老年人的功能依赖程度和晚年事件多病症:来自中国和欧洲19个国家的纵向证据
Anying Bai1,2, Yimin Qu1, Qiushi Chen3
1School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
BMC public health
|December 25, 2025
概括
功能依赖 (FD) 显著增加了晚年患多种慢性疾病 (多发病) 的风险. 针对FD的干预措施对于减轻老龄人口的不良健康结果至关重要.
科学领域:
- 老年学与公共卫生
- 老龄化的流行病学.
背景情况:
- 全球人口老龄化和预期寿命的增加需要了解导致功能依赖 (FD) 和多病症的因素.
- 飞行器疾病对晚年多病症发展的具体影响仍未得到充分研究.
研究的目的:
- 在7年的随访期内调查基线功能依赖 (FD) 与多病发病率之间的关联.
- 检查人口和社会因素如何改变FD和事件多病症之间的关系.
主要方法:
- 分析了中国健康与退休长度研究 (CHARLS) 和欧洲健康,老龄化与退休调查 (SHARE) 的数据.
- 用日常生活的基本和工具活动 (ADL和IADL) 来评估功能依赖 (FD).
- 使用后勤回归和随机效应元分析来确定FD水平与事件多病症之间的关联.
主要成果:
- 具有较高FD水平的个体表现出明显增加发展事件多病症的风险.
- 观察到一种剂量反应关系,更高的FD与更高的多病症风险相关.
- 年龄,性别,居住地区,婚姻状况和社会隔离显示了与FD对多病发病率的相互作用效应.
结论:
- 功能依赖 (FD) 是晚年多病症的一个重要预测因素.
- 人口和社会因素与FD相互作用,影响多病症风险.
- 量身定制的干预措施和综合护理模式对于管理FD和预防老年人多病症至关重要.
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