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Updated: Sep 17, 2025

Evaluating the Function of the Foot Core System in the Elderly
Published on: March 11, 2022
身体功能轨迹及其对中国老年人全因死亡率的影响:一项大型全国纵向研究
Shisi Shen1, Jialu Yang2, Ning Ma3
1Department of Obstetrics and Gynaecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
维持日常生活工具活动 (IADL) 功能对于老年人来说至关重要. 稳定和低的IADL功能显著增加了老年人群所有原因死亡的风险.
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:
- 身体功能与全因死亡率有关,但之前的研究显示存在不一致性.
- 日常生活工具活动 (IADL) 是老年人功能状态的关键指标.
研究的目的:
- 在老年人中识别IADL的不同轨迹.
- 估计不同IADL轨迹对所有原因死亡率的影响.
主要方法:
- 利用了来自中国长度健康长寿调查 (2002-2018) 的数据,其中包括13,385名参与者 (≥60岁).
- 采用基于组的轨迹建模来定义IADL模式.
- 应用多变量考克斯回归和子组分析来评估死亡风险.
主要成果:
- 确定了三个IADL轨迹:"稳定和高功能" (45.7%),"快速增长" (25.5%),和"稳定和低功能" (28.7%).
- "稳定和低功能"与任何原因死亡风险更高显著相关 (HR=1.33,95% CI=1.25-1.41).
- 关联因年龄,收入,婚姻状况,社会活动和认知障碍而有所改变;在敏感性分析中,研究结果强大.
结论:
- 稳定和较低的IADL功能是老年人过早死亡的预测因素.
- 公共卫生战略应优先考虑在健康的老年人中保持功能能力,以减少死亡风险.
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