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Preoperative Geriatric Characteristics Associated with Changes in Postoperative Cognitive Function and Quality of Life: a Prospective, Observational Analytic Multicenter Study. 与术后认知功能和生活质量变化相关的术前老年特征:一项前瞻性观察分析多中心研究。
IF 2.8 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-12 DOI: 10.4235/agmr.24.0102
Isngadi Isngadi, Aswoco A Asmoro, Nurul Huda, Taufiq A Siswagama, Nancy M Rehatta, Susilo Chandra, Djayanti Sari, Mayang I Lestari, Tjokorda Ga Senapathi, Haizah Nurdin, Belindo Wirabuana, Bintang Pramodana, Adinda P Pradhana, Novita Anggraeni, Kenanga M Sikumbang, Radian A Halimi, Zafrullah K Jasa, Akhyar Hamonangan Nasution, Mochamat Mochamat, Purwoko Purwoko

Background: Changes in cognitive function are associated with increased depression and decreased quality of life (QOL). This study aimed to determine the relationship between the characteristics of geriatric patients and anesthetic management with changes in postoperative cognitive function and QOL of geriatric patients undergoing elective surgery.

Methods: This prospective observational analytic multicenter study included patients aged ≥60 years who underwent elective surgery in hospitals in Indonesia. We used the whole sampling method and performed follow-up 30 days after surgery. Data were analyzed using bivariate chi-square and multivariate regression tests with a confidence interval of 95% and α=5%.

Results: Among the 933 geriatric patients included in this study (55.0% female), most (59.8%) received general anesthesia. Factors including age (p<0.001, B=-0.374, odds ratio [OR]=0.688), body mass index (BMI) (p<0.05, B=0.129, OR=1.138), and physical status based on American Society of Anesthesiologists (ASA) classification (p<.001, B=-0.458, OR=0.633) were significantly associated with postoperative cognitive function. BMI (p<.001, B=-0.218, OR=1.244), absence of comorbidities (p<0.05, B=-0.312, OR=0.732), regional anesthesia (p<0.05, B=0.606, OR=1.883), and changes in cognitive function (p<0.05, B=0.288, OR=1.334) were significantly correlated with changes in postoperative QOL.

Conclusion: Age, BMI, and ASA physical status were significantly associated with postoperative cognitive function in geriatric patients, whereas BMI, comorbidities, regional anesthesia, and changes in postoperative cognitive function were associated with QOL. These preoperative factors can predict postoperative cognitive function and QOL and may be useful during preoperative planning.

背景:认知功能的变化与抑郁增加和生活质量(QOL)下降有关。本研究旨在确定老年患者的特征和麻醉管理与接受择期手术的老年患者术后认知功能和生活质量的变化之间的关系:这项前瞻性观察分析多中心研究纳入了在印度尼西亚医院接受择期手术的年龄≥60岁的患者。我们采用整体抽样法,并在术后 30 天进行随访。数据采用二元卡方检验和多元回归检验进行分析,置信区间为95%,α=5%:结果:在参与研究的 933 名老年患者(55.0% 为女性)中,大多数(59.8%)接受了全身麻醉。包括年龄(pConclusion:年龄、体重指数和 ASA 身体状况与老年患者的术后认知功能显著相关,而体重指数、合并症、区域麻醉和术后认知功能的变化则与 QOL 相关。这些术前因素可以预测术后认知功能和 QOL,在术前规划时可能会有所帮助。
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引用次数: 0
Impact of sarcopenia on falls, mobility limitation, and mortality using the diagnostic criteria proposed in the Korean Working Group on Sarcopenia guideline. 采用韩国肌少症工作组指南中提出的诊断标准,研究肌少症对跌倒、活动受限和死亡率的影响。
IF 2.8 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-02 DOI: 10.4235/agmr.24.0131
Ga Yang Shim, Hak Chul Jang, Ki-Woong Kim, Jae-Young Lim

Background: The recent published Korean Working Group on Sarcopenia (KWGS) guideline includes the concept of functional sarcopenia. The study investigated the prevalence of sarcopenia and its association with health-related adverse outcomes defined by the KWGS in community-dwelling older adults.

Methods: Data were sourced from the Korean Longitudinal Study on Health and Aging, focusing on Koreans 65 aged and above. The definitions of sarcopenia and functional sarcopenia followed the KWGS. The risks of falls, mobility limitation, and death were analyzed using logistic regression and Cox proportional hazard.

Results: Of the 594 participants, 145 (24.4%) were classified as having functional sarcopenia and 129 (12.0%) with sarcopenia. Both showed an increased prevalence with age. Functional sarcopenia had higher risks of mobility limitation [odds ratio (OR) 3.461, 95% confidence interval (95% CI) 1.956-6.121] and mortality [hazard ratio (HR) 1.775, 95% CI 1.229-2.564]. Sarcopenia was associated with falls [OR 7.376, 95% CI 1.500-36.272], mobility limitation [OR 2.057, 95% CI 1.172-3.611] and mortality [HR 1.512, 95% CI 1.054-2.169].

Conclusion: Functional sarcopenia is a prevalent condition that is associated with mobility limitation and mortality in community-dwelling older adults. This highlights the clinical relevance of functional sarcopenia and supports its inclusion in sarcopenia diagnosis.

背景:最近发布的韩国肌肉疏松症工作组(KWGS)指南包含了功能性肌肉疏松症的概念。本研究调查了社区老年人中肌肉疏松症的患病率及其与 KWGS 所定义的健康相关不良后果的关系:数据来源于韩国健康与老龄化纵向研究(Korean Longitudinal Study on Health and Aging),主要针对 65 岁及以上的韩国人。肌肉疏松症和功能性肌肉疏松症的定义与 KWGS 一致。采用逻辑回归和 Cox 比例危险分析了跌倒、行动受限和死亡的风险:在 594 名参与者中,145 人(24.4%)被归类为功能性肌肉疏松症,129 人(12.0%)被归类为肌肉疏松症。两者的患病率都随着年龄的增长而增加。功能性肌肉疏松症患者出现行动受限[几率比(OR)3.461,95% 置信区间(95% CI)1.956-6.121]和死亡[危险比(HR)1.775,95% CI 1.229-2.564]的风险较高。肌肉疏松症与跌倒[OR 7.376,95% CI 1.500-36.272]、活动受限[OR 2.057,95% CI 1.172-3.611]和死亡率[HR 1.512,95% CI 1.054-2.169]有关:在社区居住的老年人中,功能性肌肉疏松症是一种与活动受限和死亡率相关的普遍病症。这凸显了功能性肌肉疏松症的临床意义,并支持将其纳入肌肉疏松症诊断中。
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引用次数: 0
Health and Community Care Workers' Knowledge and Perceptions of Social Prescribing in Singapore. 新加坡卫生和社区护理人员对社会处方的了解和看法。
IF 2.8 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-01 Epub Date: 2024-05-10 DOI: 10.4235/agmr.24.0062
Li Feng Tan, Reshma Aziz Merchant

Background: This study aimed to survey knowledge and perceptions of social prescribing (SP) amongst health and community care workers, and is a cross-sectional online survey conducted in November 2023.

Methods: The survey on basic demographics, awareness, knowledge, and practices of SP was completed by 123 health and community care workers.

Results: The mean age of respondents was 39.0 years. Nearly two-thirds had heard of SP. A lower proportion of acute hospital doctors (55.6%) and nurses (56.8%) had heard of SP compared with primary and subacute care doctors (75.0%). The majority agreed that SP benefits patients' mental health and reduces healthcare utilization. Primary care physicians, community nurses, and active ageing centres were the top three professionals selected as most responsible for SP by survey respondents. The most commonly cited barriers to SP were seniors' reluctance (63.4%), lacking knowledge on how to refer (59.3%), lack of time (44.7%), and cost to seniors (44.7%).

Conclusion: Overall, health and community care workers demonstrated positive attitudes toward SP and were keen to refer patients for SP. However, additional efforts are needed to improve knowledge about how to refer to and provide training on SP.

研究目的本研究旨在调查医疗和社区护理工作者对社会处方(SP)的了解和看法:研究设计:2023 年 11 月进行的横断面在线调查:123名医疗和社区护理人员完成了关于社会处方的基本人口统计学、认知、知识和实践的调查:结果:受访者的平均年龄为 39.0 岁。近三分之二的人听说过 SP。听说过 SP 的急症医院医生(55.6%)和护士(56.8%)的比例低于初级和亚急性护理医生(75.0%)。大多数人都认为 SP 有利于患者的心理健康和减少医疗使用。初级保健医生、社区护士和积极老龄化中心是调查对象认为对 SP 负有最大责任的前三位专业人员。最常被提及的开展 SP 的障碍是老年人不愿意(63.4%)、缺乏如何转介的知识(59.3%)、缺乏时间(44.7%)和老年人的费用(44.7%):总体而言,医护人员和社区护理人员对 SP 持积极态度,并热衷于转介病人接受 SP 治疗。然而,还需要进一步努力提高对如何转诊的认识,并提供有关 SP 的培训。
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引用次数: 0
Association between Gait Speed and Balance Disorders in Older Adults from 12 High Andean Peruvian Communities, 2013-2019. 2013-2019 年秘鲁 12 个安第斯高原社区老年人步速与平衡失调之间的关系。
IF 2.8 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-01 Epub Date: 2024-05-20 DOI: 10.4235/agmr.24.0010
Fiorella Oliva-Zapata, Kimi Ururi-Cupi, Leslie Salazar-Talla, Ana L Alcantara-Diaz, Sofia Cuba-Ruiz, Diego Urrunaga-Pastor, Fernando M Runzer-Colmenares, José F Parodi

Background: Gait speed is associated with a higher prevalence of balance disorders in older adults residing at high altitudes. This study investigated this association in older adults from 12 high-altitude Andean Peruvian communities.

Methods: We performed a secondary data analysis from an analytical cross-sectional study of adults >60 years of age, residing in 12 high-altitude Andean Peruvian communities, enrolled between 2013 and 2019. The exposure and outcome variables were gait speed (categorized in tertiles), and balance disorders (defined as a functional reach value of ≤20.32 cm), respectively. We built generalized linear models of the Poisson family with a logarithmic link function and robust variances, and estimated crude prevalence ratios (cPR) and adjusted prevalence ratios (aPR) with 95% confidence intervals (CIs).

Results: We analyzed 418 older adults; 38.8% (n=162) were male, and the mean age was 73.2±6.9 years. The mean gait speed and functional reach were 0.66±0.24 m/s and 19.9±6.48 cm, respectively. In the adjusted regression model, the intermediate (aPR=1.88; 95% CI, 1.39-2.55; p<0.001) and low (aPR=2.04; 95% CI, 1.51-2.76; p<0.001) tertiles of gait speed were associated with a higher prevalence of balance disorders.

Conclusion: The intermediate and low tertiles of gait speed were associated with a higher prevalence of balance disorders among older adult residents of 12 high-altitude Andean communities. We recommend further research on the behavior of this association to propose interventions for these vulnerable groups and reduce the impact of geriatric conditions.

背景:在高海拔地区居住的老年人中,步态速度与较高的平衡障碍发病率有关。本研究调查了秘鲁安第斯山脉 12 个高海拔社区老年人的这种相关性:我们对一项分析性横断面研究进行了二次数据分析,研究对象为居住在秘鲁安第斯地区 12 个高海拔社区、年龄大于 60 岁的成年人,入选时间为 2013 年至 2019 年。暴露变量和结果变量分别为步态速度(按三等分分类)和平衡失调(定义为功能性伸手值≤20.32厘米)。我们建立了具有对数链接函数和稳健方差的泊松族广义线性模型,并估算了粗流行率(cPR)和调整流行率(aPR)以及 95% 的置信区间(CIs):我们分析了 418 名老年人,其中 38.8%(n=162)为男性,平均年龄为 73.2 ± 6.9 岁。平均步速和功能伸展分别为 0.66 ± 0.24 米/秒和 19.9 ± 6.48 厘米。在调整后的回归模型中,中等水平(aPR=1.88;95% CI:1.39-2.55;pConclusions:在 12 个高海拔安第斯社区的老年居民中,步速的中间分层和低分层与较高的平衡障碍患病率有关。我们建议进一步研究这种关联的行为,以便为这些弱势群体提出干预措施,减少老年病的影响。
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引用次数: 0
Association between Dynapenia and Multimorbidity in Community-Dwelling Older Adults: A Systematic Review. 动态蛋白尿与多病之间的关系:系统综述。
IF 2.8 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-01 Epub Date: 2024-04-24 DOI: 10.4235/agmr.24.0007
Hironori Ohinata, Shan Yun, Naoko Miyajima, Michiko Yuki

Dynapenia and multimorbidity are common health problems affecting older adults. However, few studies have systematically reviewed the association between dynapenia and multimorbidity. Therefore, this systematic review aimed to provide a comprehensive overview of studies on the association between these conditions. We searched four electronic databases for relevant articles published in July 2023. The main inclusion criteria were the following: a description of dynapenia, which indicates loss of muscle strength, and a description of multimorbidity with two or more chronic diseases. Five studies met these inclusion criteria. In all five of these studies, the participants were community-dwelling older adults. All the studies showed an association between dynapenia and multimorbidity. The prevalence of dynapenia and multimorbidity ranged from 16% to 25.9%. The results of our systematic review demonstrated that dynapenia in older adults increases the risk of multimorbidity. We propose that interventions and reversible changes in dynapenia can prevent multimorbidity. (PROSPERO Registration No. CRD42023443282).

动态肌无力症和多病症是影响老年人的常见健康问题。然而,很少有研究系统性地回顾了动态肌无力症与多病之间的关联。因此,本系统性综述旨在全面概述有关这两种疾病之间关联的研究。我们在四个电子数据库中检索了 2023 年 7 月发表的相关文章。主要纳入标准如下:(1)描述了动态肌无力症,即肌肉力量丧失;(2)描述了患有两种或两种以上慢性疾病的多病症。有五项研究符合这些纳入标准。在这五项研究中,参与者都是居住在社区的老年人。所有的研究都显示了动态肌无力症与多病症之间的关联。动态肌无力症与多病症的发病率从 16% 到 25.9% 不等。我们的系统性回顾结果表明,老年人的动态肌无力症会增加多病风险。我们建议,对动态肌无力症进行干预并使其发生可逆变化,可预防多病症的发生。
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引用次数: 0
The Association between Physical Frailty and Cognitive Performance in Older Adults Aged 60 to 96 Years: Data from the "Good Aging in Skåne" (GÅS) Swedish Population Study. 60-96 岁老年人身体虚弱与认知能力之间的关系。瑞典 "斯科纳良好老龄化"(GÅS)人口研究数据。
IF 2.8 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-01 Epub Date: 2024-05-17 DOI: 10.4235/agmr.24.0055
Katrina Lundberg, Sölve Elmståhl, Lena Sandin Wranker, Henrik Ekström

Background: The association between physical frailty and performance in different cognitive domains in the absence of cognitive disorders is poorly understood. Hence, we aimed to explore the associations between frailty levels based on the Fried Physical Frailty Phenotype and performance of different cognitive domains. We also aimed to examine the associations between cognitive function and each criterion in the Fried Frailty Scale using the same cognitive domains in a non-dementia population aged 60-96 years.

Methods: This cross-sectional study included 4,329 participants aged 60-96 years, drawn from the "Good Aging in Skåne" population study. Frailty indices included handgrip strength, physical endurance, body mass index (BMI), physical activity, and walking speed. Cognitive function was assessed across eight domains: episodic memory, processing speed, semantic memory, verbal fluency, working memory, attention, executive function, and visual perception. We constructed adjusted multiple linear regression models for each cognitive domain, with the frailty levels as the independent variable. Likewise, we constructed linear regression models with each cognitive domain as the dependent variable and frailty criteria as independent variables.

Results: Physical frailty was associated with poor performance in episodic memory, processing speed, semantic memory, verbal fluency, working memory, attention, and executive functions (p<0.001 for all associations). Weaker hand grip strength was independently associated with poorer performance in all cognitive domains (p < 0.015).

Conclusion: Higher levels of frailty were associated with poorer performance in all cognitive domains except visual perception. Describing frailty by considering cognitive functioning may provide a better understanding of frailty.

背景:在没有认知障碍的情况下,身体虚弱与不同认知领域的表现之间的关系尚不清楚。因此,我们旨在探讨基于弗里德体质虚弱表型的虚弱程度与不同认知领域表现之间的关联。此外,我们还希望在 60-96 岁的非痴呆人群中,使用相同的认知领域来研究认知功能与弗里德体弱量表中各项标准之间的关联:这项横断面研究包括 4,329 名 60-93 岁的参与者,他们来自 "斯科纳良好老龄化 "人口研究。虚弱指数包括手握力、身体耐力、体重指数(BMI)、体力活动和步行速度。认知功能的评估涉及八个领域:外显记忆、处理速度、语义记忆、语言流畅性、工作记忆、注意力、执行功能和视觉感知。我们以虚弱程度为自变量,为每个认知领域构建了调整后的多元线性回归模型。同样,我们以每个认知领域为因变量,以虚弱标准为自变量,建立了线性回归模型:结果:身体虚弱与外显记忆、处理速度、语义记忆、言语流畅性、工作记忆、注意力和执行功能表现不佳有关(所有关联的 p 均小于 0.001)。手部握力较弱与所有认知领域的较差表现均有独立关联(p < 0.001-0.015):结论:较高的虚弱程度与除视觉感知以外的所有认知领域的较差表现都有关联。通过考虑认知功能来描述虚弱程度可能会让人对虚弱有更好的理解。
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引用次数: 0
The Korean Long-Term Care System: 2024 Update. 韩国长期护理系统:2024 年更新。
IF 2.8 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-01 Epub Date: 2024-09-30 DOI: 10.4235/agmr.24.0132
Hyuk Ga
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引用次数: 0
Are Middle-Aged and Older Adult Users of Physical Activity Monitoring Systems More Physically Active and at a Lower Risk of Locomotive Syndrome? A Cross-Sectional Web-Based Online Survey. 使用体力活动监测仪的中老年人是否更积极参加体育锻炼并降低患运动综合征的风险?横断面网络在线调查。
IF 2.8 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-01 Epub Date: 2024-05-17 DOI: 10.4235/agmr.24.0040
Hyuma Makizako, Shoma Akaida, Daijo Shiratsuchi, Mana Tateishi

Background: Physical inactivity is a risk factor for locomotive syndromes and functional limitations in middle-aged and older adults. Therefore, strategies to promote physical activity should be considered. This study investigated whether users of physical activity monitors were more physically active and exhibited a lower risk of locomotive syndrome, compared with non-users.

Methods: We analyzed data from 742 Japanese adults aged 60-79 years. The participants were surveyed for their use of physical activity monitors in their daily lives. We also assessed the prevalence of locomotive syndrome.

Results: We observed significantly higher physical activity levels in users compared with non-users. Moreover, the use of a physical activity monitor was significantly associated with decreased odds of locomotive syndrome (adjusted odds ratio [aOR]=0.48). Significantly lower risk of locomotive syndrome were observed in individuals who had used a monitor for >2 years (aOR=0.42) or had set a personal step goal (aOR=0.32).

Conclusion: Physical activity monitoring may increase engagement in physical activity-associated behavior. Therefore, monitoring could serve as a useful tool to promote physical health in middle-aged and older adults.

背景:缺乏运动是中老年人出现运动综合征和功能限制的一个风险因素。因此,应考虑采取促进身体活动的策略。本研究调查了与不使用体力活动监测仪的人相比,是否使用体力活动监测仪的人更积极参加体育锻炼,患运动综合征的风险是否更低:我们分析了 742 名 60-79 岁日本成年人的数据。方法:我们分析了 742 名 60-79 岁日本成年人的数据,调查了他们在日常生活中使用体力活动监测器的情况。我们还评估了运动综合征的发病率:结果:我们发现,与不使用体力活动监测仪的人相比,使用体力活动监测仪的人的体力活动水平明显更高。此外,使用体力活动监测器与患运动综合征的几率降低有明显关系(调整后的几率比 [aOR] = 0.48)。使用体力活动监测仪超过 2 年(aOR = 0.42)或设定了个人步数目标(aOR = 0.32)的人患运动综合征的风险明显降低:结论:体力活动监测可增加参与与体力活动相关的行为。因此,监测可作为促进中老年人身体健康的有用工具。
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引用次数: 0
Relationship between Social Participation, Children's Support, and Social Frailty with Falls among Older Adults in Colombia. 哥伦比亚老年人的社会参与、子女支持和社会脆弱性与跌倒之间的关系。
IF 2.8 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-01 Epub Date: 2024-07-02 DOI: 10.4235/agmr.24.0059
Brigitte Alexi Moncayo-Hernández, Eliana Patricia Dueñas-Suarez, Carlos Alfonso Reyes-Ortiz

Background: There is limited research on social factors related to falls among older adults. This study assessed the association between falls during the past year with social participation, children's support, relationship with children, and social frailty.

Methods: Participants were 17,687 community-dwelling older adults from the 2015 Survey on Health, Well-being, and Aging (SABE) in Colombia. Covariates included sociodemographic characteristics, environmental barriers, psychotropic intake, vision problems, memory loss, multimorbidity, and fear of falling.

Results: In multivariate logistic regression analyses, being socially frail (vs. no-frail) was associated with higher odds of falls (odds ratio [OR]=1.20; 95% confidence interval [CI] 1.10-1.32). Participating in groups (OR=1.07; 95% CI 1.03-1.11), helping others (OR=1.04; 95% CI 1.02-1.06), or volunteering (OR=1.09; 95% CI 1.01-1.17) were also associated with higher odds of falls. These findings were partly explained because most group participants reside in cities where they are more exposed to environmental barriers. In contrast, receiving help, affection, and company from children (OR=0.95; 95% CI 0.93-0.97) was associated with lower fall odds than not receiving it. Moreover, having a good relationship with children was associated with lower odds of falls (OR=0.75; 95% CI, 0.66-0.85) compared to an unsatisfactory relationship.

Conclusion: Support from children and having a good relationship with them were associated with fewer falls; however, social frailty and participation in social groups were associated with more falls.

背景:有关老年人跌倒的社会因素的研究十分有限。本研究评估了过去一年中跌倒与社会参与、子女支持、与子女的关系以及社会脆弱性之间的关系:参与者是来自 SABE(2015 年健康、福祉和老龄化)哥伦比亚调查的 17687 名居住在社区的老年人。协变量包括社会人口特征、环境障碍、精神药物摄入量、视力问题、记忆力减退、多病症和跌倒恐惧:在多变量逻辑回归分析中,社交脆弱(与不脆弱相比)与较高的跌倒几率相关(OR=1.20;95% 置信区间 [CI],1.10-1.32)。参加团体(OR=1.07;95% CI,1.03-1.11)、帮助他人(OR=1.04;95% CI,1.02-1.06)或志愿服务(OR=1.09;95% CI,1.01-1.17)也与较高的跌倒几率有关。这些发现的部分原因是,大多数小组参与者居住在城市中,他们更容易受到环境障碍的影响。相比之下,得到子女的帮助、关爱和陪伴(OR=0.95;95% CI,0.93-0.97)与跌倒的几率比没有得到帮助、关爱和陪伴的几率要低。此外,与不满意的关系相比,与子女保持良好关系的跌倒几率较低(OR=0.75;95% CI,0.66-0.85):结论:子女的支持和与子女关系融洽与较少跌倒有关;然而,社会脆弱性和参与社会团体与较多跌倒有关。
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引用次数: 0
Association of Sarcopenia and Its Components with Depression Symptoms in Older Patients with Stroke. 肌肉疏松症及其成分会抑制中风患者抑郁症状的改善。
IF 2.8 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-01 Epub Date: 2024-07-02 DOI: 10.4235/agmr.24.0027
Ryo Shiraishi, Shunji Araki, Takahiro Ogawa

Background: Recent studies have reported an association between sarcopenia and depression symptoms. To date, no reports have investigated the association between sarcopenia and depression symptoms evaluated using the Geriatric Depression Screening Scale (GDS)-15 in patients with stroke. Therefore, this study aimed to investigate the association between sarcopenia and its components and the improvement of depression symptoms in patients with stroke admitted to a convalescent rehabilitation ward.

Methods: Patients with stroke aged ≥65 years admitted to a convalescent rehabilitation ward were included in the study. Participants were categorized into sarcopenia and non-sarcopenia groups based on the 2019 Asian Working Group for Sarcopenia. Here, depression symptoms were evaluated using the GDS-15, in addition to demographic characteristics. This study's primary outcome was the GDS change from admission to discharge. Multiple regression analysis was performed to investigate the association between GDS change and sarcopenia and its components.

Results: Overall, 118 participants were included, with the mean age of 78.7±8.1 years, and 58 (49%) were classified in the sarcopenia group. Multiple regression analysis showed that sarcopenia (β=-0.283, 95% confidence interval [CI] -1.140 to -0.283, p<0.001) and handgrip strength (β=-0.317, 95% CI -0.162 to -0.014, p=0.021) were independently associated with GDS change.

Conclusion: Sarcopenia and handgrip strength were significantly associated with improved depression symptoms in patients with stroke admitted to a convalescent rehabilitation ward. However, further prospective studies should investigate the association between sarcopenia and depression symptoms in patients with stroke.

背景:最近有研究报告称,肌肉疏松症与抑郁症状之间存在关联。迄今为止,还没有报告调查过中风患者的肌肉疏松症与使用老年抑郁筛查量表(GDS)-15 评估的抑郁症状之间的关系。因此,本研究旨在调查入住康复疗养病房的中风患者的肌肉疏松症及其组成部分与抑郁症状改善之间的关系:方法:研究对象包括入住康复疗养病房的年龄≥65 岁的中风患者。根据 2019 年亚洲肌肉疏松症工作组的标准,将参与者分为肌肉疏松症组和非肌肉疏松症组。在此,除了人口统计学特征外,还使用 GDS-15 对抑郁症状进行了评估。本研究的主要结果是入院到出院期间的 GDS 变化。研究人员进行了多元回归分析,以研究 GDS 变化与肌肉疏松症及其组成部分之间的关联:共纳入 118 名参与者,平均年龄为(78.7±8.1)岁,其中 58 人(49%)属于肌肉疏松症组。多元回归分析显示,肌肉疏松症(β:-0.283,95% 置信区间[CI]:-1.140 至 -0.283,p < 0.001)和手握力(β:-0.317,95% 置信区间[CI]:-0.162 至 -0.014,p = 0.021)与 GDS 变化独立相关:结论:对于入住康复疗养病房的脑卒中患者来说,肌肉疏松症和手握强度与抑郁症状的改善有显著相关性。然而,进一步的前瞻性研究应探讨中风患者肌肉疏松症与抑郁症状之间的关系。
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Annals of Geriatric Medicine and Research
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