日本老年人减肥和功能衰退:一项使用大规模索赔数据的队列研究
Sachiko Ono1, Yusuke Sasabuchi2, Hayato Yamana3
1Department of Eat-loss Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, Tokyo 113-8655, Japan.
Archives of gerontology and geriatrics
|February 3, 2024
概括
在老年人中,即使是轻微的体重减轻也会增加功能衰退的风险. 定期体重监测可以帮助识别需要帮助日常活动的老年人.
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:
- 老年人体重减轻和功能衰退之间的关系尚不清楚.
- 功能衰退是指日益难以执行日常生活活动.
研究的目的:
- 检查老年人一年内减肥与随后的功能衰退之间的关联.
- 确定减肥是否预测需要帮助日常生活活动.
主要方法:
- 利用来自日本长期护理保险服务的数据,包括出生于1949年或之前的个人.
- 从2015年到2019年,追踪了67,452名参与者,分析了2014年和2015年的健康检查.
- 采用考克斯回归模型来估计基于权重变化类别的功能衰退风险,并对共变量进行调整.
主要成果:
- 1%或更大的体重减轻与功能衰退的风险增加有关.
- 功能衰退的危险比率随着体重减轻的百分比增加而增加,≤-5%显示最高风险 (1.79).
- 该研究发现,在多个类别中,减肥和功能衰退之间存在统计学上显著的关联.
结论:
- 在老年人中,体重减少1%或更多是功能衰退的危险因素.
- 密切的体重监测是一种简单且具有成本效益的方法,用于识别有风险的老年人群.
- 研究结果表明,主动的体重管理策略可能有助于预防老年人的功能衰退.
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