痴呆症患者的体力活动和死亡率:2009-2015年国家医疗保险共享服务数据
Sanghun Nam1, Ickpyo Hong2, Min Seok Baek3
1Department of Occupational Therapy, Graduate School, Yonsei University, Wonju, Republic of Korea.
PloS one
|May 15, 2024
概括
参与体育活动并保持健康体重可以显著降低痴呆症患者的死亡风险. 避免体重不足对于改善这一群体的生存率至关重要.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 痴呆症是一个重大的全球健康挑战,特别影响老年人.
- 了解影响痴呆症患者生存率的因素对于制定有效的护理策略至关重要.
研究的目的:
- 检查痴呆症患者体育活动水平与死亡风险之间的关联.
- 研究身体质量指数 (BMI) 对被诊断患有痴呆症的个体生存率的影响.
主要方法:
- 利用来自2009-2015年国家健康保险共享服务数据库的5,789名痴呆患者的数据.
- 采用生存分析技术来计算身体活动和BMI类别的危险比率 (HR).
- 研究队列主要由老年人 (83.81%的65-84岁) 和女性 (66.76%) 组成.
主要成果:
- 参与定期体育活动的痴呆症患者的死亡风险降低 (HR = 0.91,p = 0.02).
- 与体重不足的人相比,体重正常的人 (HR = 0.86,p = 0.01),肥胖的人 (HR = 0.85,p = 0.03),和严重肥胖的人 (HR = 0.72,p = 0.02) 的死亡风险明显较低.
- 身体活动和健康体重与痴呆症患者中改善的生存结果有关.
结论:
- 避免体重不足和增加体育活动对于降低痴呆症患者的死亡率至关重要.
- 这些发现强调了在痴呆症护理中需要有针对性的干预措施,以促进身体活动和健康的体重管理.
- 对定制干预措施的进一步研究可以提高痴呆症患者的生活质量和寿命.
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