老年人身体功能与抑郁症状之间的时间动态和双向纵向关联
Belayneh Mengist1,2, Mojtaba Lotfaliany1, Julie A Pasco1,3,4
1School of Medicine, Deakin University, the Institute for Mental and Physical Health and Clinical Translation (IMPACT), Geelong, Victoria, Australia.
老年人的身体功能下降和抑郁症状在双向关系中联系在一起. 身体功能不佳会增加抑郁症的风险,而抑郁症会随着时间的推移使身体功能恶化.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 身体功能下降和抑郁症是老龄化人口面临的重大挑战.
- 老年人身体功能和抑郁症状之间的双向关系尚未得到充分理解.
研究的目的:
- 调查老年人身体功能和抑郁症状之间的双向纵向关联.
- 检查身体功能如何影响抑郁症状,反之亦然,随着时间的推移.
主要方法:
- 利用了ASPirin减少老年事件 (ASPREE) 试验和延长后续 (2010-2022) 的数据.
- 使用流行病学研究中心抑郁症度量 (CES-D) 评估抑郁症状.
- 通过步行速度和手握强度测量身体功能,使用EWGSOP2标准进行分类. 分析了使用概括估计方程和随机截图交叉滞后面板模型的关联.
主要成果:
- 包括15,854名老年人 (平均年龄75岁),平均随访时间为8.4年.
- 身体功能 (表现和力量) 较差与患抑郁症状的可能性增加81% (OR=1.81).
- 抑郁症状与减少身体功能 (OR=1.70) 的几率增加了70%. 证实了双向的关联.
结论:
- 降低身体功能和抑郁症状在老年人中随着时间的推移表现出类似规模的双向关联.
- 了解这种相互关系对于开发身体和精神健康的综合预防和治疗策略至关重要.
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