老年人的抑郁症状,平衡和步态:调解和适度分析
Firuzan Fırat Ozer1, Sibel Akın1, Tuba Soysal1
1Division of Geriatrics, Department of Internal Medicine, Erciyes School of Medicine, Erciyes University, Melikgazi, Kayseri 38090, Turkey.
Gait & posture
|September 12, 2025
概括
老年人的抑郁症状与不良的平衡和步行有关. 营养状况,认知功能和对跌倒的恐惧部分解释了这种联系,这表明有针对性的干预措施.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 在老年人中,抑郁症状很普遍.
- 运动障碍,包括平衡和步态不佳,是老年人群的重大问题.
- 抑郁症,认知功能,营养状况和害怕陷入流动性之间的相互作用尚未完全理解.
研究的目的:
- 调查老年人抑郁症状与平衡/步态之间的关系.
- 检查认知功能,营养状况和害怕陷入这种关系的调节和调节作用.
主要方法:
- 对566名居住在社区的老年人 (≥65岁) 进行了回顾性横截面研究.
- 评估平衡/步态 (Tinetti评估电池),抑郁症状 (老年抑郁量表),认知功能 (迷你精神状态检查) 和营养状况 (迷你营养评估).
- 员工调解和调节分析,以探索间接和直接的影响.
主要成果:
- 抑郁症状,晚年,女性性别,跌倒恐惧,较低的认知分数 (MMSE) 和较差的营养状况 (MNA) 与平衡和步态受损有关.
- 营养状况 (36.8%),跌倒恐惧 (17%) 和认知功能 (15.5%) 部分介导了抑郁症和移动性问题之间的联系.
- 没有观察到显著的缓和效应.
结论:
- 在老年人中,抑郁症状独立地与平衡和步行障碍有关.
- 营养状况,认知功能和对跌倒的恐惧充当了重要的部分调解者.
- 针对这些因素的多维评估和干预措施对于管理抑郁老年人的运动障碍至关重要.
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