在社区生活的老年人中,脆弱是否与对跌倒和活动限制的担忧增加有关? 一个系统的审查
Bianca Nicklen1, Kim Delbaere2, Toby J Ellmers1
1Department of Brain Sciences, Imperial College London, UK.
The Journal of frailty & aging
|January 24, 2025
概括
在老年人中,虚弱是担心跌倒 (CaF) 的重要危险因素. 这表明了双向的关系,促使临床医生选脆弱的个人CaF.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 对跌倒 (CaF) 的担忧在老年人中很普遍,导致跌倒,活动减少,社会隔离和身体衰退.
- 了解脆弱性和CAF之间的关系对于开发有针对性的干预措施至关重要.
研究的目的:
- 在老年人中,系统地审查和评估脆弱是否是担心跌倒 (CaF) 的风险因素.
主要方法:
- 在五个数据库 (Medline,CINAHL,Embase,Psychinfo,Scopus) 进行了系统的文献搜索,以进行横截面和前性研究.
- 在非随机暴露研究中的偏差风险 (ROBINS-E) 工具被用于评估研究质量.
主要成果:
- 包括12项研究 (8项横截面,4项前性) 涉及老年人 (平均年龄为67.5-81.7岁).
- 大多数研究报告说,增加的脆弱性和CaF之间存在显著的关联,调整后的几率比率 (ORs) 差异很大.
- 两项前性研究发现,脆弱性和与关注有关的活动限制之间存在显著的关联.
结论:
- 本次审查强调了增加的脆弱性和CaF之间强烈的关联,以及相关的活动限制.
- 这些发现表明脆弱性和CaF之间存在双向关系,扩大了之前的研究.
- 临床医生应该考虑查CAF的脆弱前和脆弱的老年人.
相关概念视频
Heart Failure V: Nursing Interventions
2
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
2
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
Aging
39
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...
39


