The effect of immobility on quality of life in older inpatients
10.3760/cma.j.issn.0254-9026.2025.04.008
- VernacularTitle:失动对住院老年人生命质量的影响
- Author:
Wanshu ZHANG
1
;
Pan LIU
1
;
Yu SONG
1
;
Xiaojun LI
1
;
Xiaxia LI
1
;
Lina MA
1
;
Yun LI
1
Author Information
1. 首都医科大学宣武医院老年医学科 国家老年疾病临床研究中心，北京 100053
- Publication Type:Journal Article
- Keywords:
Immobility;
Quality of life;
Physical function;
Elderly
- From:
Chinese Journal of Geriatrics
2025;44(4):451-457
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of immobility on the quality of life in older adults.Methods:This cross-sectional study included 244 consecutive elderly patients aged 60 years and older who were admitted to the Department of Geriatrics at Xuanwu Hospital of Capital Medical University from May 2022 to March 2023.Among the participants, 52.5%(128/244)were male and 47.5%(116/244)were female, with a mean age of 69.2±7.4 years.All participants underwent a series of assessments, including the Short Physical Performance Battery(SPPB), grip strength measurement, gait speed evaluation, and the Timed Up and Go test(TUG).The Barthel Index was employed to assess activities of daily living, while the Medical Outcomes Study 36-Item Short Form Health Survey(SF-36)was used to evaluate quality of life.A score of SPPB ≤ 9 was used to diagnose immobility.Results:A total of 60 older adults met the criteria for immobility.Compared to the non-immobility group, the quality-of-life scores for older adults in the immobility group were significantly lower across various dimensions, including physical functioning, role-physical, bodily pain, general health, vitality, social functioning, physical component summary, and the total SF-36 score(all P<0.05).Furthermore, a positive correlation was identified between the SPPB scores and the quality-of-life scores across the dimensions of physical functioning, bodily pain, general health, vitality, social functioning, mental health, reported health transition, physical component summary, and the total SF-36 score among patients in the immobility group(all P<0.05).Additionally, older adults in the immobility group exhibited lower grip strength, slower gait speed, and longer TUG times, as well as a higher incidence of emergencies and falls over the past year(all P<0.05). Conclusions:The poorer quality of life and physical function, along with higher rates of emergencies and falls among older adults with immobility, indicate the necessity of addressing the health consequences that immobility inflicts on this population.
