功能,虚弱和功能障碍之间的关联:一项观察性研究
Hiroko Furuhashi1,2, Takanori Honda1,2, Yoshihiko Furuta1,3
1Department of Epidemiology and Public Health, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-Ku, Fukuoka City, 812-8582, Japan.
BMC geriatrics
|June 21, 2024
概括
糟糕的功能与老年人的功能障碍有关. 然而,这种关联可能是由脆弱性解释的,这表明问题是一个标记而不是直接原因.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 功能障碍是全球老龄化人口日益关注的问题.
- 功能在功能障碍中的作用尚不清楚,特别是关于虚弱的影响.
研究的目的:
- 调查老年人口功能和发生性功能障碍之间的关联.
- 确定脆弱是否介导着功能和功能障碍之间的关系.
主要方法:
- 一组40562名居住在社区的老年人 (≥65岁) 被跟踪了平均3.0年.
- 功能被自我报告为好,中等或差.
- 功能障碍 (需要长期护理认证) 是主要结果,使用Cox比例危险模型进行分析.
主要成果:
- 低到中度的功能显著与更高的功能障碍风险相关.
- 在对脆弱性指标 (体重不足,运动,步行速度) 进行调整后,这种关联被减弱了.
- 功能障碍的危险比率在中度 (1.21到1.06) 和差 (1.64到1.51) 功能组显著下降.
结论:
- 功能障碍与日本老年人发生的功能障碍有显著的联系.
- 这些发现表明,功能障碍可能充当虚弱的替代标记.
- 针对脆弱性的干预措施可能比仅专注于功能的干预措施更有效,以预防残疾.
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