认知虚弱和并发症对残疾的协同效应:基于社区的纵向研究
Nurul Fatin Malek Rivan1, Resshaya Roobini Murukesu2,3, Suzana Shahar4
1Nutritional Sciences Programme and Centre for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, 50300, Malaysia.
BMC geriatrics
|May 22, 2024
概括
认知虚弱 (CF) 与骨关节炎,心脏病,糖尿病或抑郁症等疾病相结合,显著增加了老年人的残疾风险. 与CF一起管理这些并发症对于预防至关重要.
科学领域:
- 老年学与公共卫生
- 临床医学 临床医学
- 流行病学 流行病学
背景情况:
- 认知虚弱 (CF) 是一种新兴的老年综合征,与不良健康结果相关.
- 伴随性疾病在老年人中非常普遍,可以加剧健康问题.
- 结合CF和并发症对残疾的影响需要进一步调查.
研究的目的:
- 评估认知虚弱 (CF) 和各种并发症对老年人残疾发展的协同效应.
- 量化CF与特定疾病 (如骨关节炎,心脏病,糖尿病和抑郁症状) 之间的相互作用,以确定有关残疾风险的具体情况.
主要方法:
- 分析了马来西亚对有用衰老 (TUA) 研究的400名参与者在五年时间内的数据.
- 使用了涵盖人口统计,健康状况,认知和身体功能以及心理社会因素的综合问卷.
- 采用二元物流回归和相互作用措施 (RERI,协同效应指数) 来评估组合效应.
主要成果:
- 与没有CF (10.3%) 相比,患有CF的参与者报告残疾的可能性更高 (24.1%).
- 在CF和骨关节炎 (OR:6.675),心脏病 (OR:3.480),抑郁症状 (OR:3.443) 和糖尿病 (OR:2.904) 之间发现了对残疾的显著协同效应.
结论:
- 认知虚弱和并发症的共存协同增加了老年人的残疾风险.
- 有效管理并发症,特别是骨关节炎,心脏病,糖尿病和抑郁症状,对于预防CF患者的残疾至关重要.
相关概念视频
Cognitive Development During Adulthood
93
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
93
Negative and Cognitive Symptoms of Schizophrenia
48
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
48
Language and Cognition
342
Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
342
Alzheimer's Disease: Overview
465
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
465
Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K
Intellectual Disability
49
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
49


