コミュニティに住む高齢者のうつ症状と身体的衰弱

B W Penninx¹, J M Guralnik, L Ferrucci

¹Epidemiology, Demography, and Biometry Program, National Institute on Aging, Bethesda, MD 20892-9205, USA.

JAMA

|June 12, 1998

まとめ

高齢者のうつ病の症状は,4年間で身体機能の低下を予測します. 鬱を和らげることは,高齢者の身体能力を維持するのに役立ちます.

科学分野:

ゲロントロジーはゲロントロジーの学科です.
公衆衛生は公衆衛生である.
エピデミオロジーエピデミオロジー

背景:

鬱病の症状は,地域社会に住む高齢者に多く見られます.
うつ病の症状と,その後の機能的衰退の間の関係については,明らかにする必要がある.

研究の目的:

鬱症状が高齢者の機能低下のリスクを高めるかどうかを調査する.
客観的なパフォーマンスベースのテストを使用して身体機能を評価する.

主な方法:

71歳以上の1286人の参加者を対象とした4年間の前向きなコホート研究.
流行病学研究センターのうつ病スケールを使用して,ベースラインのうつ病症状を評価しました.
スタンドバランス,タイムウォーキング,椅子の上昇テストを通じて身体的パフォーマンスを測定します.

主要な成果:

抑うつ症状の増加は,4年間で身体能力の低下を予測した.
報告された障害のない個人でも,うつ病症状の重症度と機能的低下の間の関連が示されました.
気分が落ち込んだ患者とそうでない患者における減少の確率比は1.55 (95%CI,1.02-2.34) でした.

結論:

うつ病の症状を持つ高齢者は,その後の身体的衰弱のリスクが高くなります.
鬱状態を予防または軽減することは,高齢者の身体的機能を維持するために不可欠です.

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