在心力衰竭的老年黑人和西班牙裔个人中,健康素养和身体功能
Shabatun J Islam1, Sergio Teruya2, Denise Fine1
1Section of Cardiovascular Medicine, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine and Boston Medical Center Boston, MA.
Journal of cardiac failure
|July 14, 2025
概括
在老年黑人和西班牙裔心力衰竭 (HF) 患者中,有限的健康素养是常见的,并且与较差的身体功能有关. 提高健康素养可能会提高这些少数群体的HF结果.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 老年病的医生 老年病的医生
背景情况:
- 心力衰竭 (HF) 的结果受到健康素养不足的负面影响.
- 患有HF的老年人经历了诸如并发症和虚弱等障碍,影响了结果.
- 有限的研究存在于老年HF患者的健康素养和身体功能.
研究的目的:
- 研究老年黑人和西班牙裔HF患者的健康素养和身体功能之间的关联.
主要方法:
- 少数群体中核成像对心脏粉症的查 (SCAN-MP) 研究包括来自纽约市,波士顿和纽黑文的60岁以上的成年人.
- 通过使用最新的生命体征来评估健康素养.
- 身体功能通过6分钟步行时间 (6MWD) 和短物理性能电池 (SPPB) 测试来测量.
主要成果:
- 只有12.7%的队列 (n=433) 有足够的健康素养.
- 在调整后,充分的健康素养与更好的6MWD表现相关 (β=37.5 m,P=0.04).
- 经过调整后,充分的健康素养也与更好的SPPB分数 (β=1.18,P=0.002) 有关.
结论:
- 高龄的黑人或西班牙裔HF患者表现出有限的健康素养的高患病率.
- 在这个人群中,有限的健康素养与较差的身体功能有关.
- 专注于健康素养的干预措施可以改善少数群体患者的HF结果.
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