低体力活动和抑郁是老年人跌倒的主要预测因素:Birjand纵向衰老研究 (BLAS)
Sara Mortazavi1, Ahmad Delbari2, Mohsen Vahedi3
1Department of Gerontology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
BMC geriatrics
|November 21, 2023
概括
老年人跌倒可能导致严重后果. 这项研究发现,不活动和抑郁症显著增加了跌倒风险,而体力活动则减少了这一风险. 女性和具有高TUG测试成绩的人需要有针对性的预防.
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:
- 老年人中的跌倒导致严重后果,如住院,失去独立性,抑郁和死亡率.
- 居住在社区的老年人面临着跌倒的重大风险,需要对相关因素进行研究.
研究的目的:
- 为了估计社区居住的老年人中跌倒的发生率.
- 为了确定与此种人群下降相关的风险因素.
主要方法:
- 一项以人口为基础的前性队列研究,涉及1344名60岁及以上的参与者,在Birjand市 (2019-2020年).
- 评估39个潜在的风险因素,包括人口统计,生活方式,一般健康状况,病史和心理/功能健康指标.
主要成果:
- 在约24个月的时间里,跌倒的发生率在女性中为9.26%,在男性中为2.65%.
- 跌倒的重大风险因素包括中度至重度抑郁 (HR=2.97),重度抑郁 (HR=3.26),以及在TUG测试中高风险 (HR=1.73).
- 身体活动 (HR=0.59) 和男性性别 (HR=0.37) 与降低跌倒风险有关.
结论:
- 不活动和抑郁是导致老年人跌倒的关键因素.
- 建议包括促进活跃的生活方式,优先考虑抑郁症诊断和治疗,并使用TUG测试进行风险评估.
- 预防计划应特别考虑女性作为高风险群体.
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