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上肢灵活性与老年人全因死亡率之间的关联
Yushan Zhang1, Chi Zhang2, Jia Hu3
1Department of Geriatrics, Beijing Hospital, National Centre of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China.
Journal of global health
|October 3, 2025
概括
上肢灵活性 (ULF) 是老年人身体功能的一个关键指标. 损伤的ULF,特别是在右侧,与中国老年人口的死亡风险增加有关.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 上肢灵活性 (ULF) 是对老年人身体功能的一种可行的衡量标准.
- 评估ULF可以提供对长寿人口健康状况的见解.
研究的目的:
- 调查上肢灵活性与全因死亡率之间的关联.
- 探索ULF作为中国社区居住的老年人死亡率的预测因素.
主要方法:
- 利用来自中国长度健康长寿调查的21861名80岁以上的成年人的数据.
- 在基线通过三项物理任务评估ULF;追踪参与者直到2018年以获得生存数据.
- 用人考克斯比例危险回归,调整人口统计学,行为和健康史共变量.
主要成果:
- 在进行了广泛的随访后,ULF受损 (左和右) 与所有死因死亡风险的增加有显著关联.
- 右侧ULF损伤显示危险比为1.12 (95%CI:1.05-1.20).
- 左和右ULF综合损伤呈现出最高的死亡风险 (HR: 1.29; 95% CI: 1.19-1.38),具有显著的添加相互作用.
结论:
- 上肢灵活性受损是中国老年人因各种原因死亡的重要危险因素.
- ULF,特别是右侧损伤,在这个人口群体中作为一种简单但有效的过早死亡预测指标.
- 这些发现强调了ULF评估在老年人健康评估中的重要性.
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