在老年人中,中年血管风险和身体功能下降率:社区动脉样硬化风险 (ARIC) 研究
Laura F Skow1, A Richey Sharrett1, Rebecca F Gottesman2
1Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.
概括
中年血管风险因素,如高血压和糖尿病,加快了老年人的身体功能下降. 在中年时管理这些疾病可能有助于在以后的生活中保持身体功能.
科学领域:
- 老年学是一门学科.
- 心血管健康 心血管健康
- 公共卫生 公共卫生
背景情况:
- 衰老的身体功能下降是一个重大的问题.
- 中年可治疗的血管风险因素可能会影响这种下降.
- 了解这种联系可以为预防策略提供信息.
研究的目的:
- 调查中年血管风险因素与老年人身体功能下降率之间的关联.
- 为了确定高血压,糖尿病,高胆固醇和吸烟等因素是否会影响功能衰退的基本速度.
主要方法:
- 从社区动脉样硬化风险研究中对5,481名老年人 (67-91岁) 进行前性队列研究.
- 评估中年 (45-64岁) 血管风险因素:高血压,糖尿病,高胆固醇,吸烟.
- 测量了短物理性能电池 (SPPB) 在4.8年的中位随访期间下降的速度.
主要成果:
- 中年高血压加速SPPB下降57%,糖尿病下降73%.
- 血压升高和禁食血糖也显著增加了下降的速度.
- 在中年暴露于高血压或糖尿病的每十年都与更快的SPPB下降有关.
结论:
- 中年血管风险因素显著加快了老年人的身体功能下降.
- 在中年期有效管理血压和糖尿病可能会减轻与年龄相关的功能衰退.
- 针对中年血管健康的早期干预对于在以后的生活中保持身体功能至关重要.
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