定制多领域干预计划以减少老年人的认知和身体衰退:在全国集群随机对照试验中检查农村和城市的差异
Min-Yin Ho1, Wei-Ju Lee2, Ko-Han Yen3
1Center for Healthy Longevity and Aging Sciences, National Yang Ming Chiao Tung University, Taipei, Taiwan,; Child Welfare League Foundation, Taipei City, Taiwan.
The journal of prevention of Alzheimer's disease
|June 13, 2025
概括
多领域干预措施在老年人中的有效性因地点而异. 城市居民在认知功能和步行速度方面受益更多,而农村居民则改善了握力和语言技能.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 临床试验 临床试验
背景情况:
- 人口老龄化面临着脆弱性和认知能力下降的挑战.
- 多领域干预有前途,但农村和城市的疗效差异研究不足.
研究的目的:
- 评估农村和城市之间的差异如何影响12个月的多领域干预对老年人认知和身体结果的有效性.
主要方法:
- 集群随机对照试验涉及台湾40个社区集群的1082名65岁以上的成年人.
- 干预包括体育炼,认知训练和营养指导;对照组接受了电话健康教育.
- 结果:在基线,6个月和12个月评估的步行速度,握力,身体活动,虚弱 (CHS得分) 和认知功能 (MoCA).
主要成果:
- 城市参与者在视觉空间/执行功能和步行速度方面表现出更大的收益.
- 农村参与者在握力和语言功能方面得到了更好的改善.
- 与农村地区相比,城市地区的脆弱性减少更为显著.
结论:
- 农村和城市之间的差异对老年人多领域干预的有效性有重大影响.
- 定制策略对于优化不同农村和城市环境中的健康结果至关重要.
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