运动计划参与与老年人住院治疗之间的关联
Donald S Wright1, Bin Zhou2, Catherine X Wright3
1Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.
American journal of preventive medicine
|September 1, 2024
概括
自我推的社区炼计划可以降低老年人住院的风险. 这种好处在女性中被观察到,但在男性中没有,这需要进一步的性别特定研究.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 政府和保险赞助的炼计划显示住院治疗减少.
- 自我推的社区炼计划对住院率的有效性尚不清楚.
研究的目的:
- 调查参与社区运动计划与老年人全因住院风险之间的关联.
- 探索潜在的性别差异影响.
主要方法:
- 对718名老年人 (2013-2020年) 的回顾性队列研究.
- 社区炼中心的参与者 (≥3个月) 与非参与者的比较.
- 对身体评估,医院数据和死亡数据库的分析;使用了Cox比例危险建模.
主要成果:
- 持续参与运动与所有原因住院率较低有关 (9.0%对12.7%,p=0.02).
- 调整后的分析显示,住院风险降低 (HR 0.54;p=0.01).
- 在女性 (p=0.03) 中,住院时间的减少显著,但在男性 (p=0.49) 中没有显著.
结论:
- 社区炼计划的参与独立地与任何原因住院的风险降低有关.
- 观察到潜在的性别特异性福利差异.
- 需要进一步的随机试验来确认性别和性别特异性的影响.
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