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麻症预测智力障碍的老年人5年死亡率
B Valentin1,2, D Maes-Festen1, J Schoufour2
1Department of General Practice, Intellectual Disability Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Journal of intellectual disability research : JIDR
|August 23, 2023
概括
软骨症,或肌肉质量和功能低下,是智力障碍 (ID) 的老年人早期死亡的独立风险因素. 这项研究强调了需要进行干预措施,以预防这种人群中的肉病.
科学领域:
- 老年学是一门学科.
- 关于残疾人的研究.
- 公共卫生 公共卫生
背景情况:
- 与同龄人相比,智力障碍 (ID) 患者的预期寿命减少.
- 标志着肌肉质量和功能较低的萨尔科佩尼亚,是导致一般人群过早死亡的潜在因素.
- 麻症与成年人ID死亡率之间的关联仍未得到充分研究.
研究的目的:
- 调查萨科佩尼亚和ID老年人5年全因死亡率之间的关系.
- 为了确定萨科佩尼亚是否是这个人口群体死亡率的独立预测因素.
主要方法:
- 健康衰老和智力障碍 (HA-ID) 研究包括884名具有智力障碍的成年人 (≥50岁).
- 在基线评估了肉类的患病率,并在5年内跟踪死亡率.
- 考克斯的比例危险模型被用来分析萨尔科佩尼亚严重程度和死亡率之间的关联,调整为共变量.
主要成果:
- 萨科佩尼亚和严重的萨科佩尼亚与增加的5年死亡风险显著相关.
- 在对年龄,性别,ID水平和唐氏综合征进行控制后,对缩症和严重缩症的调整后的危险比仍然显著.
- 这种关联甚至在进一步调整伴随性疾病后也持续存在.
结论:
- 麻症是ID的老年人早期死亡的独立风险因素.
- 研究结果强调了延迟萨科佩尼亚发病和进展的策略的重要性.
- 进一步的研究和临床关注是有必要的,以解决ID的老年成年人萨科佩尼亚.
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