不同海拔老年人6分钟步行距离及其与握力的关系
殷曈曈 （ 苏州大学苏州医学院护理学院 ）
王 丽 （ 苏州大学苏州医学院护理学院 ）
程俊瀚 （ 西北师范大学体育学院 陇东学院体育学院 ）
郝 莹 （ 西北师范大学体育学 ）
https://doi.org/10.37155/2717-5650-0404-39Abstract
目的： 测试不同海拔地区60~74岁老年人6分钟步行距离（ 6MWD）及其与握力的关系。 方法： 选取 长期居住在高原、亚高原及平原的老年人共937例，对所有受试者进行6MWD和握力测试并分析相关性。 结果： 平原男性受试者6MWD平均值为（ 549.18±9.63） m，显著高于高原受试者的（ 462.08±6.89） m及亚高原受试者的 （ 473.77±9.75） m；女性老年人结果与此一致。此外，男性和女性不同年龄段老年人结果也与此一致。相关性分 析发现，不同海拔老年人6MWD与握力、握力/体重、握力/BMI值均呈正相关（平原中r均大于0.35；亚高原中r为 0.25~0.28；高原中r为0.16~0.21）。 结论： 平原地区男性和女性老年人以6MWD为代表的有氧耐力水平均高于亚高原 与高原老年人，且6MWD和握力之间存在一定的相关性，且在平原地区相关性最高。
Keywords
6分钟步行；握力；海拔；老年人Full Text
PDFReferences
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特点及对慢病防控意义的研究[J].中国慢性病预防与控
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肺疾病病人握力水平现状及其影响因素分析[J].护理研
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RelationshiPs between Physical activity, body mass index,
waist circumference and handgriP strength amongst adults
from the North West Province, South Africa: The PURE study
[J]. Afr J Prim Health Care Fam Med, 2022, 14(1): e1-e11.
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研究[J].中华疾病控制杂志,2020,24(06):686-90.
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征比较研究[J].军事体育进修学院学报,2012,31(03):122-5
中的应用进展[J].中国心血管杂志,2014,19(02):158-60.
[2]李欣宇.中医肺康复疗法对肺痹（肺肾亏虚，寒瘀
阻络证）的6分钟步行试验的临床观察[D];长春中医药大
学,2020.
[3]中华医学会心血管病学分会心力衰竭学组,中国医
师协会心力衰竭专业委员会,中华心血管病杂志编辑委员
会.中国心力衰竭诊断和治疗指南2018[J].中华心血管病杂
志,2018,46(10):760-89.
[4]PONIKOWSKI P, VOORS A A, ANKER S D, et al.
2016 ESC Guidelines for the diagnosis and treatment of acute
and chronic heart failure: The Task Force for the diagnosis
and treatment of acute and chronic heart failure of the
EuroPean Society of Cardiology (ESC). DeveloPed with the
sPecial contribution of the Heart Failure Association (HFA) of
the ESC [J]. Eur J Heart Fail, 2016, 18(8): 891-975.
[5]HEIDENREICH P A, BOZKURT B, AGUILAR D, et
al. 2022 AHA/ACC/HFSA Guideline for the Management of
Heart Failure: A RePort of the American College of Cardiology/
American Heart Association Joint CommiTTee on Clinical
Practice Guidelines [J]. Circulation, 2022, 145(18): e895-e1032.
[6]REYCHLER G, BOUCARD E, PERAN L, et al. One
minute sit-to-stand test is an alternative to 6MWT to measure
functional exercise Performance in COPD Patients [J]. Clin
ResPir J, 2018, 12(3): 1247-56.
[7]BEAUMONT M, LOSQ A, PéRAN L, et al. ComParison
of 3-minute SteP Test (3MStePT) and 6-minute Walk Test (6MWT)
in Patients with COPD [J]. CoPd, 2019, 16(3-4): 266-71.
[8]RENEAUD N, GERUS P, GUéRIN O, et al. 6MWT
on a new self-Paced treadmill system comPared with
overground [J]. Gait Posture, 2022, 92: 8-14.
[9]郑艺,陈丽霞,李清,等.老年人握力与六分钟步行试验
结果相关性研究[J].中国临床保健杂志,2021,24(05):660-2.
[10]潘世琴,张情,王丽,等.高原地区健康成人6分钟步
行测试距离及其与握力的关系[J].中华物理医学与康复杂
志,2020,42(2):178-81.
[11]ZHANG Q, LU H, PAN S, et al. 6MWT Performance
and its Correlations with VO2 and HandgriP Strength in
Home-Dwelling Mid-Aged and Older Chinese [J]. Int J
Environ Res Public Health, 2017, 14(5).
[12]陆海林.社区中老年居民和脑卒中患者6分钟步行
测试水平及其与握力和VO2的关系研究[D];苏州大学,2017.
[13]XIE H, RUAN G, DENG L, et al. ComParison of
absolute and relative handgriP strength to Predict cancer
Prognosis: A ProsPective multicenter cohort study [J]. Clin
Nutr, 2022, 41(8): 1636-43.
[14]何秋枫.农村成年居民绝对握力及握力体重指数与代谢综合征关系的研究[D];山东大学,2021.
[15]WEST J B. Barcroft’s bold assertion: All dwellers
at high altitudes are Persons of imPaired Physical and mental
Powers [J]. J Physiol, 2016, 594(5): 1127-34.
[16]蔡旭旦,毛丽娟,张蓓,等.3周1550m亚高原训练对
优秀青年男子越野滑雪运动员生理机能和身体成分影响
研究[J].中国体育科技,2022,58(01):30-7.
[17]MALLET R T, BURTSCHER J, RICHALET J P, et
al. ImPact of High Altitude on Cardiovascular Health: Current
PersPectives [J]. Vasc Health Risk Manag, 2021, 17: 317-35.
[18]PARATI G, AGOSTONI P, BASNYAT B, et al. Clinical
recommendations for high altitude exPosure of individuals with
Pre-existing cardiovascular conditions: A joint statement by the
EuroPean Society of Cardiology, the Council on HyPertension
of the EuroPean Society of Cardiology, the EuroPean Society of
HyPertension, the International Society of Mountain Medicine,
the Italian Society of HyPertension and the Italian Society of
Mountain Medicine [J]. Eur Heart J, 2018, 39(17): 1546-54.
[19]谢印芝,尹昭云,洪欣,等.试述高原医学基本名词术
语的概念与定义[J].高原医学杂志,1998,(01):1-4.
[20]BAILEY D M, DAVIES B, ROMER L, et al. ImPlications
of moderate altitude training for sea-level endurance in elite
distance runners [J]. Eur J APPl Physiol OccuP Physiol, 1998,
78(4): 360-8.
[21]FOSS J L, CONSTANTINI K, MICKLEBOROUGH
T D, et al. Short-term arrival strategies for endurance exercise
Performance at moderate altitude [J]. J APPl Physiol (1985),
2017, 123(5): 1258-65.
[22]SCHOBERSBERGER W, LEICHTFRIED V,
MUECK-WEYMANN M, et al. Austrian Moderate Altitude
Studies (AMAS): benefits of exPosure to moderate altitudes
(1,500-2,500 m) [J]. SleeP Breath, 2010, 14(3): 201-7.
[23]赵晋,孔垂辉.亚高原环境对运动训练的影响综述
[J].北京体育大学学报,2005,(01):78-9+126.
[24]姚一鸣,邱俊强.18d亚高原训练对花样滑冰运
动员生理机能及运动表现的影响[J].北京体育大学学
报,2018,41(12):85-90.
[25]王刚,高炳宏,高欢,等.亚高原训练对不同高原训练
经历男子赛艇运动员有氧运动能力的影响[J].中国体育科
技,2015,51(04):42-8+85.
[26]邵继萍.亚高原环境对中长跑运动训练的影响及应
对[J].赤峰学院学报(自然科学版),2015,31(06):108-10.
[27]于涛,常芸,赵鹏,等.亚高原训练对中国优秀女子举重
运动员身体机能状态的影响[J].体育科学,2016,36(12):67-71.
[28]程俊瀚.世居高原、亚高原老年人体质健康特征分
析及影响因素研究[D];西北师范大学,2020.
[ 2 9 ]武笑楚,邓一平,张天瑶,等.两种握力计测量
社区中老年人握力值的一致性评价[ J ] .现代临床医
学,2022,48(05):321-3.
[30]CERRETELLI P. Muscle energetics and ultrastructure
in chronic hyPoxia [J]. ResPiration, 1992, 59 SuPPl 2: 24-9.
[31]GE R L, CHEN Q H, WANG L H, et al. Higher
exercise Performance and lower VO2max in Tibetan than Han
residents at 4,700 m altitude [J]. J APPl Physiol (1985), 1994,
77(2): 684-91.
[32]MARTíN-PONCE E, HERNáNDEZ-BETANCOR I,
GONZáLEZ-REIMERS E, et al. Prognostic value of Physical
function tests: hand griP strength and six-minute walking test
in elderly hosPitalized Patients [J]. Sci ReP, 2014, 4: 7530.
[33]ENRIGHT P L, MCBURNIE M A, BITTNER V, et
al. The 6-min walk test: a quick measure of functional status
in elderly adults [J]. Chest, 2003, 123(2): 387-98.
[34]白雅敏,高荣涛,郭素玲,等.青海省农村居民膳食
特点及对慢病防控意义的研究[J].中国慢性病预防与控
制,2013,21(03):267-70.
[35]马福昌,周敏茹,岳建宁,等.青海省疾病监测点成年居
民膳食结构和膳食特征分析[J].营养学报,2016,38(04):402-4.
[36]张鑫生.高原与老年人健康(续一)[J].高原医学杂
志,1992,(04):52-6.
[37]马鑫,章亚平,谢波,等.ICU老年机械通气患者握力
现状与影响因素分析[J].中华护理杂志,2022,57(03):279-84.
[38]吴振云,钮美娥,韩燕霞,等.稳定期慢性阻塞性
肺疾病病人握力水平现状及其影响因素分析[J].护理研
究,2018,32(19):3046-9.
[39]SHOZI S, MONYEKI M A, MOSS S J, et al.
RelationshiPs between Physical activity, body mass index,
waist circumference and handgriP strength amongst adults
from the North West Province, South Africa: The PURE study
[J]. Afr J Prim Health Care Fam Med, 2022, 14(1): e1-e11.
[40]赵苗苗,孙英贤,李觉.青少年握力与血压的相关性
研究[J].中华疾病控制杂志,2020,24(06):686-90.
[41]张世春.青藏高原不同海拔地区老年人群体质状况
的对比分析[J].体育文化导刊,2006,(06):60-2.
[42]朱琳琳,杨光,白翠瑾.海拔差异下的老年人体质特
征比较研究[J].军事体育进修学院学报,2012,31(03):122-5
Copyright © 2023 殷曈曈,王 丽,程俊瀚,郝 莹
Publishing time:2023-07-27
This work is licensed under a Creative Commons Attribution 4.0 International License
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