群体参与和晚年功能衰退的风险:一个前性队列研究
Makoto Kaneko1,2,3, Fumihiro Saitoh2,4, Hotaka Hara2,5
1Yokohama City University, Kanagawa, Japan.
概括
长期参加日本汉Kai会议显著降低了老年人,特别是75岁及以上的功能障碍风险. 持续的社区参与促进健康的衰老.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
背景情况:
- 群体参与改善了老年人的健康,但影响因群体类型而异.
- 日本健康与福利合作社 (Hew Co-op) 组织同行主导的"汉凯"会议,以促进健康素养.
- 韩凯参与对健康指标的影响未得到充分研究.
研究的目的:
- 检查汉Kai参与频率和持续时间与老年人功能障碍风险之间的关联.
- 调查持续参与和残疾风险之间的剂量反应关系.
- 确定从长期参与中受益最多的特定年龄组.
主要方法:
- 在日本进行的前性队列研究 (2018-2022).
- 参与者:2359名年龄≥65岁的韩凯会员,没有长期护理认证.
- 曝光:韩凯参与的频率 (每年) 和持续时间 (2018年为几年). 结果:发生性功能障碍的风险评估尺度得分 (2022). 使用多变量线性回归.
主要成果:
- 韩凯参与的总体频率与残疾风险得分没有显著关联.
- 参与超过10年的参与者具有明显较低的残疾风险得分 (β = -1.95,P = .024).
- 在75岁以上的患者中,频率和持续时间都与风险得分有显著的反向关联,表明了剂量-反应关系.
结论:
- 持续参加像汉凯这样的同行领导的小组会议可能会减轻功能衰退,特别是在老年人群中.
- 调查结果支持促进长期社区参与健康老龄化战略的政策.
- 鼓励在社会群体中持续参与,对于在晚年保持功能独立至关重要.
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