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Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
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Preventive Healthcare Services01:30

Preventive Healthcare Services

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Principles of Disease Surveillance01:26

Principles of Disease Surveillance

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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Healthcare Agencies II01:17

Healthcare Agencies II

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There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
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Methods Of Healthcare Delivery System01:26

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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公共卫生 公共卫生

João Vitor da Silva Viana1,2, Joice Coutinho de Alvarenga3,4, Aline Siqueira de Souza3,5,6

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概括

麻症和虚弱指标,包括APOE ε4等位基因,女性性别和BMI,与较差的认知功能有关. 包括这些因素改善了认知障碍的预测模型.

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科学领域:

  • 老年学和神经科学 在
  • 认知衰老研究 认知衰老研究
  • 肌肉健康与衰老问题

背景情况:

  • 肉,与年龄相关的肌肉质量和功能的损失,是脆弱的组成部分.
  • 萨科佩尼亚是阿尔茨海默氏症痴呆症 (ADD) 的危险因素,同时发生与更糟糕的结果有关.
  • 了解影响老年人群认知衰退的因素对于公共卫生至关重要.

研究的目的:

  • 评估年龄,性别,APOE ε4等位基因和教育对认知障碍的预测影响.
  • 评估肉症和虚弱指标 (BMI,TUG,CC) 对认知状态预测的贡献.
  • 确定这些因素与微型心理状态考试 (MMSE) 成绩之间的关系.

主要方法:

  • 采用 Cog-Aging 队列研究 (n=92) 的数据进行的横截面研究.
  • 使用后勤回归分析来预测MMSE状态.
  • 这些变量包括年龄,性别,APOE ε4等位基因,教育程度,BMI,定时上班和上班测试 (TUG) 和小腿周长 (CC).

主要成果:

  • APOE ε4等位基因 (OR=5.15),女性性别 (OR=3.46) 和更高的BMI (OR=1.17) 是较差认知状态的显著预测因素.
  • 较低的小腿周长 (CC) 和较少的正规教育年限与受损的MMSE分数有关.
  • 包括肉症和脆弱性变量改善了后勤回归模型的性能,将准确性从68.96%提高到74.71% (AUC=0.810).

结论:

  • APOE ε4等位基因,女性性别,较高的BMI,较低的教育和较低的CC与较差的认知表现有关.
  • 萨科佩尼亚和虚弱指标显著提高了认知障碍的预测模型.
  • 这些发现强调了老年人身体健康和认知功能之间的相互作用.