中国老年人虚弱状态和预测因素的两年演变:一项全国纵向研究
Jing Shi1, Luyao Zhang2,3, Yongkang Tao4
1The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital, National Center of Gerontology of National Health Commission, Beijing, 100730, China.
BMC geriatrics
|November 18, 2025
概括
在老年人中,脆弱性随着年龄的增长而恶化,特别是在女性中. 识别和解决社会,经济和健康状况等多方面的因素是有针对性的干预措施的关键.
科学领域:
- 老年学与公共卫生
- 衰老研究研究 衰老研究
- 健康的社会经济决定因素
背景情况:
- 全球人口老龄化突出了老年人的脆弱性作为一个关键的研究领域.
- 脆弱是一种动态的,多因素的过程,受到生物,社会,心理和环境因素的影响.
- 识别脆弱性进展的驱动因素对于预防性干预和有效的医疗保健策略至关重要.
研究的目的:
- 评估老年中国成年人的脆弱状态并分析其发展轨迹.
- 确定影响该群体脆弱性进展的关键因素.
主要方法:
- 利用了中国城乡老年人口第四次样本调查 (2017-2019) 的数据.
- 使用脆弱指数 (FI) 模型评估脆弱性.
- 使用后勤回归来识别影响脆弱性进展的因素.
主要成果:
- 虚弱指数 (FI) 值随着年龄的增长而增加,在女性中更高.
- 在两年内,29.6%的老年人经历了虚弱的恶化,而14.2%的情况有所改善.
- 人口,社会经济,健康,照顾者支持和社会参与因素显著影响了虚弱的进展.
结论:
- 虚弱的进展比改善更为常见,老年女性更容易受到伤害.
- 影响脆弱过渡的因素是复杂的和多方面的.
- 针对脆弱阶段和过渡途径量身定制的个性化,全面的干预措施对于改善老年人的结果至关重要.
相关概念视频
Longitudinal Research
13.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
13.0K
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion
223
In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
223
Pharmacodynamics in Geriatric Patients: Effects of Age
180
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
180
Bone Disorders
5.0K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
5.0K
Factors Affecting Illness
5.0K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
5.0K
Longitudinal Studies
454
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
454


