公共卫生 公共卫生
Jeonghyeon Kim1, Taewan Kim1, Yoonhwan Kim1
1Sungkyunkwan University, suwon, GYEONGGI-DO, Korea, Republic of (South).
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
低肌肉强度和高体脂的情况,显著增加了认知障碍和老年人抑郁症状的风险. 早期识别和干预对心理健康至关重要.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 营养科学 营养科学
- 神经学和精神病学 精神病学
背景情况:
- 肌肉强度降低和脂肪度增加的特征是动态肥胖 (DO),是老年人群日益关注的问题.
- 现有的研究表明,DO与不良心理健康结果之间存在联系,包括抑郁症和认知能力下降.
- 了解DO的特定表型及其对心理健康的影响对于有针对性的干预至关重要.
研究的目的:
- 为了研究恐慌性肥胖现象型作为老年人抑郁症状和认知障碍的预测因素.
- 评估恐慌性肥胖症在抑郁症状和认知功能之间的调解作用.
- 为了确定与心理健康结果相关的特定的DO表型 (一般与腹部肥胖症).
主要方法:
- 一项涉及938名社区居住的韩国老年人 (65-90岁) 的横截面研究.
- 通过手握强度 (AWGS标准) 定义的动力衰竭;通过BMI和腰围来定义的肥胖.
- 用MMSE-DS评估认知功能;用CES-D测量抑郁症状.进行了后勤回归和调解分析.
主要成果:
- 肌痛性肥胖症,肌痛性肥胖症 (DO) 和肌痛性腹部肥胖症 (DAO) 与较高的认知障碍风险显著相关.
- 气喘症,DO和认知障碍与抑郁症状的风险增加有关;独自生活也是一个风险因素.
- DO调解了抑郁症状与认知功能之间的关系 (22.2%的间接效应) 和相反 (24.1%的间接效应).
结论:
- 动力性肥胖,特别是根据握力和BMI来定义时,是韩国老年人认知障碍和抑郁症状的重要贡献者.
- 这些发现强调了在老年人常规心理健康查中评估肥胖的重要性.
- 针对肥胖症的干预措施可能在预防或减轻老年人群的心理健康问题方面发挥着至关重要的作用.
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