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Multimorbidity among Latinx-Americans and Asian American/Pacific Islanders 拉丁裔美国人和亚裔美国人/太平洋岛民的多发病率
Pub Date : 2022-02-11 DOI: 10.3390/jal2010003
H. Oh, E. Leaune, D. Vancampfort, J. Shin, A. Stickley
Latinx and Asian American/Pacific Islanders (AAPIs) are the fastest growing racial/ethnic populations in the United States, and it is thus increasingly important to address multimorbidity within these populations. However, research has been challenging due to the immigrant health paradox, the variation across ethnic groups, underutilization of treatment, and inadequate mental health assessments. These issues make assessing the prevalence and burden of multimorbidity difficult among Latinx and AAPI populations. Further, racism remains a fundamental cause of health inequity, and should be addressed in policy and practice.
拉丁裔和亚裔美国人/太平洋岛民(AAPI)是美国增长最快的种族/族裔人口,因此解决这些人口中的多发病问题变得越来越重要。然而,由于移民健康悖论、不同种族群体的差异、治疗利用不足以及心理健康评估不足,研究一直具有挑战性。这些问题使得评估拉丁裔和AAPI人群中多发病率和负担变得困难。此外,种族主义仍然是健康不平等的根本原因,应该在政策和实践中加以解决。
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引用次数: 0
Lifelong Disadvantage and Late Adulthood Frailty 终身劣势和成年后期虚弱
Pub Date : 2022-01-13 DOI: 10.3390/jal2010002
Francesca Zanasi, G. De Santis, Elena Pirani
Frailty is a complex state of objective and subjective vulnerability. It tends to increase with age, but the process is influenced by previous life course, especially previous disadvantages. The aim of this paper is to examine how the disadvantages suffered in adulthood (25 to 59 years) in four domains (unemployment, financial hardship, stress, and bad health) affect frailty in late adulthood (60 to 79 years). Using linear regression models on data from the Survey of Health, Ageing, and Retirement in Europe (2004–2017), we estimate frailty levels for several age groups (60–64, 65–69, 70–74, 75–79) accounting for both the persistence of these disadvantages over time and their coexistence, i.e., the number of years when they were simultaneously experienced. Results show that while frailty increases with age, as expected, there is also evidence of an accumulation of risks: the longer the periods of adult life affected by unemployment, stress, financial hardship or, most importantly, bad health, the frailer individuals are in their late years. Furthermore, periods of coexisting disadvantages in adulthood translate into additional frailty in late life. Our findings highlight the importance of fighting disadvantages early in life: long-term improvements in terms of reduced frailty (a concept interrelated with health) may be substantial.
脆弱是一种客观脆弱和主观脆弱的复杂状态。它随着年龄的增长而增加,但这一过程受以前的生活历程,特别是以前的不利因素的影响。本文的目的是研究成年期(25至59岁)在四个领域(失业、经济困难、压力和健康状况不佳)所遭受的不利因素如何影响成年后期(60至79岁)的脆弱性。利用欧洲健康、老龄化和退休调查(2004-2017)数据的线性回归模型,我们估计了几个年龄组(60-64岁、65-69岁、70-74岁、75-79岁)的脆弱水平,考虑了这些不利因素随时间的持续存在及其共存,即同时经历这些不利因素的年数。结果表明,虽然正如预期的那样,随着年龄的增长,脆弱程度会增加,但也有证据表明风险在累积:受失业、压力、经济困难或最重要的是健康状况不佳影响的成年期越长,个人在晚年就越脆弱。此外,成年期共存的不利条件会导致晚年更加脆弱。我们的研究结果强调了在生命早期与不利因素作斗争的重要性:在减少虚弱(与健康相关的概念)方面的长期改善可能是实质性的。
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引用次数: 1
Sociodemographic Determinants, Health Conditions, and Mental Status as Predictors of the Functional Status of Older Saudi People 社会人口统计学决定因素、健康状况和精神状态作为沙特老年人功能状态的预测因子
Pub Date : 2021-12-29 DOI: 10.3390/jal2010001
Naif H. Al Anazi, Rene P Carsula, R. Tumala
The increasing population of Saudi elderly demands adequate assessment of their functional health status and mental status to improve their health and quality of life. This study aimed to determine the functional status of older Saudi people in performing basic activities of daily living (ADLs) and instrumental activities of daily living (IADLs) and its influencing factors. This quantitative, descriptive-correlational study surveyed a total of 203 participants using the Mini-Mental State Examination, Katz Index of ADL, and Lawton IADL. Overall, the participants had moderate cognitive impairment and were able to perform basic ADLs and IADLs independently, but they needed assistance in doing housework. Functional status was sensitive to their sociodemographic characteristics, presence of health problems, and mental status. Mental status, education, employment, marital status, and source of support were significantly associated with their ability to perform basic ADLs and IADLs. This study suggests that more efforts are needed to understand the sociodemographic characteristics, presence of health problems, and mental status that support the development of evidence-based public health policy on the functional status among older Saudi people. The findings can be utilized by hospital and nursing administrators to initiate educational and training programs for healthcare professionals including nurses and to create healthcare policies so that the health concerns and functional difficulties of older patients are adequately addressed.
沙特老年人口的增加要求对他们的功能健康状况和精神状况进行充分评估,以改善他们的健康和生活质量。本研究旨在确定沙特老年人在进行日常生活基本活动(ADLs)和日常生活工具活动(IADLs)方面的功能状况及其影响因素。这项定量、描述性的相关研究使用迷你精神状态检查、日常生活能力卡茨指数和劳顿IADL对203名参与者进行了调查。总体而言,参与者有中度认知障碍,能够独立进行基本的ADL和IADL,但他们在做家务时需要帮助。功能状态对他们的社会人口特征、健康问题的存在和心理状态敏感。精神状态、教育、就业、婚姻状况和支持来源与他们进行基本ADL和IADL的能力显著相关。这项研究表明,需要更多的努力来了解社会人口特征、健康问题的存在和心理状况,以支持制定关于沙特老年人功能状况的循证公共卫生政策。医院和护理管理人员可以利用这些发现为包括护士在内的医疗保健专业人员启动教育和培训计划,并制定医疗保健政策,以充分解决老年患者的健康问题和功能困难。
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引用次数: 1
Volume 2 Issue 4 2021 第2卷第4期2021
Pub Date : 2021-12-22 DOI: 10.47855/jal9020-2021-4
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引用次数: 1
Evaluation of Risk Factors for Dementia Incidence Based on Previous Questionnaire Results of Specific Health Checkups in Japan 基于以往日本特定健康检查问卷结果的痴呆症发病危险因素评估
Pub Date : 2021-12-08 DOI: 10.3390/jal1010006
Y. Tamaki, Y. Hiratsuka, T. Kumakawa
The prevalence of dementia is rapidly increasing worldwide, and its treatment and prevention are a health concern. The prevention of dementia requires the identification of risk factors through longitudinal studies of lifestyle. In this study, we aimed to identify the risk factors for the development of dementia in Japan and to clarify their primary care strategies. We analyzed the relationship between the cognitive ability level determined by the survey of long-term care certification and the past questionnaire results of a specific health examination in Japan 10 years ago. To analyze the risk factors for developing dementia, multivariate analysis was used, which showed that residents who gained more than 10 kg since reaching 20 years of age had a significantly lower risk of developing dementia. Regarding the “start of lifestyle modifications” question, those who answered “already started” had a significantly lower risk than those who answered “no plan to improve”. Conversely, residents receiving insulin injections or oral hypoglycemic agents were at a significantly higher risk of developing dementia based on the results of the questionnaire of the health checkups surveyed 10 years prior.
痴呆症的发病率在全球范围内迅速上升,其治疗和预防是一个健康问题。预防痴呆需要通过生活方式的纵向研究来识别风险因素。在这项研究中,我们旨在确定日本痴呆症发展的风险因素,并阐明他们的初级保健策略。我们分析了长期护理认证调查确定的认知能力水平与10年前日本某项特定健康检查的问卷调查结果之间的关系。为了分析患痴呆症的风险因素,使用了多变量分析,结果显示,自20岁以来体重增加超过10公斤的居民患痴呆症风险显著降低。关于“开始改变生活方式”的问题,那些回答“已经开始”的人的风险明显低于那些回答“没有改善计划”的人。相反,根据10年前调查的健康检查问卷结果,接受胰岛素注射或口服降糖药的居民患痴呆症的风险明显更高。
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引用次数: 1
Hypercapnia-inducible factor: a hypothesis 高碳酸血症诱发因素:一种假说
Pub Date : 2021-10-19 DOI: 10.47855/jal9020-2021-3-4
K. Muradian, V. Fraifeld
Abstract. Cells and tissues sense and respond to hypercapnia by global activation or down-regulation of hundreds of genes and switching on/off a number of signaling and metabolic pathways. We hypothesize for the first time that such complex rearrangements are hardly possible without subtle guidance by a specific master regulator which we suggest to name hypercapnia-inducible factor (HcIF). Whether there are structural and functional similarities between HcIF and HIF remain to be elucidated. However, there are reasons to believe that, as master genes, HcIF and HIF can cooperate or compete depending on the situation. Only further research will warrant existence of HcIF as a molecular master regulator of the response to hypercapnia.Key words: hypercapnia, hypoxia, gene expression, aging
摘要细胞和组织通过激活或下调数百个基因,开启/关闭许多信号传导和代谢途径,感知和响应高碳酸血症。我们首次假设,如果没有一个特定的主调节因子的微妙指导,这种复杂的重排几乎是不可能的,我们建议将其命名为高血氧诱导因子(HcIF)。HcIF和HIF之间是否存在结构和功能上的相似性仍有待阐明。然而,我们有理由相信,作为主控基因,HcIF和HIF可以根据情况进行合作或竞争。只有进一步的研究才能证明HcIF作为高碳酸血症反应的分子主要调节剂的存在。关键词:高碳酸血症,缺氧,基因表达,衰老
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引用次数: 0
COVID-19 associated changes in the right departments of the heart in the elderly people 老年人右心脏科与COVID-19相关的变化
Pub Date : 2021-10-18 DOI: 10.47855/jal9020-2021-3-3
L. Bodretska, I. Shapovalenko, I. Antonyuk-Shcheglova, O. Bondarenko, S. Naskalova, V. Shatilo
Abstract. Purpose of the work: to study the indicators characterizing heart lesions in elderly patients who had carried COVID-19. Materials and methods: 86 patients older than 60 years old, were examined, of whom 56 (32 women and 24 men) who have carried COVID-19 between 3 and 6 months before the study, and 30 patients (12 men and 18 women) who did not have COVID - 19 in the anamnesis. The patients have been examined clinically, electro and echocardiography have been performed.The results. Elderly patients during the post-covid period have complaints of shortness of breath, pain in the heart, swelling, coughing, weakness, which are more stable and intense than before the infection. Patients who have carried COVID-19 demonstrate the signs of a chronic pulmonary heart disease: increase in the size of a right ventricle and decrease of its contractile ability, increase in pressure in a pulmonary artery. Signs of a statistically significant moderate decrease of the contractility in the left ventricular were also identified.Conclusions. The statistically significant changes in the right departments of the heart among the patients with carried COVID-19 with persistent symptoms after infection were defined. Patients who have carried COVID-19 but have no symptoms did not differ statistically from the control group.Key words: COVID-19, old age, post- COVID period, right departments of the heart.
摘要工作目的:研究老年COVID-19患者心脏病变特征指标。材料和方法:对86例60岁以上的患者进行了检查,其中56例(32名女性和24名男性)在研究前3至6个月感染了COVID-19, 30例(12名男性和18名女性)在记忆中未感染COVID-19。对患者进行了临床检查,并进行了心电图和超声心动图检查。结果。新冠肺炎后的老年患者出现呼吸短促、心痛、肿胀、咳嗽、虚弱等主诉,症状比感染前更稳定、更剧烈。携带COVID-19的患者表现出慢性肺源性心脏病的体征:右心室体积增大,收缩能力下降,肺动脉压力升高。有统计学意义的左心室收缩力中度下降的迹象也被确定。定义感染后症状持续的COVID-19患者心脏右侧科室的变化有统计学意义。携带COVID-19但无症状的患者与对照组无统计学差异。关键词:新冠肺炎,老年,新冠后时期,右心脏科。
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引用次数: 0
Multimorbidity and Anxiety Symptoms among Adults Aged 50 Years and Over from Six Low- and Middle-Income Countries 六个中低收入国家50岁及以上成年人的多发病和焦虑症状
Pub Date : 2021-10-14 DOI: 10.3390/jal1010005
Lee Smith, G. F. López Sánchez, J. Shin, P. Soysal, N. Veronese, K. Kostev, L. Jacob, H. Oh, F. Schuch, L. Butler, Y. Barnett, Christopher Tejun Law, A. Koyanagi
Currently, there are limited data on the association between multimorbidity (i.e., ≥ 2 chronic conditions) and anxiety, especially among the older population in low- and middle-income countries (LMICs). Thus, the aim of the present study was to examine the association between multimorbidity and anxiety symptoms in a large sample of adults aged ≥ 50 years from six LMICs (China, India, Ghana, Mexico, Russia, South Africa). Cross-sectional, nationally representative, community-based data from the Study on Global Ageing and Adult Health (SAGE) were analysed. A total of 11 chronic physical conditions were assessed. Anxiety symptoms referred to extreme/severe problems with worry or anxiety in the past 30 days. Multivariable logistic regression and meta-analyses were conducted. Data on 34,129 adults aged ≥ 50 years were analysed (mean (SD) age 62.4 (16.0) years; 52.1% females). Compared with no chronic conditions, 2, 3, 4, and ≥ 5 chronic conditions were significantly associated with 1.47 (95% CI = 1.08–1.98), 2.46 (95% CI = 1.74–3.47), 3.04 (95% CI = 2.15–4.30), and 4.70 (95% CI = 2.99–7.38) times higher odds of anxiety symptoms, respectively. A country-wise analysis showed that multimorbidity was significantly associated with anxiety symptoms in all six countries (OR = 1.78–12.39) with the overall estimate based on a meta-analysis being OR = 2.29 (95% CI = 1.71–3.07). Multimorbidity was associated with higher odds of anxiety symptoms among older adults in LMICs. Future longitudinal studies are warranted to assess the temporal associations and mechanisms underlying this association.
目前,关于多发病(即≥2种慢性病)与焦虑之间的关系的数据有限,尤其是在中低收入国家的老年人群中。因此,本研究的目的是在来自六个LMIC(中国、印度、加纳、墨西哥、俄罗斯、南非)的年龄≥50岁的大样本中检验多发病与焦虑症状之间的关系。分析了来自全球老龄化和成人健康研究(SAGE)的具有全国代表性的基于社区的横断面数据。共评估了11种慢性身体状况。焦虑症状是指过去30天内出现的极度/严重的担忧或焦虑问题。进行了多变量逻辑回归和荟萃分析。对34129名年龄≥50岁的成年人的数据进行了分析(平均(SD)年龄62.4(16.0)岁;女性52.1%)。与无慢性病相比,2、3、4和≥5种慢性病分别与1.47(95%CI=1.08–1.98)、2.46(95%CI=1.74–3.47)、3.04(95%CI=2.15–4.30)和4.70(95%CI=2.99–7.38)倍的焦虑症状发生率显著相关。一项国别分析显示,在所有六个国家,多发病与焦虑症状显著相关(OR=1.78–12.39),基于荟萃分析的总体估计为OR=2.29(95%CI=1.71–3.07)。多发病与LMIC中老年人出现焦虑症状的几率较高相关。未来的纵向研究有必要评估这种关联的时间关联和机制。
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引用次数: 3
Estimating biological age by hematological blood parameters 通过血液参数估计生物年龄
Pub Date : 2021-10-07 DOI: 10.47855/jal9020-2021-3-2
A. Pisaruk, L. Mekhova
Abstract. For the estimation of the biological age (BA) of people based on hematological parameters of the clinical blood test there were used MLR and Deep Neural Networks. In the archive of the Institute of Gerontology NAMS of Ukraine there were selected people aged from 20 up to 90 years (440 men and 504 women), who had all hematological parameters within normal limits. When using the MLR method, the multiple correlation coefficients (R) have low values for both men (0.37) and women (0.38). The use of Deep Neural Networks has given good results. The values of the correlation coefficients between BA and chronological age were 0.92 for men and 0.79 for women. The average absolute error in determining BA was 3.68 years for the men and 6.55 years for the women. The developed method for assessing hematological age can be used in clinical practice to identify people with the risk of developing hematological pathology, as well as in population researches.Keywords: biological age, hematological blood parameters, deep neural network
摘要基于临床血液检测的血液学参数估计人的生物年龄(BA),主要采用MLR和深度神经网络。在乌克兰老年学研究所(NAMS)的档案中,选择了年龄从20岁到90岁的人(440名男性和504名女性),所有血液学参数都在正常范围内。当使用MLR方法时,男性(0.37)和女性(0.38)的多重相关系数(R)均较低。深度神经网络的应用取得了良好的效果。BA与实足年龄的相关系数男性为0.92,女性为0.79。确定BA的平均绝对误差男性为3.68岁,女性为6.55岁。所开发的血液学年龄评估方法可用于临床实践,以确定具有发展血液学病理风险的人群,以及在人口研究中。关键词:生物年龄,血液参数,深度神经网络
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引用次数: 0
Pharmacology-based toxicity assessment of molsidomine and ATP-LONG combination with singular and repetitive injections under experimental conditions 实验条件下莫西多明与ATP-LONG单次重复联合的药理学毒性评价
Pub Date : 2021-10-06 DOI: 10.47855/jal9020-2021-3-1
L. Kuprash, T. Panteleymonova, L. Sharabura, S. Mykhalskiy, P. Klymenko, Sergey S. Lugovskoy, V. Nepomnyashchy, N. Sykalo, V. Bezrukov
Abstract. The aim of the work was to study toxic properties of the new combined drug which comprise nitrovasodilator molsidomine and adenosine- 5’-triphosphate in a form of coordination compound with histidine, magnesium, and potassium (ATP-LONG).The drug was examined for its acute and subacute toxicity on Balb/c mice and Wistar rats of reproductive age with peroral (p/o) and sublingual (s/l) administrations.It has been established that LD50 of the substance contains over 10000 mg/kg (p/o) and 5010 mg/kg (s/l), which corresponds to the category of Practically non-toxic substances. The repetitive administrations within a 28 day period of the conditionally therapeutic dose of 260 mg/hg (s/l) did not cause any negative impact on physiological, biochemical, histological values in male and female rats. In doses 1300 and 2080 mg/kg, which exceed conditionally therapeutic doses by 5 and 8 times, the combination was not changing clinical laboratory urine and blood values but induced histological changes such as dilation and plethora of capillaries along with edema of smooth muscle cells of the brain, myocardium, liver, spleen, kidneys, and adrenal glands in rats. Additionally, the particular dosages of the combined substance provoked irritation of the mucous membrane of the tongue. Detected effects of the drug do not carry any pathological character and can be viewed as a specific reaction of the organism to high doses of nitrovasodilator. However, the duration and reversibility of unwanted consequences of molsidomine overdose, particularly in its combined form, need further investigation. Keywords: combination of molsidomine and ATP-LONG, acute and subacute toxicity
摘要这项工作的目的是研究新的联合药物的毒性,该药物由硝基血管扩张剂莫西多明和腺苷- 5 ' -三磷酸与组氨酸、镁和钾(ATP-LONG)配位化合物组成。经口给药(p/o)和舌下给药(s/l)对Balb/c小鼠和Wistar育龄大鼠进行急性和亚急性毒性试验。经测定,该物质的LD50大于10000mg /kg (p/o)和5010mg /kg (s/l),属于实际无毒物质。有条件治疗剂量260 mg/hg (s/l)在28天内重复给药,对雌雄大鼠的生理、生化和组织学指标均无负面影响。在1300和2080 mg/kg的剂量下,超过有条件治疗剂量的5倍和8倍,联合用药没有改变大鼠的临床实验室尿液和血液值,但引起组织学改变,如毛细血管扩张和过多,以及脑、心肌、肝、脾、肾和肾上腺的平滑肌细胞水肿。此外,这种组合物质的特定剂量会刺激舌头的粘膜。检测到的药物效应不携带任何病理特征,可以看作是机体对高剂量硝基血管扩张剂的特异性反应。然而,莫西多明过量,特别是其联合形式的不良后果的持续时间和可逆性,需要进一步研究。关键词:莫西多明与ATP-LONG联用,急性和亚急性毒性
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引用次数: 0
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Journal of ageing and longevity
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