死亡率,骨密度和握力:过去的教训和未来的希望?
Leo D Westbury1, Faidra Laskou1,2, Harnish P Patel1,2,3
1MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.
Rheumatology advances in practice
|May 1, 2024
概括
较低的握力与较高的死亡风险有关,包括心血管原因,在老年人中. 在这项英国研究中,骨矿物质密度 (BMD) 与死亡率没有关联.
科学领域:
- 老年学是指老年学的学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 骨质疏松症和肉症的治疗已经取得了不同程度的治疗进展.
- 握力和骨矿物质密度 (BMD) 是衰老中的身体健康指标.
- 了解它们与死亡率的关联对于公共卫生战略至关重要.
研究的目的:
- 调查抓握力和骨质量与所有原因和特定原因死亡率之间的关系.
- 在英国社区住房队列中分析这些协会.
主要方法:
- 在赫特福德郡队列研究中分析了495名男性和414名女性的数据.
- 通过动力计测量掌握强度;通过DXA测量大腿部BMD.
- 考克斯回归用于检查从1998年至2018年的死亡结果 (全因,心血管,癌症),根据年龄和性别进行调整.
主要成果:
- 较低的握力显著增加了全因死亡率 (HR 1.30) 和心血管相关死亡率 (HR 1.75) 的风险.
- 骨矿物质密度 (BMD) 与任何检查的死亡结果都没有关联.
- 参与者的平均年龄在基线时在60年代中期.
结论:
- 握力显示出与死亡率有很强的关联,超过了BMD作为预测指标.
- 这一发现可能表明在研究队列中更好地临床识别和管理低BMD.
- 握力可以作为一个有价值的,可访问的生物标志物,用于社区居住的老年人死亡风险.
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