良性前列腺增生和老年男性的跌倒风险:来自老年病态疾病人口研究的见解
Sung Jin Kim1,2, Donghyun Lee1, Sung Gon Park1
1Department of Urology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
International neurourology journal
|April 3, 2024
概括
良性前列腺增生 (BPH) 显著增加老年男性的跌倒风险,特别是那些有多种健康状况的人. 针对性干预对于这个脆弱的人群至关重要,以防止跌倒和受伤.
科学领域:
- 老年医学 老年医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
背景情况:
- 良性前列腺增生症 (BPH) 是老年男性常见的疾病.
- 跌倒是老年人受伤和死亡的主要原因.
- BPH与跌倒发生率之间的关系,特别是在多种并发症的背景下,需要进一步研究.
研究的目的:
- 调查良性前列腺增生症 (BPH) 与韩国老年男性跌倒的发生率之间的关联.
- 为了检查BPH对落和受伤的影响.
- 探索伴随性疾病对BPH-fall关系的影响.
主要方法:
- 利用来自韩国老年人国家调查 (2017-2020) 的数据.
- 包括8135名65岁及以上的男性参与者.
- 采用后勤回归分析来评估BPH对跌倒风险的影响,并对特定的跌倒类型和并发性疾病进行子组分析.
主要成果:
- 15.2%的参与者接受了超过3个月的BPH治疗;8.0%报告跌倒,61.4%导致受伤.
- BPH与跌倒 (OR, 1.798) 和跌倒带伤害 (OR, 2.133) 的风险增加有显著的关联.
- 亚组分析显示,BPH与患有一种或多种并发性疾病的个体之间的相关性,包括视觉/听力障碍,认知衰退,抑郁症,运动软弱和功能限制.
结论:
- 良性前列腺增生症 (BPH) 是老年男性跌倒的独立危险因素.
- 与BPH相关的跌倒风险在伴随性疾病存在时被放大.
- 为患有BPH和多种疾病的老年男性制定有针对性的跌倒预防策略至关重要.
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