内在能力及其与老年人功能能力相关的维度:系统性审查和元分析
Yilin Cheng1, Weiyao Li1, Shuqin Xiao1
1School of Nursing, Capital Medical University, No 10, Xitoutiao, Youanmenwai, Fengtai District, Beijing, PR China.
Archives of gerontology and geriatrics
|May 9, 2025
概括
内在能力的下降,特别是运动能力的下降,显著增加了老年人功能障碍的风险. 这突出了干预的关键领域,以保持独立和健康的衰老.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 公共卫生 公共卫生
- 生物医学研究生物医学研究
背景情况:
- 内在能力对于保持老年人的功能能力至关重要.
- 了解功能障碍内在能力领域的预测能力对于有针对性的干预措施至关重要.
研究的目的:
- 探索内在能力下降及其领域与老年人功能障碍之间的关联.
- 为了比较整体内在能力的预测能力与功能障碍的特定领域的预测能力.
主要方法:
- 在多个数据库 (PubMed,Embase等) 进行系统的文献搜索. 在2024年12月之前.
- 对15项涉及53,648名参与者的纵向研究的元分析.
- 使用纽卡斯尔-太华尺度评估研究质量,使用GRADE指南评估证据质量.
主要成果:
- 运动,认知,心理健康和活力的下降与日常生活活动 (ADL) 障碍的风险增加有关.
- 运动能力下降显示,对ADL残疾的预测能力比整体内在能力更强.
- 总体内在能力的下降与日常生活工具活动 (IADL) 的残疾风险密切相关.
结论:
- 内在能力及其领域是老年人功能障碍的重要预测因素.
- 运动能力下降成为推动功能障碍的关键因素.
- 建议对内在能力领域之间的纵向相互作用进行进一步的研究,以完善健康衰老框架.
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