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Global, Regional and National Burden of Osteoarthritis, 1990–2021: A Decomposition and Age–Period–Cohort Analysis 全球、地区和国家骨关节炎负担,1990-2021:分解和年龄-时期队列分析
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-30 DOI: 10.1111/ajag.70108
Yi Li, Wenhui Li, Baozhu Xu, Huangli Zhang, Yuping Huang, Lizhang Xu

Objectives

Osteoarthritis (OA) is a leading cause of disability worldwide, driven by ageing populations and lifestyle factors, such as obesity and sedentary behaviours. Understanding the global, regional and national trends in OA prevalence is crucial for public health planning and resource allocation.

Methods

This study employed data from the Global Burden of Disease (GBD) 2021 database to examine the prevalence of OA from 1990 to 2021. Age-standardised prevalence rates (ASPR) and decomposition analysis were conducted to identify key drivers, including age structure shift, population growth and epidemiological change. An age–period–cohort (APC) model was applied to assess the influence of demographic shifts on OA prevalence. Stratified analyses were conducted by socio-demographic index (SDI) regions to assess disparities in OA burden.

Results

The global number of OA cases rose from 256 million (95% CI: 227–283 million) in 1990 to 607 million (95% CI: 538–671 million) in 2021, with an ASPR of 6967.29 (95% CI: 6180.70–7686.06) per 100,000 individuals. Population growth contributed 74% of this increase, whereas age structure shift accounted for 16%. High SDI regions reported the highest ASPR, with 7897.27 (95% CI: 7067.13–8689.88) per 100,000, compared with 5605.58 (95% CI: 4967.54–6230.60) in low SDI regions.

Conclusions

The global burden of OA has escalated during the last 30 years, particularly in ageing populations. Although population growth and demographic shifts are major drivers, regional disparities highlight the need for targeted prevention strategies and improved healthcare access in lower SDI regions.

目的:骨关节炎(OA)是全球范围内致残的主要原因,由人口老龄化和生活方式因素(如肥胖和久坐行为)驱动。了解全球、区域和国家OA流行趋势对公共卫生规划和资源分配至关重要。方法:本研究采用全球疾病负担(GBD) 2021数据库的数据,调查1990年至2021年OA的患病率。通过年龄标准化患病率(ASPR)和分解分析,找出年龄结构变化、人口增长和流行病学变化等主要驱动因素。采用年龄-时期-队列(APC)模型评估人口变化对OA患病率的影响。按社会人口指数(SDI)区域进行分层分析,以评估OA负担的差异。结果:全球OA病例数从1990年的2.56亿(95% CI: 2.27 - 2.83亿)上升到2021年的6.07亿(95% CI: 5.38 - 6.71亿),每10万人的ASPR为6967.29 (95% CI: 6180.70-7686.06)。其中人口增长占74%,而年龄结构变化占16%。高SDI地区报告的ASPR最高,为7897.27 (95% CI: 7067.13-8689.88) / 10万,而低SDI地区为5605.58 (95% CI: 4967.54-6230.60)。结论:在过去的30年中,OA的全球负担已经升级,特别是在老龄化人口中。虽然人口增长和人口结构变化是主要驱动因素,但区域差异突出表明,在低SDI地区需要有针对性的预防战略和改善医疗保健服务。
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引用次数: 0
The Effect of Forum Theatre on Nursing Students' Ageist Attitudes Towards Older Adults 论坛剧场对护生老年歧视态度的影响。
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-24 DOI: 10.1111/ajag.70107
Hümeyra Hançer Tok, Makbule Tokur Kesgin, Lütfiye Nur Uzun

Objective

Ageism is a significant issue among nurses and nursing students and has a negative impact on the care provided to older adults. Education programmes are an effective way of combating ageism among nurses by raising awareness. This study aimed to determine the effectiveness of forum theatre training in improving nursing students' attitudes towards ageism.

Methods

This study employed a quasi-experimental single-group pre-/post-test design, supported by qualitative data obtained from open-ended questions. Nursing students and ageing awareness training were implemented through forum theatre. The intervention comprised three weekly sessions, each lasting approximately 4 h, with a warm-up, play and forum phase led by a facilitator (‘Joker’), held once per week over 3 weeks. Each session involved enacting a different scenario depicting ageism in everyday contexts. Data were collected using a Personal Information Form, a Forum Theatre Feedback Form and the Fraboni Scale of Ageism, which was administered both pre- and post-test. Quantitative data were analysed using the Wilcoxon signed-rank test, whereas qualitative data were analysed using content analysis.

Results

Forum theatre training increased nursing students' awareness of ageism (p < 0.05). In addition, nursing students stated that taking part in forum theatre training had increased their knowledge and empathy skills regarding ageism, as well as their social awareness. Participants also reported greater confidence in caring for older adults.

Conclusions

This small-scale study produced promising results. Further research with larger, more diverse samples, using a randomised controlled trial design, is recommended to confirm these findings and support their broader integration into nursing education programmes.

目的:年龄歧视是护士和护生中存在的一个重要问题,并对老年人的护理产生了负面影响。教育方案是通过提高认识,在护士中打击年龄歧视的有效途径。本研究旨在探讨论坛戏剧训练对改善护生对年龄歧视态度的效果。方法:本研究采用准实验的单组测试前/后设计,采用开放式问题的定性数据。通过论坛剧场开展护理学生和老龄化意识培训。干预包括三个星期的会议,每次持续约4小时,热身,游戏和论坛阶段由主持人(“小丑”)领导,每周举行一次,持续3周。每节课都涉及到在日常环境中描绘年龄歧视的不同场景。数据收集采用个人信息表、论坛戏剧反馈表和弗拉博尼年龄歧视量表,测试前和测试后均采用该量表。定量资料采用Wilcoxon符号秩检验,定性资料采用内容分析。结果:论坛戏剧培训提高了护生对年龄歧视的认识(p)结论:这项小规模研究产生了令人鼓舞的结果。建议采用随机对照试验设计,采用更大、更多样化的样本进行进一步研究,以证实这些发现,并支持将其更广泛地纳入护理教育计划。
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引用次数: 0
Hospital Admissions due to Medication-Related Harm in the Last 5 Years of Life: A Cohort Study 最近5年因药物相关伤害住院:一项队列研究
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-23 DOI: 10.1111/ajag.70104
Judy R. Mullan, Stephen Moules, Andrew Bonney

Introduction

The World Health Organization (WHO) launched the third Global Patient Safety Challenge: Medication without Harm in 2017, aiming to reduce avoidable medication-related harm. Recognising that medication-related harm (MRH) accounts for the highest proportion of preventable harm, this initiative remains active and evolving. This study investigates the demographic and clinical factors associated with medication-related hospital admissions among a cohort of decedents.

Methods

A retrospective cohort study was conducted using routinely collected non-identifiable linked data from an Australian Local Health District (LHD). The study population comprised residents aged 65 years and over who died in one of the LHD hospitals between 2017 and 2019. Logistic regression models were used to estimate unadjusted and fully adjusted odds ratios for medication-related hospital admissions.

Results

Among the 4353 decedents, 31%–40% experienced at least one hospital admission due to MRH in the last 5 years of life, accounting for 5% of total admissions. Higher rates of medication-related admissions were observed among individuals aged below 70 years, those residing in metropolitan areas and residential aged care facility residents. Comorbidities such as renal failure, heart failure, transient ischaemic attack, hypertension, diabetes and chronic obstructive pulmonary disease (COPD) were significant predictors of medication-related admissions.

Conclusions

In our cohort of decedents, one-third had at least one hospitalisation due to MRH in their final 5 years. Higher risk was associated with being under 70 years of age, living in metropolitan or aged care settings and having multiple or specific chronic conditions. These results highlight the need for targeted interventions for high-risk individuals nearing the end of life.

2017年,世界卫生组织(世卫组织)发起了第三项全球患者安全挑战:无伤害用药,旨在减少可避免的药物相关伤害。认识到药物相关伤害(MRH)占可预防伤害的最高比例,这一倡议仍在积极开展并不断发展。本研究调查了一组死者中与药物相关的住院相关的人口学和临床因素。方法:回顾性队列研究使用常规收集的澳大利亚地方卫生区(LHD)的不可识别关联数据进行。研究人群包括2017年至2019年期间在LHD医院之一死亡的65岁及以上的居民。Logistic回归模型用于估计未调整和完全调整的药物相关住院的优势比。结果:4353例患者中,31% ~ 40%的患者在近5年内至少因MRH住院一次,占总住院人数的5%。年龄在70岁以下、居住在大都市地区和居住在老年护理机构的居民中,与药物相关的入院率较高。合并症如肾衰竭、心力衰竭、短暂性缺血发作、高血压、糖尿病和慢性阻塞性肺疾病(COPD)是药物相关入院的重要预测因素。结论:在我们的死者队列中,三分之一的患者在最后5年中至少因MRH住院一次。年龄在70岁以下、生活在大都市或老年护理机构、患有多种或特定慢性疾病的人患糖尿病的风险更高。这些结果强调了对接近生命末期的高危人群进行有针对性干预的必要性。
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引用次数: 0
The Long-Term Impact of Delirium: An Integrative Review of Patient Experiences 谵妄的长期影响:对患者经历的综合回顾。
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-22 DOI: 10.1111/ajag.70103
Jenni Steffen, Christina Aggar, Claire Hutchinson

Objectives

This integrative review explores patients' recall of delirium post-discharge and synthesises existing research on the long-term impact of delirium from the patients' perspective. The findings will inform post-discharge strategies, offering healthcare professionals valuable insights to support patient recovery.

Methods

An integrative review of the literature was utilised following the Whittemore and Knafl methodology. Six electronic databases were searched to identify relevant studies. Studies that met inclusion criteria were appraised using the Mixed Methods Appraisal Tool (MMAT) and then analysed using thematic analysis to identify key themes across all articles. The PRISMA checklist was used to evaluate the current research.

Results

Fifteen studies were included in the review. Following thematic analysis, two primary themes emerged: (1) Emotional and psychological burden, including anxiety, flashbacks, vivid hallucinations, and chronic sleep disturbances, and (2) Memories of care and connection, emphasising the role of healthcare professionals and social support in recovery. Patients reported feelings of shame, guilt and embarrassment related to delirium-associated memories, particularly their interactions with staff and loved ones. The attitudes and communication styles of healthcare professionals significantly influenced participants' outcomes, with supportive and empathetic care alleviating distress. Family, friends and fellow patients played a crucial role in reassuring participants and reducing feelings of isolation.

Conclusions

Effective post-discharge strategies are essential to support patients' long-term recovery and minimise the lasting impact of delirium. Future research should focus on developing interventions to support patients during the post-discharge phase of their delirium.

目的:本综合综述探讨出院后谵妄患者的回忆,并从患者的角度综合现有关于谵妄长期影响的研究。研究结果将告知出院后的策略,为医疗保健专业人员提供宝贵的见解,以支持患者康复。方法:采用Whittemore和Knafl方法对文献进行综合综述。检索了六个电子数据库以确定相关研究。使用混合方法评估工具(MMAT)对符合纳入标准的研究进行评估,然后使用主题分析来确定所有文章的关键主题。采用PRISMA检查表对目前的研究进行评价。结果:本综述纳入了15项研究。在专题分析之后,出现了两个主要主题:(1)情绪和心理负担,包括焦虑、闪回、生动的幻觉和慢性睡眠障碍;(2)照顾和联系的记忆,强调医疗保健专业人员和社会支持在康复中的作用。患者报告说,与谵妄相关的记忆,特别是与工作人员和亲人的互动,会让他们感到羞耻、内疚和尴尬。医疗保健专业人员的态度和沟通方式显著影响参与者的结果,支持和共情护理减轻痛苦。家人、朋友和其他病人在安抚参与者和减少孤立感方面发挥了至关重要的作用。结论:有效的出院策略对于支持患者的长期康复和减少谵妄的持续影响至关重要。未来的研究应侧重于开发干预措施,以支持患者在谵妄出院后的阶段。
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引用次数: 0
Physical Function Prevails, but Is Cognition Underestimated? Methodological Concerns on the Use of MMSE 身体机能占上风,认知能力被低估了吗?对MMSE使用方法的关注。
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-21 DOI: 10.1111/ajag.70105
Marco Machado
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引用次数: 0
Differentiating Cognitive Challenges During Menopause Transition From Dementia: Key Considerations 区分更年期过渡期间的认知挑战和痴呆:关键考虑因素
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-11 DOI: 10.1111/ajag.70102
Aimee Spector, Caroline Gurvich
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引用次数: 0
Frailty in Older Patients With Atrial Fibrillation and Its Relationship With Anticoagulant Use: A Multi-Centred Observational Study in New South Wales 老年心房颤动患者的虚弱及其与抗凝剂使用的关系:新南威尔士州的一项多中心观察研究
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-11 DOI: 10.1111/ajag.70101
Tu N. Nguyen, Kenji Fujita, Sarah N. Hilmer

Objectives

This study aimed to examine the prevalence of frailty in hospitalised older patients with atrial fibrillation (AF) and its relationship with oral anticoagulant (OAC) prescription during admission. The secondary aim was to examine the association between frailty and rate-/rhythm-control medication prescriptions.

Methods

This retrospective observational study included adults aged 65 years or older with AF admitted to six hospitals in Australia in 2022. Frailty was defined by a Frailty Index ≥ 0.25. Logistic regression models were applied to examine the association between frailty and the prescriptions of OAC, rate-control and rhythm-control drugs during hospitalisation. Results are presented as odds ratios (OR) and 95% confidence intervals (CI).

Results

There were 685 patients, with a mean age of 82.6 (SD 8.3), 50% female and 43% identified as frail. Overall, 76% were prescribed OAC (68% in the frail versus 81% in the non-frail, p < 0.001), 38% received rate-control drugs (42% in the frail vs. 34% in the non-frail, p = 0.04), 27% received rhythm-control drugs (23% in the frail vs. 31% in the non-frail, p = 0.02). The adjusted ORs of frailty on prescriptions were 0.58 (95% CI 0.39–0.86) for OAC, 1.75 (95% CI 1.22–2.52) for rate-control drugs and 0.83 (95% CI 0.55–1.24) for rhythm-control drugs.

Conclusions

The study revealed a high prevalence of frailty in older inpatients with AF. Frailty was associated with reduced likelihood of prescription of OAC and increased likelihood of prescribing rate-control medications, with no independent impact on rhythm-control therapy. Further studies are needed to understand these prescribing patterns.

目的本研究旨在探讨老年心房颤动(AF)住院患者的虚弱患病率及其与入院时口服抗凝剂(OAC)处方的关系。第二个目的是检查虚弱和速度/节奏控制药物处方之间的关系。方法本回顾性观察性研究纳入了2022年澳大利亚6家医院收治的65岁及以上房颤患者。虚弱以虚弱指数≥0.25为标准。采用Logistic回归模型检验住院期间虚弱与OAC、速率控制和节律控制药物处方之间的关系。结果以比值比(OR)和95%置信区间(CI)表示。结果685例患者,平均年龄82.6岁(SD 8.3),女性占50%,体弱43%。总体而言,76%的患者服用了OAC(体弱者68%,非体弱者81%,p < 0.001), 38%的患者服用了率控制药物(体弱者42%,非体弱者34%,p = 0.04), 27%的患者服用了心律控制药物(体弱者23%,非体弱者31%,p = 0.02)。OAC处方的调整后脆弱性or为0.58 (95% CI 0.39-0.86),速率控制药物为1.75 (95% CI 1.22-2.52),节律控制药物为0.83 (95% CI 0.55-1.24)。结论:研究显示老年房颤住院患者的虚弱患病率较高。虚弱与OAC处方可能性降低和处方率控制药物的可能性增加有关,对心律控制治疗没有独立影响。需要进一步的研究来理解这些处方模式。
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引用次数: 0
24-h Movement Patterns: Sleep, Sedentary Behaviour and Physical Activity of Older Retired Olympic and Commonwealth Games Athletes—An Observational Study 24小时运动模式:老年退役奥运会和英联邦运动会运动员的睡眠、久坐行为和身体活动——一项观察性研究
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-10 DOI: 10.1111/ajag.70097
Jennifer T. Gale, Meredith C. Peddie, David Gerrard, Hamish Osborne, Takiwai Russell-Camp, Debra L. Waters, Eduardo C. Costa, Xaviour J. Walker, Lara Vlietstra

Background

Increasing age is associated with reduced physical activity and greater time spent sedentary. However, participation in competitive sport in early adulthood can promote physical activity in older age. To provide insight, this study aimed to objectively and contextually describe the 24-h movement patterns of retired elite New Zealand athletes.

Methods

Twenty-eight adults aged over 60 years (mean 74 ± 7 years) who represented New Zealand at an Olympic or Commonwealth Games provided data for this cross-sectional study. Participants completed data collection in their homes and then wore two accelerometers continuously for 7 days: an ActiGraph GT3X+ on the wrist and an ActivPAL on the thigh. Participants also completed three 24-h activity recalls. Periods of time spent sedentary, sleeping and physically active were determined by validated cut points and algorithms.

Results

Participants spent an average of 7 h 8 min (SD 58 min) per night asleep; 43% of participants were short sleepers (< 7 h/night). Participants spent an average of 3 h 20 min (SD 40 min) engaged in light- and 2 h 22 min (SD 1 h 1 min) engaged in moderate-to-vigorous physical activity per day. On average, participants spent 46% of their day sedentary. Walking and outdoor work/gardening were the most reported types of activity.

Conclusions

This group of retired New Zealand elite athletes engaged in physical activity exceeding the amount recommended for extra health benefits by the World Health Organization. A significant number of participants were identified as having insufficient sleep and may benefit from an intervention to improve overall sleep duration.

年龄增长与体力活动减少和久坐时间增加有关。然而,在成年早期参加竞技体育运动可以促进老年时的身体活动。为了提供见解,本研究旨在客观和背景地描述新西兰退役精英运动员的24小时运动模式。方法代表新西兰参加奥运会或英联邦运动会的28名60岁以上(平均74±7岁)的成年人为本横断面研究提供数据。参与者在家中完成数据收集,然后连续7天佩戴两个加速度计:手腕上的ActiGraph GT3X+和大腿上的ActivPAL。参与者还完成了三次24小时的活动回忆。久坐、睡眠和身体活动的时间由经过验证的切点和算法确定。结果:参与者每晚平均睡眠时间为7小时8分钟(SD 58分钟);43%的参与者是短睡眠者(每晚7小时)。参与者平均每天花3小时20分钟(SD 40分钟)从事轻度体力活动,2小时22分钟(SD 1小时1分钟)从事中度至剧烈体力活动。参与者每天平均有46%的时间是久坐不动的。散步和户外工作/园艺是报告最多的活动类型。这组退役的新西兰优秀运动员从事的体育活动超过了世界卫生组织推荐的额外健康益处的量。大量参与者被确定为睡眠不足,可能会从改善整体睡眠时间的干预中受益。
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引用次数: 0
Hot Stuff: Exploring the Association Between Hot Days and Emergency Department Presentations Amongst Older Patients 热的东西:探索炎热天气和急诊科在老年患者中的表现之间的关系。
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-09 DOI: 10.1111/ajag.70100
Carol Lu Hunter, Nicholas Moore, Paul Middleton, Danielle Ni Chróinín

Objective

Climate change has contributed to fluctuating temperature extremes over recent years. Higher temperatures increase mortality and morbidity in older patients. This study aimed to investigate temporal trends over the week and the association between hot temperatures and emergency department (ED) presentations amongst older patients.

Methods

We conducted a retrospective observational study using ED presentation data of persons aged 65 years or older from 2010 to 2021 attending at multi-centre secondary and tertiary referral institutions (n = 6) within South Western Sydney Health District, serving a population of ~820,000. The primary outcome was the rate of ED presentations amongst older patients on hot/very hot days/nights, compared to non-hot days/nights.

Results

There were 693,620 ED presentations of people aged 65 years or older across study sites over the study period. During this time, there were 160 hot days and 331 hot nights. The seasonal Auto Regressive Integrated Moving Average (ARIMA) model (adjusted for weekends/public holidays/Mondays/Fridays) showed an inconsistent effect across the sites studied for hot days (estimate range −0.11 to 1.37) and hot nights (estimate range −0.81 to 1.17). There were also significantly decreased presentations on weekends/public holidays and increased presentations on Mondays (p = 0.003).

Conclusions

Although we did not observe an association between heat and presentations, this may reflect regional variation and thus the broader risks of climate change for older people remain undetermined. Factors that influence reduced weekend presentations and Monday surges, irrespective of temperature variations, should be further investigated to identify opportunities for intervention.

目的:近年来,气候变化导致了极端温度的波动。高温会增加老年患者的死亡率和发病率。本研究旨在调查一周内的时间趋势以及高温与老年患者急诊科(ED)表现之间的关系。方法:我们进行了一项回顾性观察性研究,使用2010年至2021年在悉尼西南卫生区多中心二级和三级转诊机构就诊的65岁及以上患者的ED表现资料(n = 6),服务人群约为82万人。主要结果是老年患者在炎热/非常炎热的日子/晚上与非炎热的日子/晚上的ED发生率。结果:在整个研究期间,共有693,620例65岁及以上的ED患者。在这段时间里,有160个炎热的白天和331个炎热的夜晚。季节性自动回归综合移动平均(ARIMA)模型(对周末/公共假期/周一/周五进行了调整)显示,在研究的各个站点中,炎热的白天(估计范围为-0.11至1.37)和炎热的夜晚(估计范围为-0.81至1.17)的影响不一致。周末/公共假期的报告也显著减少,周一的报告增加(p = 0.003)。结论:虽然我们没有观察到热量和表现之间的关联,但这可能反映了区域差异,因此气候变化对老年人的更广泛风险仍未确定。应进一步调查影响周末病例减少和周一病例激增的因素,无论温度变化如何,以确定干预的机会。
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引用次数: 0
Associations of Handgrip Strength and Body Mass Index With All-Cause Mortality: A 14-Year Follow-Up of the Korea Longitudinal Study of Aging 握力和体重指数与全因死亡率的关系:韩国老龄化纵向研究的14年随访。
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-08 DOI: 10.1111/ajag.70098
Jaehyuck Lee, Duk-Hee Lee

Objective

The associations of handgrip strength and body mass index (BMI) with mortality vary across age groups. This study aimed to investigate whether these associations differ between middle-aged and older adults in the Korean population. Additionally, we assessed whether handgrip strength had the potential to affect the relationship between obesity and mortality.

Methods

A total of 9311 individuals aged 45–84 years from the Korean Longitudinal Study on Aging were followed up for 14 years. Hazard ratios for all-cause mortality were estimated separately for the middle-aged (less than 65 years) and older (65 years or older) groups using age- and sex-specific tertiles of handgrip strength and Korean obesity criteria.

Results

The relationships between handgrip strength or BMI with mortality did not materially differ across age groups. Both age groups exhibited the highest mortality rates among the individuals with low handgrip strength or a BMI < 18.5 kg/m2. Conversely, the lowest mortality was found in those with high handgrip strength or a BMI from 23.0 to 29.9 kg/m2. When stratified by handgrip strength, the BMI level associated with the lowest mortality risk shifted towards a higher BMI category in the low-strength group compared to the high-strength group.

Conclusions

While the associations between handgrip strength, BMI and mortality were similar across age groups, the pattern of the BMI–mortality relationship was clearly modified by handgrip strength. This suggests that muscle strength should be considered when evaluating the health risks of obesity.

目的:握力和体重指数(BMI)与死亡率的关系在不同年龄组有所不同。这项研究的目的是调查这些关联是否在韩国人口中的中年和老年人之间有所不同。此外,我们评估了握力是否有可能影响肥胖和死亡率之间的关系。方法:对来自韩国老年纵向研究的9311例45 ~ 84岁的老年人进行为期14年的随访。使用年龄和性别特定的握力分位数和韩国肥胖标准,分别估计了中年(小于65岁)和老年(65岁或以上)组全因死亡率的风险比。结果:握力或BMI与死亡率之间的关系在不同年龄组之间没有实质性差异。在这两个年龄组中,握力低或BMI为2的人的死亡率最高。相反,那些握力大或BMI在23.0到29.9 kg/m2之间的人死亡率最低。当按握力进行分层时,与高握力组相比,低握力组中与最低死亡风险相关的BMI水平向更高的BMI类别转移。结论:虽然握力、BMI和死亡率之间的关联在各年龄组中是相似的,但握力明显改变了BMI-死亡率关系的模式。这表明,在评估肥胖的健康风险时,应该考虑肌肉力量。
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引用次数: 0
期刊
Australasian Journal on Ageing
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