手握力是否与帕金森病有关? 对71,702名老年人的长度研究
Rochelle Mey1,2, Joaquín Calatayud1,2, José Casaña1
1Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain.
Neurorehabilitation and neural repair
|December 20, 2023
概括
较低的握力与老年人患帕金森病 (PD) 的风险更高有关. 这项研究强调了手握强度作为PD风险评估的潜在查工具.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 流行病学 流行病学
背景情况:
- 没有先前的纵向研究研究了手握强度和帕金森病 (PD) 发病率之间的剂量反应关系.
- 评估PD风险的可修改因素对于早期干预策略至关重要.
研究的目的:
- 调查手握强度与PD发展之间的纵向关联.
- 在一个大型的,代表性的欧洲老年人群中分析这种关联.
主要方法:
- 利用了来自欧洲健康,老龄化和退休调查 (SHARE) 的8个波段的数据.
- 包括来自27个欧洲国家和以色列50岁以上的超过71,000名参与者.
- 采用考克斯回归和受限立方线来建模时间变化的暴露和共变量.
主要成果:
- 在5.0年的中位数随访期间,共确定了314起PD病例.
- 较低的手握强度与明显更高的PD风险相关 (HR:最低三分之一为2.50).
- 剂量反应分析揭示了减少PD风险的性别特异性值,男性和女性的kg值不同.
结论:
- 手握强度是一个有价值的预后指标,用于识别患PD风险的老年人.
- 将手握强度测量纳入查方案可以帮助早期的PD风险分层.
- 进一步的研究可能会完善手握强度在PD查和预防工作中的使用.
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