在老年人中,多维脆弱性和动力衰竭与跌倒风险的关联
Maryam Ghorbanzadeh1, Afsaneh Bakhtiari2, Karimollah Hajian-Tilaki3
1Student Research Committee, Babol University of Medical Sciences, Babol, Iran.
BMC geriatrics
|July 3, 2025
概括
肌力衰弱 (与年龄相关的肌肉衰弱) 和虚弱显著增加老年人的跌倒风险. 它们的联合存在显示了剂量依赖的效果,突出了需要综合评估来管理高风险个体的需要.
科学领域:
- 老年学是一门学科.
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 动力衰竭和虚弱是老年人功能衰退和死亡率的既定预测因素.
- 动脉变现象,脆弱领域和跌倒风险之间的相互作用仍然不够理解.
- 这项研究解决了关于动脉和脆弱性对跌倒风险的综合影响的知识差距.
研究的目的:
- 研究老年人中跌倒风险,dynapenia表型和脆弱的不同领域之间的关系.
- 确定动脉和虚弱与降落风险增加的独立和联合关联.
- 探索动脉动脉,脆弱领域和跌倒风险之间的剂量反应关系.
主要方法:
- 400名65岁以上的门诊患者的横截面研究.
- 跌倒风险是使用伯格平衡量级评估的.
- 通过手握动力测量确定动力的表型;使用TFI在身体,心理和社会领域评估脆弱性.
- 应用单变量和多变量回归分析来检查关联.
主要成果:
- 动力衰弱和多维虚弱独立地与较高的跌倒风险相关 (分别为OR=2.75和OR=2.56).
- 动力衰弱和虚弱的同时出现显着增加了跌倒风险 (OR=20.45).
- 身体和社会脆弱的领域,与动力症结合,显示了明显的剂量取决于跌倒风险的增加.
结论:
- 动力衰竭和虚弱,特别是涉及身体和社会领域,独立而协同地增加了老年人的跌倒风险.
- 动力衰弱和虚弱的联合存在对跌倒风险具有剂量依赖的影响.
- 综合评估对于识别和管理跌倒风险最高的老年人至关重要.
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