多药与中年成年人身体功能之间的关联:来自心脏功能研究的发现
Caroline E Sloan1,2,3,4, Marissa C Ashner5, Cara L McDermott6,7
1Duke University School of Medicine, Department of Medicine, Durham, NC, USA. caroline.sloan@duke.edu.
Journal of general internal medicine
|July 7, 2025
概括
多药性,即使用五种或五种以上的药物,与中年成人身体功能下降有关. 这凸显了对多处方患者身体衰退的早期评估的必要性.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 多药性 (≥5种药物) 和潜在不合适的药物 (PIMs) 在中年人群中普遍存在.
- 这些药物实践与老年人的不良结果有关,但它们对中年人的身体功能的影响还未得到充分研究.
研究的目的:
- 确定多药和PIM使用与中年人的身体表现之间的关联.
主要方法:
- 年轻成年人冠状动脉风险发展分析 (CARDIA) 功能研究,前性队列.
- 包括1842名参与者与药物数据和身体性能测试 (步行速度,握力,椅子站立,平衡,6分钟步行) 在35年.
- 使用多变量线性回归来评估与心脏物理性能 (CAPP) 评分的关联,调整为共变量.
主要成果:
- 29%的参与者使用多药,25%使用PIM.
- 多药性与CAPP得分下降1.24分 (p < 0.001) 有关.
- 最初,PIM使用与CAPP得分降低0.88分 (p < 0.001),但在调整为多药后,这种联系消失了.
结论:
- 多药性与中年成年人的身体功能下降有显著的关联.
- 临床医生应主动评估中年多药患者的身体功能,以检测早期衰退.
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