心房对老年人身体表现的影响:与认知功能相关的纵向研究
Chiara Ceolin1, Eleonora Mizzon2, Marianna Noale3
1Geriatric Unit, Department of Medicine (DIMED), University of Padua, Padua, Italy; Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Aging Research Center, Stockholm, Sweden.
Journal of the American Medical Directors Association
|July 17, 2025
概括
心房动 (AF) 显著影响老年人的身体表现,特别是在认知能力下降的情况下. 干预对于保持运动功能和生活质量至关重要.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 心房动 (AF) 是老年人常见的心律失常,影响生活质量和身体功能.
- 关于AF对身体表现的长期影响的证据有限,特别是关于认知衰退和虚弱的证据.
研究的目的:
- 评估心房对老年人身体表现的长期影响.
- 调查认知功能,虚弱和性别对AF和身体表现之间的关系的影响.
主要方法:
- 一项观察性队列研究,涉及2104名年龄≥65岁的个人.
- 收集的数据包括社会人口统计,临床,功能,脆弱性和认知状态 (MMSE ≥24或<24).
- 在基线和4.4年后评估了身体表现 (肌肉力量,步行速度,坐站) 和AF;回归和混合线性模型用于分析.
主要成果:
- 心房动与较低认知功能 (MMSE <24) 的参与者,特别是女性,手握力和步行速度的急剧下降有关.
- 在具有较高认知功能 (MMSE ≥24) 的参与者中,AF与步行速度的显著下降有关,在男性中观察到类似的趋势.
- 在调整为脆弱性后,这些关联仍然很重要.
结论:
- 心房会对身体表现产生负面影响,特别是步行速度和握手力,其影响由认知能力下降和性别调节.
- 针对AF管理和老年护理的多学科干预措施对于保持运动能力和提高AF老年人生活质量至关重要.
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