与姿势头相关的功能状态,但不是姿势低血压,在老年人中:一个基于社区的研究
Hsiang-Ju Cheng1, Zih-Jie Sun1,2,3, Feng-Hwa Lu1
1Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
BMC geriatrics
|June 21, 2023
概括
姿势头 (PD) 与老年人的功能状况下降有关,影响日常活动. 姿势低血压 (PH) 在这个人群中与功能衰退没有显著的关联.
科学领域:
- 老年学是一门学科.
- 心血管健康 心血管健康
- 神经学 神经学
背景情况:
- 功能状态,姿势头 (PD) 和姿势低血压 (PH) 是老年人关心的关键问题.
- 之前关于这些因素的相互作用的研究,特别是在女性中,缺乏对关键相关变量进行调整.
研究的目的:
- 调查姿势头 (PD) 和姿势低血压 (PH) 与两性老年人的功能状态之间的关联.
- 解决了解这些条件与功能独立之间的关系的差距.
主要方法:
- 一种分层随机集群采样方法招募了台湾台南市65岁及以上的1361名社区居民.
- 姿势低血压 (PH) 被定义为站立时血压显著下降,而姿势头 (PD) 是自我报告的.
- 用日常生活活动 (ADLs) 和日常生活工具活动 (IADLs) 来评估功能状态.
主要成果:
- 在调整了混因素后,ADL残疾 (OR:1.84) 和IADL残疾 (OR:1.62) 都与PD显著相关,但不是PH.
- 这些关联在ADL残疾的男性和女性子组中一致.
- 在男性中,IADL残疾也与PD显著相关 (OR:2.32).
结论:
- 用ADL或IADL测量的功能状况受损与65岁及以上老年人的姿势头 (PD) 有积极的关联.
- 在这个队列中,姿势低血压 (PH) 与功能状态没有显著的关联.
- 对于患有ADL或IADL残疾的老年人,建议对PD进行临床评估.
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