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Neuroprotective Potential of Hydroalcoholic Extract of Centella asiatica Against 3-Nitropropionic Acid-Induced Huntington's Like Symptoms in Adult Zebrafish. 积雪草水酒精提取物对3-硝基丙酸诱导的成年斑马鱼亨廷顿样症状的神经保护作用
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-12-01 DOI: 10.1089/rej.2022.0036
Vishal Kumar, Charan Singh, Arti Singh

Huntington's disease (HD) is an inherited neurodegenerative disease. 3-Nitropropionic acid (3-NP) causes increased reactive oxygen species production and neuroinflammation. Centella asiatica (CA) is a strong antioxidant. The aim of this study is to investigate the effect of hydroalcoholic extract of C. asiatica (HA-CA) on 3-NP-induced HD in adult zebrafish. Adult zebrafish (∼5-6 months old) weighing 470 to 530 mg was used and treated with 3-NP (5 mg/kg intraperitoneal [i.p.]). The animals received HA-CA (80 and 100 mg/L) daily for up to 28 days in water. Tetrabenazine (3 mg/kg i.p.) was used as a standard drug. We have done an open field test (for locomotor activity), a novel tank diving test (for anxiety), and a light and dark tank test (for memory), followed by biochemical analysis (acetyl-cholinesterase [AchEs], nitrite, lipid peroxidation [LPO], and glutathione [GSH]) and histopathology to further confirm memory dysfunctions. 3-NP-treated zebrafish exhibit reductions in body weight, progressive neuronal damage, cognition, and locomotor activity. The HA-CA group significantly reduced the 3-NP-induced increase in LPO, AchEs, and nitrite levels while decreasing GSH levels. Oral administration of HA-CA (80 or 100 mg/L) significantly reduces 3-NP-induced changes in body weight and behaviors, in addition to neuroinflammation in the brain by lowering tumor necrosis factor-α and interleukin-1β levels. Moreover, HA-CA significantly decreases the 3-NP-induced neuronal damage in the brain. HA-CA ameliorates neurotoxicity and neurobehavioral deficits in 3-NP-induced HD-like symptoms in adult zebrafish.

亨廷顿氏病(HD)是一种遗传性神经退行性疾病。3-硝基丙酸(3-NP)引起活性氧产生增加和神经炎症。积雪草(Centella asiatica)是一种强抗氧化剂。本研究旨在探讨亚洲木参水酒精提取物(HA-CA)对3- np诱导的成年斑马鱼HD的影响。使用体重470至530 mg的成年斑马鱼(~ 5-6个月大),并给予3-NP (5 mg/kg腹腔注射[i.p.])处理。这些动物每天在水中注射HA-CA(80和100 mg/L),持续28天。四苯那嗪(3mg /kg i.p.)作为标准药物。我们做了一个野外测试(运动活动),一个新的水箱潜水测试(焦虑),和一个明暗罐测试(记忆),然后进行生化分析(乙酰胆碱酯酶[AchEs],亚硝酸盐,脂质过氧化[LPO],谷胱甘肽[GSH])和组织病理学进一步确认记忆功能障碍。3- np处理的斑马鱼表现出体重减轻、进行性神经元损伤、认知和运动活动的减少。HA-CA组显著降低了3- np诱导的LPO、AchEs和亚硝酸盐水平的升高,同时降低了GSH水平。口服HA-CA(80或100 mg/L)可通过降低肿瘤坏死因子-α和白细胞介素-1β水平,显著降低3- np诱导的体重和行为变化,以及脑神经炎症。此外,HA-CA可显著降低3- np诱导的脑内神经元损伤。HA-CA可改善成年斑马鱼3- np诱导的hd样症状的神经毒性和神经行为缺陷。
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引用次数: 2
October 2022 Editorial. 2022年10月社论。
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-10-01 DOI: 10.1089/rej.2022.0049
Irina Conboy
na.
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引用次数: 0
Downregulation of SOX21-AS1 Alleviated Cisplatin Resistance in Cervical Cancer Through Epithelial-Mesenchymal Transition Inhibition. SOX21-AS1下调通过上皮-间质转化抑制减轻宫颈癌顺铂耐药
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-10-01 Epub Date: 2022-10-12 DOI: 10.1089/rej.2022.0009
Jing Tian, Ze Li, Yuanyuan Jiang, Wenjin Gu, Enqi Kong, Quan Hao, Beihua Kong, Li Sun

Cisplatin is widely used in chemotherapies in cervical cancer (CC). Nevertheless, drug resistance in cancer patients poses a major threat to efficacy of treatment. To explore the underlying modulatory mechanism of SOX21-AS1 in cisplatin resistance in CC cell and mice models, Gepia database was referred for SOX21-AS1 expression in cancer tissues and normal ones. Reverse transcription quantitative real-time polymerase chain reaction was used to measure the differential expression of SOX21-AS1 in parental Siha cells and cisplatin-resistant Siha/DDP cells. Luciferase reporter gene assays were conducted to verify putative bindings between SOX21-AS1 and miR-9-3p. Western blot method was employed to evaluate the changes in cleaved-caspase 7 protein expression. Cisplatin resistance was evaluated in each transfected group using cell counting kit 8 method after cells were exposed to cisplatin (0, 7.5, 15, 30, 60, 120, and 240 μg/mL) for 24 hours. Flow cytometry method was used to measure the apoptosis rates. Cell migration and invasion were measured using Transwell assays. Immunofluorescence method was applied to observe epithelial to mesenchymal transition (EMT) markers, including E-cadherin, Snail, matrix metalloproteinase (MMP)3, and MMP9. Siha/DDP cell groups stably transfected with sh-NC and sh-SOX21-AS1 were injected through tail vein of Balb/C mice. Lung tissue sections were used for hematoxylin and eosin staining and immunohistochemistry analysis. SOX1-AS1 expression was higher in cancer tissues than normal ones and was also higher in Siha/DDP rather than Siha cells. SOX21-AS1 was targeted by miR-9-3p in CC cells. Downregulation of SOX21-AS1 or overexpression of miR-9-3p inhibited cisplatin resistance in Siha/DDP cells and reduced cell invasion and migration and attenuated EMT progression. In vivo, the SOX21-AS1 knockdown led to less severe lung metastasis. Downregulation of SOX21-AS1 alleviated cisplatin resistance in CC through EMT inhibition.

顺铂广泛应用于宫颈癌的化疗。然而,癌症患者的耐药性对治疗效果构成了重大威胁。为了探讨SOX21-AS1在CC细胞和小鼠模型顺铂耐药中的潜在调节机制,我们参考Gepia数据库,查询SOX21-AS1在癌组织和正常组织中的表达情况。采用逆转录定量实时聚合酶链反应测定SOX21-AS1在亲代Siha细胞和顺铂耐药Siha/DDP细胞中的差异表达。荧光素酶报告基因检测验证了SOX21-AS1与miR-9-3p之间的推测结合。Western blot法检测caspase - 7蛋白表达变化。各组细胞暴露于顺铂(0、7.5、15、30、60、120、240 μg/mL) 24h后,采用细胞计数试剂盒8法评估各组细胞对顺铂的耐药性。流式细胞术检测细胞凋亡率。采用Transwell法测定细胞迁移和侵袭。采用免疫荧光法观察上皮向间充质转化(EMT)标志物,包括E-cadherin、Snail、基质金属蛋白酶(MMP)3和MMP9。通过Balb/C小鼠尾静脉注射稳定转染sh-NC和sh-SOX21-AS1的Siha/DDP细胞组。肺组织切片进行苏木精、伊红染色及免疫组化分析。SOX1-AS1在癌组织中的表达高于正常组织,在Siha/DDP中的表达高于Siha细胞。SOX21-AS1在CC细胞中被miR-9-3p靶向。下调SOX21-AS1或过表达miR-9-3p可抑制Siha/DDP细胞的顺铂耐药,减少细胞侵袭和迁移,减缓EMT进展。在体内,SOX21-AS1敲低导致较不严重的肺转移。SOX21-AS1下调可通过EMT抑制减轻CC患者的顺铂耐药。
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引用次数: 3
Link between senescence and cell fate: Senescence-associated secretory phenotype (SASP) and its effects on stem cell fate transition. 衰老与细胞命运之间的联系:衰老相关分泌表型(SASP)及其对干细胞命运转变的影响。
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-04 DOI: 10.1089/rej.2022.0021
Y. Pan, Zhenzhen Gu, Yansi Lyu, Yi Yang, Man-Hon Chung, Xiaohua Pan, S. Cai
Senescence is a form of durable cell cycle arrest elicited in response to a wide range of stimuli. Senescent cells remain metabolically active and secrete a variety of factors collectively termed senescence-associated secretory phenotype (SASP). SASP is highly pleiotropic and can impact numerous biological processes in which it has both beneficial and deleterious roles. The underlying mechanisms by which SASP exerts its pleiotropic influence remain largely unknown. SASP serves as an environmental factor, which regulates stem cell differentiation and alters its routine. The latter can potentially be accomplished through dedifferentiation, transdifferentiation, or reprogramming. Behavioral changes that cells undergo when exposed to SASP are involved in several senescence-associated physiological and pathological phenomena. These findings provide clues for identifying possible interventions to reduce the deleterious effects without interfering in the beneficial outcomes. Here, we discuss the multifaced effects of SASP and the changes occurring in cellular states upon exposure to SASP factors.
衰老是一种持久的细胞周期停滞的形式,引起对各种刺激的反应。衰老细胞保持代谢活性并分泌多种因子,统称为衰老相关分泌表型(SASP)。SASP是高度多效性的,可以影响许多生物过程,其中它既有有益的作用,也有有害的作用。SASP发挥其多效性影响的潜在机制在很大程度上仍然未知。SASP作为一种环境因子,调控干细胞分化并改变其常规。后者可以通过去分化、转分化或重编程来实现。当暴露于SASP时,细胞所经历的行为改变涉及几种与衰老相关的生理和病理现象。这些发现为确定可能的干预措施提供了线索,以减少有害影响而不干扰有益结果。在这里,我们讨论了SASP的多方面影响以及暴露于SASP因子后细胞状态发生的变化。
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引用次数: 7
Dietary Restriction Attenuates Inflammation and Protects Mouse Skin from High-Dose Ultraviolet B Irradiation. 饮食限制减轻炎症和保护小鼠皮肤免受高剂量紫外线B照射。
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-01 DOI: 10.1089/rej.2021.0022
Duozhuang Tang, Jianying Wu, Yiting Wang, Hui Cui, Zhendong Tao, Lang Lei, Zhuangfa Zhou, Si Tao

Ultraviolet B (UVB) radiation may influence the occurrence or even worsen cutaneous disorders from inflammatory to neoplastic disorders. Dietary restriction (DR) is a well-known regimen that can retard aging-associated pathologies, and is shown by us and others that it can significantly inhibit inflammation under various conditions, including in both undisturbed and stressed settings. It is unknown whether DR could act as a nonpharmacological factor to protect skin against UVB-induced damage. In this study, we performed 30% DR to mice 1 week before UVB irradiation (798.6 mJ/cm2). Remarkably, continuous DR significantly ameliorated UVB-induced skin damage and histological changes, associated with a great reduction in the inflammatory responses in the skin. Intriguingly, refed DR mice with ad libitum diet even 24 hours postirradiation reinflamed the inflammatory responses and induced significantly strong damage to the skin. Together, this study provides the first experimental evidence that DR greatly protects mouse skin from high dose of UVB irradiation, which if translatable could have great implications in human beings.

紫外线B (UVB)辐射可以影响皮肤疾病的发生,甚至加重皮肤疾病,从炎症性疾病到肿瘤性疾病。饮食限制(DR)是一种众所周知的疗法,可以延缓衰老相关的病理,我们和其他人都表明,它可以在各种情况下显著抑制炎症,包括在未受干扰和有压力的情况下。目前尚不清楚DR是否可以作为一种非药物因素来保护皮肤免受uvb引起的损伤。在这项研究中,我们在UVB照射前1周对小鼠进行30% DR (798.6 mJ/cm2)。值得注意的是,持续DR显著改善了uvb诱导的皮肤损伤和组织学变化,并显著减少了皮肤炎症反应。有趣的是,即使在放疗后24小时,随意饮食的DR小鼠也会再次引起炎症反应,并对皮肤造成明显的强烈损伤。总之,这项研究提供了第一个实验证据,证明DR可以有效地保护小鼠皮肤免受高剂量UVB辐射,如果可以转化为对人类有很大的影响。
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引用次数: 1
June 2022 Editorial. 2022年6月社论。
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-05-27 DOI: 10.1089/rej.2022.0035
I. Conboy
na.
不。
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引用次数: 0
THE EFFECT OF PROGRESSIVE RESISTANCE TRAINING ON FUNCTIONALITY AND HANDGRIP STRENGTH IN THE OLDER INDIVIDUALS OF A COMMUNITY: A QUASI-EXPERIMENTAL STUDY. 渐进式阻力训练对社区老年人功能和握力的影响:一项准实验研究。
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-05-24 DOI: 10.1089/rej.2021.0029
L. S. Silva Neto, C. D. Dos Santos, Andrea Travassos, A. Figueiredo, D. P. Nunes, T. Rosa, Fabrício Cavalcante Frauzino, Wesquisley Vidal de Santana, L. F. Sesti, Genildo Ferreira Nunes, Emerson Moura Ribeiro, N. B. Osório
BACKGROUNDMuscle weakness is associated with negative outcomes, in addition to being related to the pathogenesis of frailty and functional disability in the older individuals. Muscle strength and functionality are considered biomarkers of aging. Progressive resistance training (PRT) is a type of training that has been the subject of studies as it presents itself as a therapeutic option to fight the reduction of muscle strength and functionality in older individuals. However, few studies have assessed the clinically-relevant gains in the levels of muscle strength and functionality of older individuals after PRT, in addition to the need of testing new PRT approaches, including individualization and periodization in training programs. Therefore, this article aims to assess the effect of a individual and periodized PRT protocol on handgrip strength and functionality in older individuals. Thus, the study sample included 69 older individuals, divided into two groups: case (n = 41) and control (n = 28). The case group participated in a progressive resistance training protocol for 12 weeks, with two weekly sessions. When compared to the control group, which received only health education, the individuals in the case group had a greater magnitude of improvement in all variables related to the assessed functionality (Timed up and go test, gait speed, and handgrip strength), proving the applicability of the assessed protocol to improve strength and functionality in the older individuals people of a community.
背景:除了与老年人身体虚弱和功能残疾的发病机制有关外,肌肉无力还与负面结果相关。肌肉力量和功能被认为是衰老的生物标志物。渐进式阻力训练(PRT)是一种一直被研究的训练类型,因为它作为一种治疗选择,可以对抗老年人肌肉力量和功能的减少。然而,很少有研究评估PRT后老年人肌肉力量和功能水平的临床相关收益,此外还需要测试新的PRT方法,包括训练计划的个体化和分期。因此,本文旨在评估个体和周期PRT方案对老年人握力和功能的影响。因此,研究样本包括69名老年人,分为两组:病例组(n = 41)和对照组(n = 28)。病例组参加了为期12周的渐进式阻力训练方案,每周两次。与只接受健康教育的对照组相比,病例组的个体在与评估功能相关的所有变量(计时和行走测试、步态速度和握力)上都有更大程度的改善,证明了评估方案在改善社区老年人力量和功能方面的适用性。
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引用次数: 1
Physical Condition and Risk of Hospitalization and Polypharmacy in Older Adults. 老年人身体状况与住院和多药的风险
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-05-24 DOI: 10.1089/rej.2021.0030
Ana Fernández-Araque, Laura García-de-Diego, María Martínez-Ferrán, I. Diez-Vega, T. Yvert, T. Mingo, C. Santiago, H. Pareja-Galeano, Z. Verde
Hospitalization in older population leads to a decline in physical function, physical condition and independency. However, a scarce number of studies has addressed the effect of being in good physical condition on the risk of hospitalization and polypharmacy in older people. Therefore, this study aims to examine the relationship between physical condition and other health factors, and the incidence of hospitalization and polypharmacy in Spanish older persons. For this cross-sectional study 102 community-dwelling persons aged 80 years or older who were being treated at three primary care centers. The data collected were number of hospitalizations and medications, dietary habits, nutrition status, quality of life, independence in activities of daily life, physical performance and associated genotype data. Scoring higher in the tests Chair stand and 8-Foot Up-and-go was found associated with reduced risks of hospitalization [OR = .45 (95% CI = .2, .99); OR .32 (95% CI = .12, .86)] and polypharmacy [OR = .36 (95% CI = .16, .8); OR= .28 (95% CI = .1, .78)]. The number of medications was also lower in individuals with a greater aerobic capacity and activities of daily life independence [OR = .28 (95% CI = .1, .78); OR = .37 (95% CI = .16, .82)]. No associations were found with the remaining physical performance tests or other factors assessed. Our findings point to benefits of greater strength, balance and aerobic capacity in terms of reducing the risk of hospitalization and polypharmacy.
老年人住院会导致身体功能、身体状况和独立性下降。然而,很少有研究涉及身体状况良好对老年人住院和多药治疗风险的影响。因此,本研究旨在探讨西班牙老年人的身体状况和其他健康因素之间的关系,以及住院和多药治疗的发生率。在这项横断面研究中,102名80岁或以上的社区居民在三个初级保健中心接受治疗。收集的数据包括住院人数和药物、饮食习惯、营养状况、生活质量、日常活动的独立性、身体表现和相关基因型数据。研究发现,在椅子站立和8英尺上下运动的测试中得分较高与住院风险降低相关[OR=.45(95%CI=0.2,.99);OR.32(95%CI=0.12,.86)]和多药治疗风险降低[OR=.36(95%CI=1.16,.8);OR=0.28(95%CI=1.1,.78)]。有氧能力和日常生活独立性较强的个体的药物数量也较低[OR=.28(95%置信区间=1.78);OR=.37(95%CI=.16,.82)]。未发现与剩余的身体表现测试或其他评估因素有关。我们的研究结果表明,增强力量、平衡和有氧能力有助于降低住院和多药治疗的风险。
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引用次数: 1
Plasma proteomic signature of cellular senescence and markers of biological aging among postmenopausal women. 绝经后妇女细胞衰老的血浆蛋白质组学特征和生物衰老标志物。
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-05-18 DOI: 10.1089/rej.2022.0024
Ji-Won Shin, Eunil Lee, Seungbong Han, Seungyong Choi, Ok-hee Jeon
We aimed to investigate the association of circulatory senescence-associated secretory phenotypes (SASP) produced by senescent cells with chronological and menopausal age in women aged 45 years or more. The proteomic profiles for 32 SASP factors of plasma samples were measured in 76 healthy postmenopausal women aged 46-82 years from the Korean Genome and Epidemiology Study Cardiovascular Disease Association Study (KoGES-CAVAS). We assessed the association between the SASP factors and aging indicators (chronological age, menopausal age, and years since menopause) using single- and multi-protein models. First, we composed a profile of proteins associated with chronological age, menopausal age, and years since menopause. In a single-protein model, three proteins (growth differentiation factor 15 (GDF15), insulin-like growth factor binding protein-2 (IGFBP-2), and tumor necrosis factor-α (TNF-α)) are positively associated with chronological age. Menopausal age and years since menopause are interrelated with Interlukin-8 (IL-8). The direction of association between menopausal age and monocyte chemoattractant protein-1 (MCP-1) was only negative, and IGFBP-2 and TNF-α were significant in all three aging factors. We also constructed parsimonious multi-protein models to confirm the association of the proteomic signature for aging after adjusting for covariates and the combination of proteomic signature of 13 proteins (GDF15, IFN-γ, IGFBP-2, IGFBP-7, IL-15, IL-1β, IL-17A, IL-8, MCP-1, TIMP-2, TNF-α, VEGF-A, and IP-10) appear to be associated with chronological age and menopausal state of individuals. Thus, by observing association between the selected SASPs and age-related markers among healthy postmenopausal women, we examine how menopause in women relates to proteomic indicators of aging and highlight the potential use of SASP factors as a marker to reflect the state of biological aging attributed by ovarian senescence.
我们旨在研究45岁或以上女性衰老细胞产生的循环衰老相关分泌表型(SASP)与时间和更年期年龄的关系。来自韩国基因组和流行病学研究心血管疾病协会研究(KoGES-CAVAS)的76名46-82岁的健康绝经后妇女的血浆样本的32个SASP因子的蛋白质组学图谱进行了测量。我们使用单蛋白和多蛋白模型评估了SASP因素与衰老指标(实际年龄、绝经年龄和绝经后年份)之间的相关性。首先,我们构建了一个与年龄、绝经年龄和绝经后年份相关的蛋白质图谱。在单蛋白模型中,三种蛋白质(生长分化因子15(GDF15)、胰岛素样生长因子结合蛋白2(IGFBP-2)和肿瘤坏死因子-α(TNF-α))与年龄呈正相关。更年期年龄和绝经后的年数与白细胞介素-8(IL-8)相关。更年期年龄与单核细胞趋化蛋白-1(MCP-1)之间的关联方向仅为阴性,IGFBP-2和TNF-α在所有三个衰老因素中均显著。我们还构建了简约的多蛋白模型,以确认在调整协变量后衰老的蛋白质组特征的关联,以及13种蛋白质(GDF15、IFN-γ、IGFBP-2、IGFBP-7、IL-15、IL-1β、IL-17A、IL-8、MCP-1、TIMP-2、TNF-α、VEGF-A和IP-10)的蛋白质组标志的组合似乎与个体的年龄和更年期状态有关。因此,通过观察健康绝经后妇女中所选SASP与年龄相关标志物之间的相关性,我们研究了妇女更年期与衰老的蛋白质组学指标之间的关系,并强调了SASP因子作为反映卵巢衰老引起的生物衰老状态的标志物的潜在用途。
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引用次数: 7
Covid-19 as a paradigmatic model of the heterogeneous disease presentation in older people: data from the GeroCovid Observational study. Covid-19作为老年人异质性疾病表现的范例模型:来自GeroCovid观察性研究的数据
IF 2.6 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-05-16 DOI: 10.1089/rej.2021.0063
C. Trevisan, Francesca Remelli, S. Fumagalli, E. Mossello, C. Okoye, G. Bellelli, A. Coin, A. Malara, P. Gareri, F. Monzani, S. Del Signore, G. Zia, R. Antonelli Incalzi, S. Volpato
Covid-19 may have a heterogeneous onset, especially in older age. However, whether and how Covid-19 signs and symptoms may present and aggregate together according to sociodemographic and health factors is unclear, as well as their prognostic value. This work included 981 Covid-19 inpatients who participated in the GeroCovid Observational study. Signs/symptoms at disease onset, sociodemographic, health, cognitive status, and mobility were systematically recorded. Clusters of signs/symptoms were identified through agglomerative hierarchical clustering. The associations of single signs/symptoms and symptom clusters with longer hospitalization (≥16 days) and in-hospital mortality were explored through logistic and Cox regressions. The signs/symptoms most reported in our sample (age 78.3±9.39 years; 49.4% women) were fever (62.5%), cough (45.5%), and dyspnoea (62.7%). Atypical were reported by up to one-third of patients, and delirium by 9.1%. Atypical symptoms were more frequent with advancing age and with lower pre-Covid-19 cognitive and mobility levels. Older men more likely reported respiratory symptoms than women. Dyspnoea (HR=1.47, 95%CI:1.02-2.12), tachypnea (HR=1.53, 95%CI:1.14-2.07), low oxygen saturation (HR=1.95, 95%CI:1.32-2.88) and delirium (HR=1.60, 95%CI:1.13-2.28) were associated with higher in-hospital mortality. Four symptom clusters were identified. Compared with the mild respiratory symptoms cluster, the severe clinical impairment cluster was associated with higher mortality (HR=2.57, 95%CI:1.58-4.18). The severe clinical impairment and aspecific symptoms clusters were associated with longer hospitalization (OR=2.38, 95%CI:1.56-3.63, and OR=1.75, 95%CI:1.08-2.83, respectively). Multiple health aspects influence Covid-19 clinical presentation. A symptom clusters approach may help predict adverse health outcomes in older patients. In addition to respiratory symptoms, delirium is independently associated with mortality risk.
Covid-19可能具有异质性发病,特别是在老年人中。然而,根据社会人口统计学和健康因素,Covid-19体征和症状是否以及如何出现和聚集在一起尚不清楚,也不清楚它们的预后价值。这项工作包括参加GeroCovid观察性研究的981名Covid-19住院患者。系统记录疾病发病时的体征/症状、社会人口统计学、健康状况、认知状况和活动能力。通过聚集的分层聚类来识别体征/症状群集。通过logistic回归和Cox回归探讨单一体征/症状和症状群与住院时间(≥16天)和住院死亡率的关系。我们的样本中报告最多的体征/症状(年龄78.3±9.39岁;发热(62.5%)、咳嗽(45.5%)和呼吸困难(62.7%)。高达三分之一的患者报告为非典型,9.1%的患者报告为谵妄。非典型症状随着年龄的增长和covid -19前认知和活动水平的降低而更常见。老年男性比女性更容易出现呼吸道症状。呼吸困难(HR=1.47, 95%CI:1.02-2.12)、呼吸急促(HR=1.53, 95%CI:1.14-2.07)、低血氧饱和度(HR=1.95, 95%CI:1.32-2.88)和谵妄(HR=1.60, 95%CI:1.13-2.28)与较高的住院死亡率相关。确定了四个症状群。与轻度呼吸道症状组相比,重度临床损害组死亡率更高(HR=2.57, 95%CI:1.58 ~ 4.18)。严重的临床损害和特定症状群与较长的住院时间相关(OR=2.38, 95%CI:1.56-3.63, OR=1.75, 95%CI:1.08-2.83)。多种健康因素影响Covid-19的临床表现。症状聚类方法可能有助于预测老年患者的不良健康结果。除呼吸道症状外,谵妄与死亡风险独立相关。
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引用次数: 4
期刊
Rejuvenation research
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