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疲劳对70岁到100岁之间的健康,功能和生存的影响
Irit Stessman-Lande1, Aliza Rozenberg2, Jochanan Stessman1
1The Jerusalem Institute of Aging Research, Hadassah Medical Center, Mt. Scopus, Jerusalem, Israel; Department of Geriatric Rehabilitation and the Center for Palliative Care, Faculty of Medicine, Hebrew University of Jerusalem, and Hadassah Medical Center, Mt. Scopus, Jerusalem, Israel.
疲劳在老年人中很常见,并显著影响整个寿命的健康,功能和生存. 认识到疲劳对于预测老龄化人口的负面健康结果和死亡率至关重要.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 临床医学 临床医学
背景情况:
- 疲劳在衰老中很普遍,但它的长期健康关联是不太了解的.
- 了解疲劳的轨迹和影响对于老年护理至关重要.
研究的目的:
- 为了检查70岁至100岁的疲劳轨迹.
- 评估疲劳对健康,功能和生存的长期影响.
主要方法:
- 展望纵向队列研究 (耶路撒冷纵向研究,1990-2022年).
- 参与社区居住的老年人 (1920-1921年出生) 在70,78,85,90,95和100岁时进行评估.
- 使用多变量物流和考克斯比例危险模型来分析疲劳与健康,功能和死亡率的关联.
主要成果:
- 疲劳的患病率随着年龄的增长而增加,在90岁时达到77.2%,达到90岁时的峰值.
- 疲劳与孤独感,自我评估健康,日常活动和体力活动的下降有关.
- 疲劳显著预测了70,85和90岁的死亡风险增加,但在95-100岁时没有.
结论:
- 疲劳是整个衰老过程中不利的健康结果和死亡率的重要独立标志物.
- 对疲劳的临床关注对于识别有风险的老年人至关重要.
- 需要进一步的研究来确定疲劳是否是一种可修改的因素.
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