Geriatrics & Gerontology International最新文献_第10页

Rate of Force Development During Sit-to-Stand Movement Is Associated With Locomotive Syndrome Severity: A Cross-Sectional Study 横断面研究：从坐到站的运动过程中力量发展的速度与机车综合征的严重程度有关。

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International

Pub Date : 2026-01-05 DOI: 10.1111/ggi.70314

Takashi Seya, Naoki Okubo, Shuji Nakagawa, Taisuke Kunitomo, Kanako Iinuma, Kazufumi Hisamoto, Soshi Hirata, Kenji Takahashi

Aim

Locomotive syndrome (LS) is defined as reduced mobility due to locomotor dysfunction. The sit-to-stand (STS) movement is a fundamental daily activity, and biomechanical parameters derived from STS capture quantitative aspects of mobility. However, their association with LS severity remains unclear. We aimed to examine whether STS parameters are associated with LS severity in this cross-sectional study.

Methods

We analyzed 1047 adults (619 males, 428 females; median age 54 years) who underwent musculoskeletal health screening. LS stage was classified into non-LS, LS1, LS2, and LS3 using the stand-up test, two-step test, and the 25-question Geriatric Locomotive Function Scale. STS performance was measured with the STS force analyzer, and three parameters were derived: maximum ground reaction force normalized to body weight (F/w), rate of force development normalized to body weight (RFD/w), and stabilization time (ST). Associations between LS stage and these parameters were assessed using ordinal logistic regression adjusted for age, sex, and body mass index.

Results

Among participants, 47.0% were non-LS, 46.0% LS1, 5.8% LS2, and 1.1% LS3. Compared with non-LS, both F/w and RFD/w were significantly lower in LS1 and LS2, while ST was significantly longer in LS1. In ordinal logistic regression analysis, only RFD/w remained significantly associated with LS stage after adjustment (odds ratio: 0.84; 95% CI: 0.76–0.94; p = 0.002).

Conclusions

Our findings revealed that only lower RFD/w was independently associated with LS severity, suggesting that RFD/w could complement conventional LS risk tests.

目的：机车综合征（Locomotive syndrome， LS）被定义为由于运动功能障碍而导致的活动能力降低。坐立（STS）运动是一项基本的日常活动，从STS获得的生物力学参数捕获了活动的定量方面。然而，它们与LS严重程度的关系尚不清楚。在这项横断面研究中，我们旨在研究STS参数是否与LS严重程度相关。方法：我们分析了接受肌肉骨骼健康筛查的1047名成年人（619名男性，428名女性，中位年龄54岁）。采用站立检验、两步检验和25题老年机车功能量表将LS阶段分为非LS阶段、LS1阶段、LS2阶段和LS3阶段。使用STS力分析仪测量STS性能，并推导出三个参数：最大地面反作用力归一化到体重（F/w），力发展归一化到体重（RFD/w）和稳定时间（ST）。使用调整年龄、性别和体重指数的有序逻辑回归来评估LS阶段与这些参数之间的关系。结果：非ls患者占47.0%，LS1患者占46.0%，LS2患者占5.8%，LS3患者占1.1%。与非ls相比，LS1和LS2的F/w和RFD/w均显著降低，而LS1的ST则显著延长。在有序logistic回归分析中，只有RFD/w与调整后的LS分期仍然显著相关（优势比：0.84;95% CI: 0.76-0.94; p = 0.002）。结论：我们的研究结果显示，只有较低的RFD/w与LS严重程度独立相关，这表明RFD/w可以补充传统的LS风险测试。

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引用次数: 0

Predictors of Social Frailty and Depression in Brazilian Patients With Chronic Kidney Disease: A Cross-Sectional Study 巴西慢性肾病患者社会脆弱和抑郁的预测因素：一项横断面研究

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International

Pub Date : 2026-01-01 DOI: 10.1111/ggi.70317

Diana Gabriela Mendes dos Santos, Luma Geraigire, Layana Giselly Silva Ferreira, Cleanderson Costa da Silva, Ana Carolina de Souza Dinardi, Marisa Silvana Zazzetta, Fabiana de Souza Orlandi

Background

Social frailty is linked to adverse health outcomes, including depression, especially in older and chronically ill individuals. This study aimed to assess the prevalence and associated factors of social frailty in Brazilian CKD patients undergoing hemodialysis or kidney transplantation and to examine its predictive role in the development of depressive symptoms.

Methods

This cross-sectional, correlational, and comparative study included 284 patients with CKD from São Paulo, Brazil. Data were collected using validated instruments: HALFT Social Frailty Scale, Patient Health Questionnaire-9 (PHQ-9), and Medical Outcomes Study Social Support Scale (MOS). Two multiple linear regression (MLR) models were used to assess predictors of social frailty and depressive symptoms, adjusting for sociodemographic and clinical variables.

Results

Social frailty was significantly more prevalent among HD patients (51.2%) compared to TX patients (24%). Social support was negatively associated with social frailty (β = −0.40; p < 0.001). Other predictors of greater social frailty included lower income (β = 0.51 for ≤ 1 minimum wage), number of medications (β = 0.11), and lower education (β = −0.13). In turn, social frailty was the strongest predictor of depressive symptoms (β = 0.60; p < 0.001). TX status and male sex were associated with lower depression scores.

Conclusion

Social frailty is highly prevalent in CKD patients, particularly those undergoing HD, and strongly predicts depressive symptoms. Strategies to enhance social support and reduce socioeconomic vulnerability may help mitigate mental health burdens in this population.

背景：社会脆弱与包括抑郁症在内的不良健康结果有关，特别是在老年人和慢性病患者中。本研究旨在评估巴西接受血液透析或肾移植的CKD患者社会脆弱的患病率及相关因素，并研究其在抑郁症状发展中的预测作用。方法：这项横断面、相关和比较研究包括来自巴西圣保罗的284例CKD患者。数据收集使用经过验证的工具：HALFT社会脆弱性量表、患者健康问卷-9 （PHQ-9）和医疗结果研究社会支持量表（MOS）。使用两个多元线性回归（MLR）模型评估社会脆弱和抑郁症状的预测因子，调整社会人口统计学和临床变量。结果：社会脆弱在HD患者中（51.2%）比TX患者（24%）更为普遍。社会支持与社会脆弱呈负相关（β = -0.40; p）结论：社会脆弱在CKD患者中非常普遍，特别是那些患有HD的患者，并且强烈预测抑郁症状。加强社会支持和减少社会经济脆弱性的战略可能有助于减轻这一人群的心理健康负担。

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引用次数: 0

Methodological Considerations for Interpreting Inflammatory and Metabolic Markers in Sarcopenia Research 在肌少症研究中解释炎症和代谢标志物的方法学考虑。

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International

Pub Date : 2026-01-01 DOI: 10.1111/ggi.70318

Xian Zhang, Min Zhang

引用次数: 0

Bioimpedance Analysis-Assessed Skeletal Muscle Mass Index Is Strongly Correlated With Computed Tomography-Measured Mid-Thigh Skeletal Muscle Cross-Sectional Area: The Shizuoka Study 生物阻抗分析评估的骨骼肌质量指数与计算机断层扫描测量的大腿中部骨骼肌横截面积密切相关：静冈研究。

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International

Pub Date : 2025-12-30 DOI: 10.1111/ggi.70309

Kazuya Kito, Michitaka Kato, Yasunari Kurita, Wataru Nakano, Satoko Nakano, Daisuke Takagi, Toshiya Tsukamoto, Etsuko Ozaki, Osamu Kushida, Yoshihiro Tanaka, Nagato Kuriyama, Yasuharu Tabara

引用次数: 0

The Effects of Advance Care Planning Interventions in the Older Population: A Systematic Review and Meta-Analysis 老年人口预先护理计划干预的效果：系统回顾和荟萃分析。

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International

Pub Date : 2025-12-26 DOI: 10.1111/ggi.70306

Huijing Lin, Eunjeong Ko, Bei Wu, Yaolin Pei, Ping Ni, Ting Zhang

Objective

To systematically review the effects of advance care planning (ACP) interventions in the older population across diverse cultural contexts, with a particular focus on comparing intervention characteristics and outcomes between Asian and Western countries.

Methods

Studies published since 2000 and written in English were identified from Medline, Cochrane, CINAHL, and PubMed. Meta-analysis was performed to pool the main outcomes.

Results

A total of 32 studies were involved in the data analysis. The review concluded that ACP interventions significantly increased the completion of ACP documents, the occurrence of ACP/end-of-life (EoL) care discussions, the consistency between preferred and actual EoL care, and ACP engagement among the older population. It also implied that ACP interventions had potential effects on increasing the preference for comfort care and do-not-resuscitate orders, as well as improved ACP knowledge. However, we found that ACP probably had no effect on healthcare utilization and mortality, and its impact on the quality of life, satisfaction, care costs, and older individuals' participation in the decision-making process remained unknown with insufficient evidence. Additionally, cultural beliefs, auxiliary materials, and personnel capacity presented the differences in ACP intervention characteristics between Asian and Western countries.

Conclusions

ACP has beneficial effects in the older population. Further high-quality intervention studies are needed to identify the most culturally adapted ACP interventions for the older population in various settings to make full use of the advantages of ACP. Addressing cultural beliefs is essential to improving ACP in Asian countries.

目的：系统回顾不同文化背景下的老年人口预先护理计划（ACP）干预的效果，特别关注比较亚洲和西方国家的干预特征和结果。方法：从Medline、Cochrane、CINAHL和PubMed检索2000年以来发表的英文研究。对主要结果进行荟萃分析。结果：数据分析共涉及32项研究。本综述的结论是，ACP干预显著提高了老年人ACP文件的完成程度、ACP/临终关怀讨论的发生、首选和实际EoL护理的一致性以及ACP参与程度。这也意味着ACP干预对增加舒适护理和不复苏指令的偏好以及提高ACP知识有潜在的影响。然而，我们发现ACP可能对医疗保健利用率和死亡率没有影响，其对生活质量、满意度、护理成本和老年人参与决策过程的影响尚不清楚，证据不足。此外，文化信仰、辅助材料和人员能力也呈现出亚洲国家与西方国家ACP干预特征的差异。结论：ACP对老年人群有益。需要进一步进行高质量的干预研究，以确定在不同环境下最适合老年人群的ACP干预措施，以充分利用ACP的优势。解决文化信仰问题对于改善亚洲国家的非加太至关重要。

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引用次数: 0

A Commentary on “Depressive Symptom Trajectories and Hypertension Risk Among Chinese Middle-Aged and Older Adults” “中国中老年人群抑郁症状轨迹与高血压风险”综述。

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International

Pub Date : 2025-12-26 DOI: 10.1111/ggi.70310

Ryohei Kimura, Kohei Kajiwara

引用次数: 0

Prevalence and Associated Factors of Overactive Bladder in Japanese Patients With Type 2 Diabetes 日本2型糖尿病患者膀胱过度活动的患病率及相关因素

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International

Pub Date : 2025-12-26 DOI: 10.1111/ggi.70312

Hiroyuki Ito, Erika Watanabe, Mari Tanaka, Suzuko Matsumoto, Hideyuki Inoue, Shinichi Antoku, Tomoko Yamasaki, Toshiko Mori, Shoji Koga

Aim

Overactive bladder (OAB) is a common lower urinary tract symptom that significantly impairs quality of life (QOL) in patients with diabetes. However, its true prevalence and its relationship with antidiabetic medications remain unclear. This study aimed to assess the prevalence of OAB and identify associated factors in Japanese patients with type 2 diabetes.

Methods

We conducted a cross-sectional study involving 289 outpatients aged ≥ 55 years with type 2 diabetes. OAB was assessed using the validated Overactive Bladder Symptom Score (OABSS). The diagnosis of OAB was defined as an urgency score (Q3) ≥ 2 and a total OABSS ≥ 3, or the current use of medications for OAB or benign prostatic hyperplasia (BPH). Logistic regression analyses were performed to identify factors independently associated with OAB.

Results

The overall prevalence of OAB was 24%. Multiple regression analysis revealed that longer duration of diabetes (OR 1.04; 95% CI 1.00–1.08; p = 0.04), history of cerebrovascular disease (OR 2.67; 95% CI 1.05–76.77; p = 0.04), and use of sodium-glucose cotransporter 2 (SGLT2) inhibitors (OR 2.34; 95% CI 1.20–4.67; p = 0.01) were independently associated with OAB. In contrast, no significant associations were observed with HbA1c levels or peripheral neuropathy. Notably, only 32% of OAB patients were receiving relevant pharmacological treatment.

Conclusions

OAB is prevalent among older adults with type 2 diabetes. The use of SGLT2 inhibitors may contribute to its development. Clinicians should actively monitor urinary symptoms and consider OAB when selecting antidiabetic therapies. Early detection and appropriate treatment of OAB may help maintain QOL in this population.

目的：膀胱过动症（OAB）是糖尿病患者常见的下尿路症状，严重影响患者的生活质量。然而，其真实患病率及其与抗糖尿病药物的关系尚不清楚。本研究旨在评估日本2型糖尿病患者OAB的患病率并确定相关因素。方法：我们对289例年龄≥55岁的2型糖尿病门诊患者进行了横断面研究。OAB采用经验证的膀胱过度活动症状评分（OABSS）进行评估。OAB的诊断定义为急症评分(Q3)≥2，总OABSS≥3，或目前使用的OAB或良性前列腺增生（BPH）药物。进行逻辑回归分析以确定与OAB独立相关的因素。结果：OAB的总患病率为24%。多元回归分析显示，较长的糖尿病病程（OR 1.04; 95% CI 1.00-1.08; p = 0.04）、脑血管病史（OR 2.67; 95% CI 1.05-76.77; p = 0.04）和使用钠-葡萄糖共转运蛋白2 （SGLT2）抑制剂（OR 2.34; 95% CI 1.20-4.67; p = 0.01）与OAB独立相关。相比之下，未观察到与HbA1c水平或周围神经病变有显著关联。值得注意的是，只有32%的OAB患者接受了相关的药物治疗。结论：OAB在老年2型糖尿病患者中普遍存在。SGLT2抑制剂的使用可能有助于其发展。临床医生在选择降糖药时应积极监测尿路症状并考虑OAB。早期发现和适当治疗OAB可能有助于维持该人群的生活质量。

{"title":"Prevalence and Associated Factors of Overactive Bladder in Japanese Patients With Type 2 Diabetes","authors":"Hiroyuki Ito, Erika Watanabe, Mari Tanaka, Suzuko Matsumoto, Hideyuki Inoue, Shinichi Antoku, Tomoko Yamasaki, Toshiko Mori, Shoji Koga","doi":"10.1111/ggi.70312","DOIUrl":"10.1111/ggi.70312","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Overactive bladder (OAB) is a common lower urinary tract symptom that significantly impairs quality of life (QOL) in patients with diabetes. However, its true prevalence and its relationship with antidiabetic medications remain unclear. This study aimed to assess the prevalence of OAB and identify associated factors in Japanese patients with type 2 diabetes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a cross-sectional study involving 289 outpatients aged ≥ 55 years with type 2 diabetes. OAB was assessed using the validated Overactive Bladder Symptom Score (OABSS). The diagnosis of OAB was defined as an urgency score (Q3) ≥ 2 and a total OABSS ≥ 3, or the current use of medications for OAB or benign prostatic hyperplasia (BPH). Logistic regression analyses were performed to identify factors independently associated with OAB.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The overall prevalence of OAB was 24%. Multiple regression analysis revealed that longer duration of diabetes (OR 1.04; 95% CI 1.00–1.08; <i>p</i> = 0.04), history of cerebrovascular disease (OR 2.67; 95% CI 1.05–76.77; <i>p</i> = 0.04), and use of sodium-glucose cotransporter 2 (SGLT2) inhibitors (OR 2.34; 95% CI 1.20–4.67; <i>p</i> = 0.01) were independently associated with OAB. In contrast, no significant associations were observed with HbA1c levels or peripheral neuropathy. Notably, only 32% of OAB patients were receiving relevant pharmacological treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>OAB is prevalent among older adults with type 2 diabetes. The use of SGLT2 inhibitors may contribute to its development. Clinicians should actively monitor urinary symptoms and consider OAB when selecting antidiabetic therapies. Early detection and appropriate treatment of OAB may help maintain QOL in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145843646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Current Status of Frailty Subtypes Among Hospitalized Patients With Knee Osteoarthritis Awaiting Surgery and the Mediating Role of Psychological Flexibility in the Association Between 2-Way Social Support and Frailty Subtypes 膝关节骨性关节炎住院候诊患者虚弱亚型现状及心理柔韧性在双向社会支持与虚弱亚型关系中的中介作用

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International

Pub Date : 2025-12-26 DOI: 10.1111/ggi.70311

Hongyun Li, Lan Li, Dan Wang, Zheng Wu, Jing Li, Xiangzhi Sun, Guilan Chen

<div> <section> <h3> Objective</h3> <p>To identify frailty subtypes among hospitalized patients with knee osteoarthritis (KOA) awaiting surgery and to examine the mediating role of psychological flexibility in the relationship between 2-way social support and these frailty subtypes.</p> </section> <section> <h3> Design</h3> <p>Multicenter cross-sectional study.</p> </section> <section> <h3> Methods</h3> <p>A convenience sampling method was employed to recruit 456 hospitalized KOA patients awaiting surgery from three tertiary hospitals in Guiyang City, Guizhou Province, and Yibin City, Sichuan Province, between November 12, 2024, and March 20, 2025. Data were collected using a general information questionnaire, the Tilburg Frailty Indicator, the Brief 2-Way Social Support Scale, and the simplified Multidimensional Psychological Flexibility Inventory. Latent profile analysis was used to explore frailty subtypes. Multivariate logistic regression analysis was used to investigate the influencing factors of different frailty types. Process Macro 4.2 was used to analyze the mediating effect of psychological flexibility between 2-way social support and frailty subtypes.</p> </section> <section> <h3> Results</h3> <p>Latent profile analysis identified four distinct frailty subtypes among hospitalized KOA patients awaiting surgery: a physical-psychological-social low frailty subtype (59.5%), a physical-psychological high frailty subtype (15.7%), a physical-psychological-social moderate frailty subtype (10.5%), and a physical-social high frailty subtype (14.3<span></span><math> <semantics> <mrow> <mo>%</mo> </mrow> <annotation>$$ % $$</annotation> </semantics></math>). Using the physical-psychological-social low frailty subtype as the reference group, multiple logistic regression analysis demonstrated that the key influencing factors of frailty subtypes were psychological flexibility, 2-way social support, age, activity-related pain, monthly per capita household income, and polypharmacy (<span></span><math> <semantics> <mrow> <mi>p</mi> </mrow> <annotation>$$ p $$</annotation> </semantics></math> < 0.05), and psychological flexibility played a partial or complete mediating role between 2-way social support and frailty subtypes (<span></span><math> <semantics> <mrow> <mi>p</mi> </mrow> <annotatio

目的：了解膝关节骨性关节炎（KOA）住院候诊患者的虚弱亚型，并探讨心理弹性在双向社会支持与这些虚弱亚型的关系中的中介作用。设计：多中心横断面研究。方法：采用方便抽样方法，于2024年11月12日至2025年3月20日在贵州省贵阳市和四川省宜宾市三所三级医院收集住院等待手术的KOA患者456例。数据收集采用一般信息问卷、蒂尔堡脆弱指数、简易双向社会支持量表和简化多维心理灵活性量表。使用潜在剖面分析来探索脆弱亚型。采用多因素logistic回归分析探讨不同虚弱类型的影响因素。采用Process Macro 4.2分析心理弹性在双向社会支持与脆弱亚型之间的中介作用。结果：潜伏特征分析在住院等待手术的KOA患者中确定了四种不同的虚弱亚型：生理-心理-社会低虚弱亚型(59.5%), a physical-psychological high frailty subtype (15.7%), a physical-psychological-social moderate frailty subtype (10.5%), and a physical-social high frailty subtype (14.3 % $$ % $$ ). Using the physical-psychological-social low frailty subtype as the reference group, multiple logistic regression analysis demonstrated that the key influencing factors of frailty subtypes were psychological flexibility, 2-way social support, age, activity-related pain, monthly per capita household income, and polypharmacy ( p $$ p $$ p $$ p $$ Conclusion: Frailty among hospitalized patients with KOA awaiting surgery is heterogeneous, and the strength of the mediating effect of psychological flexibility in the association between 2-way social support and frailty subtypes also varies. Therefore, clinically, both should be included in the assessment, and individualized interventions should be developed for different characteristics of frailty subtypes.

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引用次数: 0

Impact of Oral Nutritional Supplementation at Hospital Discharge on Healthcare Costs in Older Adults: A Retrospective Analysis of Japanese Claims Data 出院时口服营养补充剂对老年人医疗保健费用的影响：日本索赔数据的回顾性分析

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International

Pub Date : 2025-12-26 DOI: 10.1111/ggi.70288

Masashi Miyawaki, Tatsuya Hosoi, Makoto Yunoki, Seiji Hashimoto, Yoshitaka Kase, Masaki Ishii, Mitsutaka Yakabe, Sumito Ogawa

Aim

Malnutrition is a common and costly challenge among hospitalized patients and those requiring postdischarge care. Oral nutritional supplements (ONSs) are a low-cost intervention for undernourished individuals. This study used the Kokuho Database (KDB) to examine the health economic impact of prescribing ONSs at discharge for hospitalized older adults.

Methods

This retrospective study included patients aged 75 years and older who were discharged from hospitals in Saitama Prefecture, as recorded in the KDB, from April 2017 to March 2022. Patients prescribed ONSs at discharge were classified as the ONS-at-discharge (ONSd) group, and those not prescribed were classified as the no-ONS-at-discharge (non-ONSd) group. Healthcare costs over 360 days postdischarge were compared using propensity score matching.

Results

A total of 526 605 patients were enrolled: 13 042 in the ONSd group and 513 563 in the non-ONSd group. After matching, 26 084 patients (13 042 per group) were included in the analysis. Over 360 days, healthcare costs were higher in the ONSd group than in the non-ONSd group (935 092 yen vs. 860 588 yen, adjusted p < 0.001). Among patients not prescribed ONS during follow-up, 360-day costs remained higher in the ONSd group (882 465 yen vs. 847 700 yen, adjusted p < 0.001). Conversely, among patients prescribed ONS during follow-up, 360-day costs were lower in the ONSd group (1 040 830 yen vs. 1 185 919 yen, adjusted p < 0.001).

Conclusion

Healthcare costs over 360 days were higher in the ONSd group compared with the non-ONSd group. However, among patients who continued ONS use after discharge, costs were lower in the ONSd group.

目的：营养不良是住院患者和那些需要出院后护理的常见和昂贵的挑战。口服营养补充剂（ONSs）是营养不良个体的低成本干预措施。本研究使用Kokuho数据库（KDB）来检查住院老年人出院时处方ONSs的健康经济影响。方法：本回顾性研究纳入了KDB记录的2017年4月至2022年3月期间从埼玉县医院出院的75岁及以上患者。出院时服用ONSs的患者分为ONSd组（ONSd），未服用ONSd的患者分为non- ONS-at-discharge组（non-ONSd）。使用倾向评分匹配比较出院后360天的医疗费用。结果：共有526605例患者入组：13042例为ONSd组，513563例为非ONSd组。匹配后纳入26084例患者（每组13042例）。在360天内，ONSd组的医疗费用高于非ONSd组（935 092日元对860 588日元，调整后p）。结论：与非ONSd组相比，ONSd组360天的医疗费用更高。然而，在出院后继续使用ONS的患者中，ONSd组的费用较低。

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引用次数: 0

Interpreting Age-Specific Associations Between Chronic Hepatitis B and Muscle Mass: Clinical and Methodological Considerations 解释慢性乙型肝炎与肌肉质量之间的年龄特异性关联：临床和方法学考虑。

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International

Pub Date : 2025-12-23 DOI: 10.1111/ggi.70308

Min Zhang, Xingyi Yang

引用次数: 0