最老年人死亡率预测因素的脆弱性:系统性审查和元分析
Justina Angel Tan1, Jin Hean Koh2, Reshma Aziz Merchant2,3
1Department of Geriatric Medicine, Alexandra Hospital, Singapore.
Geriatrics & gerontology international
|November 24, 2024
概括
脆弱性显著增加了90岁以下的个体的死亡风险. 然而,这种关联在90岁及以上的人群中并不显著,因为性别差异在这些人群中显著.
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:
- 虚弱是老年人常见的疾病,与死亡风险增加密切相关.
- 作为最老的老年人 (90岁以上) 的死亡率预测因素的脆弱性研究有限.
研究的目的:
- 系统地审查和对现有研究进行元分析,以确定与老年人脆弱性相关的死亡风险.
- 澄清老年人口中不同年龄层的脆弱性对死亡率的预测价值.
主要方法:
- 在2023年5月,在Medline/PubMed,Embase和Cochrane图书馆进行了全面的电子文献搜索.
- 系统性审查和元分析被用来计算结合的脆弱性死亡率估计.
主要成果:
- 与非脆弱个体相比,脆弱的参与者整体存活率 (OS) 显著降低 (HR: 1.81).
- 在90岁以下的个体中,脆弱与较差的生存状况显著相关 (HR:2.09).
- 相比之下,在90岁及以上的个体中,虚弱与OS没有显著的关联,观察到的性别差异化影响.
结论:
- 虚弱是90岁以下人群死亡率的重要预测因素.
- 在90岁及以上的个体中,脆弱性和死亡率之间的关联在统计学上并不显著.
- 需要进一步的研究,以了解脆弱性,年龄和性别对最年长老人的死亡率的复杂相互作用.
更多相关视频
05:53Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
16.6K
07:27Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
Published on: October 6, 2016
10.2K
相关概念视频
Aging
37
Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
37
Bone Disorders
3.4K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.4K
Mitochondria
11.1K
Mitochondria are eukaryotic cellular organelles that are known to produce energy through a process called oxidative phosphorylation. Besides their primary function, mitochondria are involved in various cellular processes, including cell growth, differentiation, signaling, metabolism, and senescence. Age-related changes cause a decline in mitochondrial quality and integrity due to increased mitochondrial mutations and oxidative damage. Thus, aging can severely impact mitochondrial functions,...
11.1K
