] 노년기 규칙적인 신체활동 및 적절한 영양섭취를 통해 유지된 허벅지 둘레는 골감소/골다공증 여성 노인의 체력유지 및 낙상효능감 개선에 긍정적인 역할을 할 것으로 생각된다.
Abstract
PURPOSE This study investigated the associations between physical fitness and fall efficacy with thigh circumference in elderly women with osteopenia/osteoporosis. METHODS A total of 166 female participants aged 76.3±5.0 years with –1.0≥T-score of femur neck bone mineral density were voluntarily recruited from local community centers. The participants were classified as low 25%, middle 50%, and high 25% groups based on their thigh circumference. Physical fitness measurements, including strength, flexibility, aerobic endurance, and balance were measured with a standardized protocol. The Korean version of the fall efficacy scale (K-FES) was used to assess fall efficacy. Logistic regression analysis was used to estimate odd ratio (OR) of poor physical fitness and low fall efficacy according to thigh circumference levels. RESULTS In terms of physical fitness, the middle 50% group (OR=0.430, 95% CI=0.194-0.953) and high 25% group (OR=0.129, 95% CI=0.049-0.343) had significantly higher linear trend for poor physical fitness compared to the low 25% group (reference), (p<0.001). In fall efficacy, the middle 50% group (OR=0.279, 95% CI=0.119-0.656) and high 25% group (OR=0.100, 95% CI=0.036-0.275) had significantly higher linear trend for low fall efficacy compared to the low 25% group (reference) (p<0.001). CONCLUSIONS The current findings suggest that maintaining high thigh circumference via regular physical activity and diet may contribute to attenuation of decreased risk for poor physical fitness and low fall efficacy in elderly women with osteopenia/osteoporosis.
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