Association Between Self-Perception of Aging and Long-Term Mortality in Elderly Patients with Hypertension in Rural China: A Possible Beneficial Effect of Nut Intake

IF 3.6 3区医学

Clinical Interventions in Aging Pub Date : 2024-03-04 DOI:10.2147/cia.s445378

Anping Lu, Fangyi Yu, Xiaohan Tan, Xiaohong Jin, Xiaohua Wang, Wenya Wu

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引用次数: 0

Abstract

Purpose: Previous research has consistently shown that self-perception of aging (SPA) is an important predictor of health and longevity, while Chinese rural elderly patients with hypertension had poorer SPA. Whether it was associated with their mortality kept unknown. The objective of this study was to investigate the long-term mortality and analyze the association between SPA and this mortality in the specific context of rural elderly patients with hypertension.
Patients and Methods: This study is a longitudinal investigation of the mortality in elderly patients with hypertension in rural Suzhou, China. Sociodemographic and clinical data, SPA, and six-year mortality were investigated. We used binary logistic regression and subgroup analyses to assess the effect of SPA at baseline on six-year mortality.
Results: A total of 280 hypertensive patients aged 60 years and older participated in the study, of whom 21 died, with a six-year mortality rate of 7.5%. After controlling for covariates, the “Emotional representation” dimension (OR=2.824, 95% CI:1.034– 7.712) in SPA remained a risk factor for death. In subgroup analyses of the group aged 75 years and older, high scores on the “Timeline cyclical” (OR=14.125, 95% CI: 1.258– 158.593) and “Emotional representations” (OR=2.567, 95% CI:1.066– 6.182) dimensions were associated with a higher risk of death, while weekly nut intake may have mitigated the negative SPA effect on mortality.
Conclusion: Poorer self-perception of aging was associated with a high risk of mortality in rural elderly patients with hypertension, while the habit of weekly nut intake might help reduce this risk in the group aged 75 years or older.

Keywords: China, hypertension, mortality, rural population, self-perception

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中国农村老年高血压患者的自我衰老感与长期死亡率之间的关系：坚果摄入可能带来的益处

目的：以往的研究一直表明，衰老的自我感知（SPA）是预测健康和长寿的重要指标，而中国农村老年高血压患者的SPA较差。这是否与他们的死亡率有关仍是未知数。本研究旨在调查农村老年高血压患者的长期死亡率，并分析 SPA 与死亡率之间的关系：本研究对中国苏州农村老年高血压患者的死亡率进行了纵向调查。研究调查了社会人口学和临床数据、SPA 和六年死亡率。我们采用二元逻辑回归和亚组分析来评估基线 SPA 对六年死亡率的影响：共有 280 名 60 岁及以上的高血压患者参与研究，其中 21 人死亡，六年死亡率为 7.5%。在控制了协变量后，SPA中的 "情感表现 "维度（OR=2.824，95% CI：1.034-7.712）仍然是死亡的风险因素。在对 75 岁及以上年龄组进行的亚组分析中，"时间轴周期性"（OR=14.125，95% CI：1.258- 158.593）和 "情感表征"（OR=2.567，95% CI：1.066- 6.182）维度的高分与较高的死亡风险相关，而每周坚果摄入量可能减轻了 SPA 对死亡率的负面影响：结论：对衰老的自我认知较差与农村老年高血压患者的高死亡风险有关，而每周摄入坚果的习惯可能有助于降低75岁及以上人群的这一风险：中国、高血压、死亡率、农村人口、自我认知

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来源期刊

Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-

CiteScore

6.20

自引率

2.80%

发文量

193

期刊介绍： Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.