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开发和验证老年人的功能能力指数:一个多队列研究

Yi Chang¹, Suman Sapkota², Bipin Thapa²

¹Department of Respiratory Medicine, National Clinical Research Center for Geriatric Diseases, Xuanwu Hospital of Capital Medical University, 100053 Beijing, China.

|October 21, 2024

概括

为老年人开发了一个新的功能能力指数 (FAI),结合了内在能力和环境因素. 更高的FAI分数预测了更大的独立性和更低的风险,有助于健康评估.

科学领域:

老年学是一门学科.
公共卫生公共卫生
生物统计学生物统计学

背景情况:

制定一个全面的措施,以促进老年人健康老龄化至关重要.
世界卫生组织 (WHO) 关于健康衰老的框架为评估功能能力提供了基础.
现有的措施可能无法完全捕捉到老年人群功能能力的多面性质.

研究的目的:

为老年人开发和验证功能能力指数 (FAI).
将内在能力和环境因素纳入FAI,与世卫组织框架保持一致.
确定FAI在评估功能能力和预测健康结果方面的实用性.

主要方法:

利用来自中国健康与退休长度研究的7016名参与者 (≥60岁) 的数据进行内部验证.
在1295名老年人 (≥60岁) 的单独队列中对FAI进行外部验证.
采用集群树状图和后向淘汰物流回归来确定FAI的重要变量,重点关注功能独立性.

主要成果:

FAI得分从0到19不等,得分≥12表示独立的可能性更高.
每个FAI单位的增加与横截面独立性增加30%-58%以及独立性两年风险增加20%相关.
对于预测功能独立性,FAI显示了0.73的C统计值.

结论:

开发的FAI有效地测量了社区老年人的功能能力.
FAI可以成为老年人的常规健康评估的宝贵工具.
该指数支持主动评估功能状态,以促进健康老龄化.

关键词:

身体残疾就是残疾.功能能力功能能力功能能力健康的衰老健康的衰老独立的独立性独立的独立性本质能力本质能力是指内在能力.老年人年长的人.

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