脆弱状态的变化与非新发性消化系统疾病之间的关联:基于中国健康与退休纵向研究的队列研究
Jingwei Che1, Qiao Song2, Chunyu Zhao1
1Department of Nutrition and Food Hygiene, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China.
虚弱状态的变化显著影响发展非新发性消化道疾病 (NNDSD) 的风险. 脆弱性进展增加了NNDSD风险,而改善脆弱性状态减少了它,突出显示了监测脆弱性过渡的重要性.
科学领域:
- 老年学是一门学科.
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 以前的研究将基线脆弱性与非新发性消化系统疾病 (NNDSD) 联系起来.
- 脆弱状态过渡对NNDSD风险的影响尚未得到充分理解.
研究的目的:
- 调查脆弱状态过渡与新发性NNDSD风险之间的关联.
- 分析脆弱程度的变化如何影响消化系统疾病发病率.
主要方法:
- 利用了来自中国健康与退休长度研究 (CHARLS) 的数据.
- 用32项脆弱指数将参与者分为强壮,前脆弱和脆弱.
- 通过自我报告评估了随访和NNDSD诊断之间的脆弱性过渡.
- 雇佣了Cox的比例危险建模和灵敏度分析.
主要成果:
- 较高的基线脆弱性 (脆弱前,脆弱) 与增加的NNDSD发病率相关.
- 进展到脆弱前或脆弱状态增加了NNDSD风险,而不是保持强.
- 从前脆弱状态到脆弱状态的进展增加了NNDSD风险.
- 从前脆弱状态恢复到强状态与减少NNDSD风险有关.
结论:
- 脆弱性状态的变化与新出现的NNDSD风险有显著的相关性.
- 脆弱性进展会放大NNDSD风险,而脆弱性改善会减轻风险.
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