地域在住女性高齢者における直線および曲線歩行能力と歩行関連自己効力感について : 高い社会機能を有する前期高齢者と後期高齢者の比較

Abstract

Background: The characteristics of both straight- and curved-path walking abilities and walking self-efficacy among older women aged ≥ 75 years with high social functioning are not clear. This study aimed to clarify the characteristics of walking ability and self-efficacy among young-old (age 65-74 years) and old-old women (age ≥ 75 years) with high social functioning. Methods: The participants in this cross-sectional study were 36 community-dwelling older women (mean age ± standard deviation: 73.4 ± 5.2 years) recruited using a convenience sampling method. The 5-m and Figure-of-8 Walk Tests were used to evaluate straight- and curved-path walking abilities. Waking self-efficacy was evaluated using the modified Gait Efficacy Scale. The participants were divided into two age groups: 65-74 (n = 22) and ≥ 75 years (n = 14). The results of the 5-m and Figure-of-8 Walk Tests and the modified Gait Efficacy Scale were compared between groups using an unpaired t-test and the Mann-Whitney U test. The relationships between the evaluation items were analyzed using Pearson\u27s product-moment correlation coefficient and Spearman\u27s rank correlation coefficient. Results: Significant differences were found between the two groups in the 5-m Walk Test (p = 0.011) and Figure-of-8 Walk Test (p = 0.016); however, no significant differences were seen in modified Gait Efficacy Scale scores (p = 0.311). The correlation coefficients between modified Gait Efficacy Scale scores and walking abilities were lower in the group aged ≥ 75 years. Conclusions: The present study found that, compared with women aged 65-74 years, those aged ≥ 75 years with high social functioning showed no decline in walking self-efficacy or straight- and curved-path walking abilities.首都大学東京学位論文甲第965号副論

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