巴西南部老年人身体质量指数和虚弱的轨迹:一项纵向研究
Cecília F Fernandes1, Karla P Machado1, Andréa D Bertoldi2
1Graduate Program in Nutrition and Food, Federal University of Pelotas, Rua Gomes Carneiro 01, Pelotas 96010-610, Brazil.
Nutrients
|January 28, 2026
概括
长期保持健康的体重对老年人来说至关重要. 虽然体重不足会增加虚弱的风险,但超重的轨迹可能会提供保护,与老年病学中的"肥胖悖论"保持一致.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 虚弱是一种严重的老年综合征,与不良健康结果有关.
- 对于社区生活的老年人来说,了解影响脆弱性进展的因素至关重要.
研究的目的:
- 为了研究十多年身体质量指数 (BMI) 轨迹与脆弱性之间的关联.
- 分析与巴西老年人BMI长期变化相关的虚弱风险.
主要方法:
- 长度基于人口的研究使用COMO VAI? 队列 (n=789) 与2014年,2019年和2024年的数据.
- 使用弗里德的表型评估脆弱性;使用基于组的轨迹建模的BMI轨迹建模.
- 普森回归分析了关联,调整了混因素和小牛周长.
主要成果:
- 在2024年,脆弱性患病率为36.5%.
- 基线体重不足与脆弱性风险增加有关 (PR=1.73).
- 超重的BMI轨迹显示出对脆弱性的潜在保护作用 (PR=0.73).
结论:
- 基线体重不足显著提高了老年人虚弱的风险.
- 超重的BMI轨迹可能会产生保护作用,支持这个人群中的"肥胖悖论"概念.
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