Physical Therapy Research
Online ISSN : 2189-8448
ISSN-L : 2189-8448

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Comparison of voluntary cough function in community - dwelling elderly and its association with physical fitness
Hiroki KUBO, Tsuyoshi ASAI, Yoshihiro FUKUMOTO, Kensuke OSHIMA, Shota KOYAMA, Hiroki MONJO, Hirotsugu TAJITSU, Tomohiro OKA
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JOURNAL FREE ACCESS Advance online publication

Article ID: E10007

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Abstract

Objective: To compare the association of cough peak flow (CPF) with aging in community-dwelling older adults and to investigate the relationship between physical fitness and CPF in these individuals. Method: Two hundred twenty two community-dwelling older adults were enrolled. CPF was assessed as a cough function parameter. Forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1.0) were assessed as respiratory function. Maximal expiratory pressure (MEP) and inspiratory pressure (MIP) were assessed as respiratory muscle strength. The 3-minute walk test (3MWT) performance was assessed as a physical fitness. Participants were divided into the following age groups: 60-64, 65-69, 70-74, 75-79 and 80-89 years. One way analysis of variance were computed for comparison between age group, sex and CPF. Multivariate regression analyses were used to investigate the association of CPF with 3MWT. Results: The value of CPF significantly decreased in the 75-79 and 80-89 years group than 60-64 years group in men and in the 80-89 years group than 65-69 years group in women. The value of CPF were 545.5, 497.2, 403.3, 354.8 and 325.4 L/min in the 60-64, 65-69, 70-74, 75-79 and 80-89-year group in men and 263.4, 278.8, 264.5, 214.0, and 193.6 L/min in the corresponding age groups in women, respectively. 3MWT (p = 0.041) was significantly associated with CPF. Conclusions: Cough function tends to decrease with aging in community-dwelling elderly. Physical fitness is associated with cough function.

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© 2020 Japanese Society of Physical Therapy
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