集体软弱和软弱状态的流动性与美国老年人的基本自我护理限制有关
Ryan McGrath1,2,3,4,5, Brenda M McGrath6, Soham Al Snih7,8
1Healthy Aging North Dakota (HAND), North Dakota State University, Fargo, ND, USA.
American journal of medicine open
|June 17, 2024
概括
老年人的软弱,通过各种力量指标来定义,显著增加了未来日常生活活动 (ADL) 限制的风险. 这包括新发作,持续或渐进的软弱.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 生物医学科学 生物医学科学
背景情况:
- 肌肉软弱是老年人常见的疾病.
- 识别可靠的弱点指标对于预测功能衰退至关重要.
研究的目的:
- 调查不同定义的弱点与美国老年人未来日常生活活动 (ADL) 限制之间的关联.
- 分析集体弱点类别和弱点状态变化对ADL限制的影响.
主要方法:
- 利用了来自健康和退休研究 (2006-2018) 65岁以上的11,656名参与者的数据.
- 使用动力计评估手握强度 (HGS),定义基于绝对,体重正常化和BMI正常化切割点的弱点.
- 根据集体弱点状态 (1,2,或所有3个切断点) 和随时间变化 (发病,持续,渐进,恢复) 来分类参与者.
主要成果:
- 低于弱点切割点的老年人表现出未来ADL限制的几率明显更高 (几率比率从1.34到1.56).
- 根据1,2,或所有3个弱点切割点分类的个体显示ADL限制的几率逐渐增加 (ORs1.36,1.60,1.70).
- 所有类别的变化弱势状态 (发作,持续,渐进,恢复) 都与未来ADL限制的几率增加有关.
结论:
- 软弱,不管具体的定义或状态的变化,是老年人未来ADL限制的重要预测因素.
- 这些发现强调了监测肌肉力量的重要性,以确定有功能衰退风险的个体.
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