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在多状态马尔科夫模型的中国老年人中,肉眼症的转变和影响因素
Boran Sun1, Shatao Li1, Yanbo Wang1
1Department of Epidemiology and Statistics, School of Public Health, Tianjin Medical University, Tianjin, People's Republic of China.
Innovation in aging
|November 13, 2023
概括
中国老年人的肉症进展受到年龄,农村生活,认知和营养的影响. 改善认知功能和营养可能有助于逆转肉类,特别是在可能的肉类阶段.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在中国社区居住的老年人中,肉症的过渡动态仍未得到充分研究.
- 了解这些转变对于有针对性的干预至关重要.
研究的目的:
- 探索在没有沙科佩尼亚,可能的沙科佩尼亚和沙科佩尼亚之间的动态过渡.
- 为了确定影响中国老年人这些转变的因素.
主要方法:
- 利用来自中国健康与退休长度研究 (2011-2015年) 的数据.
- 包括2856名老年人,根据2019年亚洲肉症工作组 (AWGS 2019) 的标准进行分类.
- 采用连续时间多态马尔科夫模型来分析过渡概率和相关因素.
主要成果:
- 没有肉症和肉症之间的进展和逆转率分别为每100人/年6.01和9.20.
- 一年进展到可能的肉症 (0.127) 比肉症 (0.034) 高.
- 从可能的肉病 (0.281) 恢复到没有肉病的比例高于从肉病 (0.157) 恢复.
- 进展的加速因素包括年龄较大,农村生活,认知能力较差,更多的慢性疾病和较低的BMI.
- 认知和BMI影响了逆转概率.
结论:
- 可能的肉症代表了干预促进逆转的关键窗口.
- 干预措施应侧重于改善认知功能和营养,以延缓进展并促进恢复.
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