成年人使用静止剂和跌倒风险:一个横截面调查和孟德尔随机化分析
Hui Zheng1, Yong-Jiang Fang2, Shu-Ting Wang1
1Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Frontiers in pharmacology
|July 11, 2024
概括
达丁类药物使用与40岁以上成年人中跌倒和平衡问题增加有关. 服用他类药物的65岁以下年轻人面临更高的跌倒和平衡问题的风险.
科学领域:
- 老年学是指老年学的学科.
- 药理学 药理学是指药理学的学科.
- 流行病学 流行病学
背景情况:
- 布对老年人口构成重大健康风险.
- 已知会引起肌肉病的他类药物可能会增加跌倒风险,但这种联系需要进行调查.
研究的目的:
- 评估使用他类药物与增加跌倒和平衡问题的风险之间的关联.
主要方法:
- 一项对2,656名美国成年人 (NHANES) 的横截面调查检查了他类药物的使用和自我报告的平衡/跌倒问题.
- 后勤回归模型分析了他类药物使用与跌倒/平衡问题之间的关联.
- 一项两样本的门德尔随机化 (MR) 研究使用SNP来调查基因预测的他类药物使用和跌倒风险.
主要成果:
- 类固醇使用与平衡 (OR 1.25) 和跌倒问题 (OR 1.27) 的可能性更高有关.
- 使用他类药物的65岁以下个体显示出平衡 (OR 3.42) 和跌倒问题 (OR 5.58) 的风险显著增加.
- MR 分析表明,使用基因代理的他类药物增加了跌倒问题的风险 (OR 1.21).
结论:
- 达丁类药物使用与40岁以上成年人平衡问题和跌倒的风险增加有关.
- 与使用他类药物相关的跌倒和平衡问题的风险在65岁以下的个人中更高.
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