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儿童不良经历,肉症和老年人的社会参与:一个队列研究
Runnian Huang1,2, Yi Li2, Chunhua Ma2
1Department of Gerontology and Geriatrics, Shengjing Hospital of China Medical University, 110004, Shenyang, Liaoning, China.
在老年人中,不良童年经历 (ACE) 会增加肉症的风险. 积极的社会参与可以改变这种风险,建议针对弱势群体采取有针对性的干预措施.
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:
- 童年不良经历 (ACE) 与长期健康问题有关.
- 萨科佩尼亚是一种老年病症,会影响人的流动性和生活质量.
- 了解早期生活逆境和晚年健康之间的相互作用至关重要.
研究的目的:
- 为了研究ACE和老年人肉症的发展之间的关联.
- 探索积极的社会参与在这种关系中的潜在改变作用.
主要方法:
- 使用中国健康与退休长度研究 (CHARLS) 数据进行的前性队列研究.
- 通过面对面采访评估的ACE (与威胁相关和与剥夺相关).
- 根据2019年亚洲麻症工作组的标准定义的麻症.
- 考克斯的比例危险回归模型分析了这些关联.
主要成果:
- 经历≥3个ACE增加了31%的肉症风险.
- 与威胁相关的ACE和与剥夺相关的ACE (≥2) 增加了22%的肉症风险.
- 积极的社会参与显著改变了ACEs-sarcopenia的联系,特别是与威胁相关的ACEs.
结论:
- ACE 显著与患上沙科佩尼亚的风险增加有关.
- 社会参与起到了至关重要的调节作用,可能减轻了ACEs的负面影响.
- 研究结果支持早期识别有风险的个体,并强调促进具有ACE史的老年人社会参与的重要性.
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