老年人基于表现和自我报告的身体功能联合轨迹:20年长度研究在荷兰
Dorly J H Deeg1, Emiel O Hoogendijk1, Natasja M van Schoor1
1Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute/Ageing and Later Life Program, Amsterdam University Medical Centers - Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Journal of aging and health
|August 21, 2024
概括
老年人的残疾轨迹显示了步行速度和残疾的交织模式. 身体和认知健康显著影响这些与衰老相关的功能衰退路径.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 失能过程通常被视为连续的功能衰退.
- 了解功能状态的联合变化对于衰老研究至关重要.
研究的目的:
- 在老年人中调查步行速度,握力和自我报告的残疾的联合轨迹.
- 为了确定与衰老相关的功能衰退的独特模式.
主要方法:
- 利用来自阿姆斯特丹长度衰老研究 (20年) 的1702名参与者 (65岁以上) 的数据.
- 采用基于小组的多轨迹建模来识别变化模式的集群.
- 通过社会人口统计,身体,认知健康和生存数据来描述轨迹.
主要成果:
- 确定了五个不同的轨迹集群 (TCs),主要根据年龄区分.
- 在大多数TC中观察到行走速度和残疾的同时变化.
- 与男性相比,女性的握力轨迹较差;行走速度/残疾轨迹没有性别差异.
- 身体健康不佳与最低的TCs有关;认知障碍区分出接近最差的TCs.
结论:
- 失能状态可能不是完全不同的或连续的.
- 功能衰退模式在老龄化人口中是复杂的和相互关联的.
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