这种痛苦会杀死你吗? 疼痛干扰可能是中年死亡率的警告信号吗?
Dana A Glei1, Maxine Weinstein2
1Center for Population and Health, Georgetown University, Mailing address: 5985 San Aleso Ct., Santa Rosa, CA, 95409-3912, USA.
SSM - population health
|September 29, 2023
概括
干扰日常生活的疼痛可能表明死亡风险增加,特别是在中年成人中. 这种早期预警信号在年轻人中更为强烈,可能会在显著的身体限制出现之前预测过早死亡.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 之前的研究将疼痛与死亡率联系起来,但与年龄相关的变化尚未得到充分研究.
- 干扰正常生活的疼痛可能会在身体衰退和死亡之前发生.
研究的目的:
- 研究疼痛与死亡风险之间的关联,重点关注年龄差异.
- 确定疼痛是否是死亡率的早期预测因素,特别是在中年.
主要方法:
- 美国中年期研究 (1995-2014) 的纵向数据分析.
- 模拟死亡风险到2021年12月31日,使用自行管理的问卷.
- 检查疼痛干扰作为预测因素,调整人口统计和混因素.
主要成果:
- 疼痛干扰与死亡率的关联比其他疼痛指标更强.
- 这种关联在年轻时更明显,随着年龄的增长而下降.
- 即使考虑到混因素,疼痛干扰仍然是死亡率的重要预测因素,并且与心血管死亡率比癌症死亡率更相关.
结论:
- 疼痛干扰是增加死亡风险的有价值的早期预警信号,特别是在中年.
- 它可能有助于在严重的身体限制出现之前识别处于过早死亡风险的个体.
- 虽然身体功能是老年人的关键,但疼痛干扰在年轻人群中具有预测价值.
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