在社区居住的老年人中,轻度认知障碍,脆弱前期,身体和心理功能以及功能能力之间的关系
Tsuyoshi Katsurasako1,2, Shin Murata3, Akio Goda4
1Graduate School of Health Sciences, Kyoto Tachibana University, Kyoto 607-8175, Japan.
Healthcare (Basel, Switzerland)
|September 28, 2023
概括
轻度认知障碍 (MCI) 和虚弱前期显著影响老年人. 结合MCI和虚弱前期与身体功能,心理健康和日常生活活动的下降有关.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 轻度认知障碍 (MCI) 是痴呆症的一个已知的风险因素.
- 超过一半的患有MCI的老年人也表现出虚弱前期.
- 对于MCI和先前脆弱性对老年人的能力的综合影响尚不清楚.
研究的目的:
- 调查社区居住的日本老年人中身体,心理和功能能力的差异,这些老年人患有MCI,前虚弱或两者兼而有之.
- 分析这些疾病与各种健康指标之间的关联.
主要方法:
- 一项涉及236名社区居住的日本老年人的横截面研究.
- 参与者被分为四组:正常,只有MCI,只有脆弱前期,以及结合脆弱前期/MCI.
- 用多项逻辑回归来分析关联,评估身体,心理和功能能力.
主要成果:
- 对于单独的MCI,没有特定的相关因素被确定.
- 抑郁情绪只与脆弱前期有关.
- 虚弱前期和MCI的组合显示出与膝盖伸展强度降低,步行速度减慢,椅子站立测试30秒表现较差,抑郁情绪和日常生活工具活动 (IADL) 减少的显著相关性.
结论:
- 单独的MCI在这个队列中没有显示出特定的相关因素.
- 虚弱前期与抑郁情绪有关.
- 在老年人中,MCI和虚弱前期的同时发生与身体功能,心理健康和IADL的全面下降密切相关.
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