[老年人维生素B12缺乏及其与老年综合征的关联]
N O Khovasova1, A V Naumov1, A V Unkovskiy1
1Russian Gerontology Research and Clinical Centre - N.I. Pirogov Russian National Research Medical University, Moscow, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|November 22, 2024
目的:
评估老年综合征(GS)的发生频率及其与老年患者维生素B12缺乏的关系。
材料与方法:
本研究纳入了222名年龄在60岁及以上的受试者,其中78.8%为女性,均按计划收治入老年科病房。所有患者均接受了常规临床检查、综合老年评估(CGO)以及维生素B水平评估12血液中的浓度。
结果:
21.2% 的患者被诊断为维生素B缺乏。12缺乏。维生素B12缺陷患者在CGO包含的多项测试中表现较差:椅子测试(p<0.001),步行速度(p<0.001),TUG(p=0.038),串联检测(p=0.039),时钟绘制测试(p=0.043)。在维生素B缺乏的患者中,MMSE、焦虑问卷和FRAX的结果也更差。12缺乏。与此同时,维生素B12缺乏与多种老年综合征(GS)的风险增加相关,如衰弱、认知障碍、跌倒、对跌倒的恐惧、骨折高风险、多重用药、神经病理性疼痛和焦虑。维生素B12- 缺乏的患者服用二甲双胍的可能性显著更高,而质子泵抑制剂组服用二甲双胍的频率也趋于更高。
结论:
维生素B12缺乏与大量GS相关。
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