与年龄相关的功能障碍的进展和轨迹网络及其与死亡率的联合关联
Hui Chen1, Binghan Wang1, Rongxia Lv1
1School of Public Health, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
iScience
|December 7, 2023
概括
多重与年龄相关的功能障碍 (ARFI) 随着年龄的增长而增加,并且相互联系. 更多的ARFI显著增加了老年人的死亡风险,特别是那些涉及身体虚弱的人.
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:
- 与年龄相关的功能障碍 (ARFI) 是导致老年人失去独立性的重要因素.
- 多个ARFI对死亡率的进展,相互关系和综合影响在很大程度上仍未被描述.
研究的目的:
- 调查各种ARFI在老年人中对死亡风险的发病率,时间相互作用和综合影响.
主要方法:
- 一项前性研究利用了健康和退休研究 (2000-2020) 中17914名参与者的数据.
- 对视觉,听觉,身体虚弱,认知障碍,不安睡眠和抑郁症的发病率的分析.
- 检查ARFI之间的时间序列和危险网络形成及其与死亡率的关联.
主要成果:
- 视觉,听力,身体虚弱和认知障碍的发生率随着年龄的增长而呈指数级增长.
- 不安静的睡眠和抑郁症的发生率增长得更慢.
- ARFI显示出时间的相互关系,形成一个危险网络,在ARFI数量和死亡风险之间存在剂量-反应关系.
- 涉及身体虚弱的损伤显示出与死亡率的最强相关性.
结论:
- 与年龄相关的功能障碍随着年龄的增长而进展,并且相互联系,影响死亡风险.
- 累积的ARFI负担,特别是与身体虚弱相关的负担,是老年人群死亡率的关键决定因素.
- 这些发现可以帮助识别高危人群,并指导未来对多因素衰老干预措施的研究.
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