公共卫生 公共卫生
Mingzhi Yu1, Yuling Jiang2, Longbing Ren3
1School of Public Health, China Centers for Health Development Studies, Peking University, Beijing, Beijing, China.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
老年人的认知障碍显著增加了跌倒和随后的身体依赖的风险. 早期干预对于预防跌倒和减轻这一群体的依赖性至关重要.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 老年人认知障碍和跌倒风险之间的关系需要进一步澄清.
- 落和身体依赖对健康的衰老构成重大挑战.
研究的目的:
- 调查认知障碍与老年人中跌倒,反复跌倒和身体依赖的风险之间的关联.
- 分析中国长度健康长寿调查 (CLHLS) 的数据,以了解这些风险.
主要方法:
- 使用CLHLS第8波和第9波 (2018-2021) 的数据进行了纵向研究.
- 分析包括8,665名65岁及以上的老年人,根据迷你精神状态检查 (MMSE) 成绩分类.
- 多变量逻辑回归检查了认知状态和跌倒/依赖风险之间的关联.
主要成果:
- 认知障碍,特别是严重的认知障碍 (SCI),与明显更高的跌倒风险相关 (或SCI与认知健康相比:1.37).
- 认知障碍增加了反复跌倒的风险 (SCI的OR为1.64) 和反复严重跌倒的风险 (SCI的OR为2.94).
- 严重的认知障碍强烈预测了与跌倒相关的身体依赖的更高风险 (SCI的OR:8.26).
结论:
- 认知障碍是老年人落和随后的身体依赖的重要危险因素.
- 这些结果会对生活质量产生负面影响,并增加护理人员的负担.
- 迫切需要有针对性的干预措施,以预防跌倒和管理这群人的依赖.
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