与老年人虚弱相关的因素:一个总体审查
Mouna Boucham1,2, Amal Salhi3, Naoual El Hajji4
1Department of Public Health, Mohammed VI Center for Research and Innovation, Rabat, Morocco. mboucham@um6ss.ma.
这一总体综述确定了与老年人虚弱相关的关键因素,如抑郁症,孤独感和营养不良. 促进健康的生活方式和解决这些可改变的风险可以指导人口老龄化预防策略.
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:
- 脆弱老年人口的全球增长需要了解相关因素.
- 全球老年人日益增长的医疗保健和社会支持需求.
- 在老龄化人口中对脆弱性的社会生态方法.
研究的目的:
- 进行总体审查,总结有关老年人虚弱因素的证据.
- 为预防策略和临床实践提供指导.
主要方法:
- 在多个数据库 (PubMed,Scopus,Web of Science等) 中进行系统搜索. 在2023年4月之前.
- 包括对60岁以上成年人脆弱因素的观察性研究的系统审查.
- 使用乔安娜·布里格斯研究所的检查清单和ROBIS工具评估偏见的质量和风险.
主要成果:
- 包括44个系统审查,涵盖超过1150万参与者.
- 确定了许多与脆弱相关的风险因素,保护因素和生物标志物.
- 七个因素显示有适度的证据:抑郁,孤独,日常生活活动的限制,营养不良风险,饮食炎症指数,最大步行速度和功能障碍.
- 强有力的证据支持坚持地中海饮食作为一种保护因素.
结论:
- 研究结果为制定预防策略和治疗虚弱的临床实践提供了指导.
- 强调促进健康的生活方式和解决可修改的风险因素至关重要.
- 未来审查的建议包括解决异质性和出版偏见.
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