多发病模式和脆弱性之间的差异性相互作用及其对老年死亡率的相互调解效应
Rui She1, Davide Liborio Vetrano2, Maria Kwan Wa Leung3
1Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China.
The journal of nutrition, health & aging
|July 6, 2024
概括
在老年人中,多病症和脆弱性是双向联系在一起的. 脆弱性显著调解了多发病率和死亡率之间的关系,突出了其在衰老健康结果中的关键作用.
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:
- 多种疾病和虚弱是老年人常见的疾病.
- 了解它们的相互作用对于健康的衰老至关重要.
研究的目的:
- 调查中国老年人多病症和脆弱性之间的相互关系.
- 检查多病症和脆弱性如何相互调解它们对死亡率的影响.
主要方法:
- 全国范围内对16563名年龄≥65岁的中国成年人进行了纵向研究.
- 使用修改后的Fried标准评估脆弱性;根据条件计数和模式计算多病态性.
- 用于评估双向关联和调解效应的交叉滞后面板模型和生存分析.
主要成果:
- 多种疾病 (条件计数,认知感官模式) 显示了与脆弱的双向联系.
- 心脏代谢和关节炎-消化-呼吸模式单向预测了脆弱性.
- 虚弱度介于多发病率与死亡率的23% - 27%;多发病率介于虚弱度与死亡率的4% - 12% .
结论:
- 在老年人中,多病症和脆弱性呈现出双向关系.
- 这两种情况都部分调解了对方与死亡率的关联.
- 脆弱性在调解多病症对死亡率的影响方面发挥着更重要的作用.
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