功能和休活动对社区老年人的残疾风险的影响
Takahiro Shimoda1, Kouki Tomida2, Chika Nakajima2
1Department of Preventive Gerontology Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-Cho, Obu, Aichi, 474-8511, Japan. tshimoda@ncgg.go.jp.
Clinical and experimental nephrology
|August 27, 2025
概括
参与休活动与老年人的残疾风险降低有关,无论他们的功能如何. 这突显了爱好对于保持独立性和预防残疾的重要性.
科学领域:
- 老年学
- 肝脏病学
- 公共卫生
背景情况:
- 功能受损和休活动减少与老年人的残疾风险增加有关.
- 功能与休活动对残疾发病率的影响尚未得到充分研究.
- 这项研究涉及功能对休活动与意外残疾之间的影响.
研究的目的:
- 调查功能是否会改变休活动参与与意外残疾之间的关系.
- 检查休活动与老年人的残疾风险之间的独立关联.
- 评估估计的球过率 (eGFR) 在这一关联中的作用.
主要方法:
- 采用了来自全国老年病学与老年病学研究中心的16354名社区老年人的数据.
- 根据肌水平估计的球过率 (eGFR) 评估功能,将参与者分为eGFR ≥60和eGFR <60毫升/分钟/1.73米2.
- 通过采访量化休活动参与,并通过日本长期护理保险系统追踪残疾发病率.
主要成果:
- 共有786名参与者 (5.0%) 在24个月内发展为残疾人.
- 较低的休活动参与率显著增加了残疾风险 (HR1.25;95% CI1.04-1.50),独立于eGFR.
- 没有发现eGFR与休活动参与之间的显著相互作用 (P=0.66),表明它们的作用是独立的.
结论:
- 在社区生活的老年人中,休活动与减少残疾发病风险有关.
- 通过eGFR评估的功能似乎没有影响休活动对残疾的保护性关联.
- 建议定期评估休活动,以确定有发展残疾风险的老年人.
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