俄罗斯西北地区老年人贫血、身体表现、依赖性和死亡率之间的关系

A. Turusheva, E. Frolova, E. Korystina, D. Zelenukha, P. Tadjibaev, N. Gurina, J. Degryse
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引用次数: 5

摘要

目的:评估俄罗斯西北地区老年人贫血的患病率及其对身体表现、依赖性和死亡率的影响。设计:基于人群的前瞻性队列研究。环境:对居住在科尔皮诺区的人口进行随机抽样。参与者:共有611名65岁及以上的社区居民。测量方法:测量血红蛋白、性别、年龄、合并症、肌酐、c反应蛋白、体重指数、迷你营养评估、短体能性能电池、握力、Barthel指数、迷你精神状态检查和15项老年抑郁量表。第二次筛查于33.4±3个月后进行。总观察时间47±14.6个月。结果:男性贫血患病率(21.4%)高于女性(18.6%)。在调整了年龄、性别、营养状况、肌酐水平、精神障碍和各种合并症后,发现贫血和依赖性之间存在显著关联[OR(95% СI) = 1.798 (1.068 - 3.029);p = 0.027],身体表现较差[β(95%CI) = -0.717 (- 1334 - -0.100);p = 0.023],死亡风险更高[HR (95%CI) = 1.871 (1.284 - -2.728);P = 0.001]。与CRP水平较低的贫血参与者相比,贫血和CRP水平bbbb5的参与者死亡风险更高[HR (95%CI) = 3.417 (1.869 - 6.245);P = 0.000]。结论:65岁及以上人群贫血患病率为19.3% (95%CI = 15.99 ~ 23.13)。贫血与身体表现差和依赖性有关,是老年人死亡率的独立预测指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ASSOCIATION BETWEEN ANEMIA, PHYSICAL PERFORMANCE, DEPENDENCY, AND MORTALITY IN OLDER ADULTS IN THE NORTH-WEST REGION OF RUSSIA
Objective: To assess the prevalence of anemia and its impact on physical performance, dependency, and mortality in older adults in the north-west region of Russia. Design: A population-based prospective cohort study. Setting: A random sample of the population living in the Kolpino District. Participants: A total of 611 community-dwelling individuals aged 65 years and older. Measurements: Hemoglobin, gender, age, comorbidity, creatinine, C-reactive protein, body mass index, the Mini Nutritional Assessment, the Short Physical Performance Battery, grip strength, the Barthel Index, the Mini-Mental State Examination, and the 15-item Geriatric Depression Scale were measured/administered. A second screening was organized after 33.4±3 months. The total observation time was 47 ± 14.6 months. Results: The prevalence of anemia was higher in men (21.4%) than in women (18.6%). After adjustment for age, gender, nutritional status, creatinine levels, mental impairment, and various comorbid conditions, significant associations were found between anemia and dependency [OR(95% СI) = 1.798 (1.068 – 3.029); p = 0.027], lower physical performance [ β(95%CI) = -0.717 (-1,334 – -0.100); p = 0.023], and greater risk of mortality [HR (95%CI) = 1.871 (1.284 – -2.728); p = 0.001]. Participants with anemia and CRP levels > 5 had a higher risk of mortality compared with anemic participants with lower CRP levels [HR (95%CI) = 3.417 (1.869 – 6.245); p = 0.000]. Conclusion: The estimated prevalence of anemia in the population aged 65 years and older is 19.3% (95%CI = 15.99 – 23.13). Anemia is associated with poor physical performance and dependency and is an independent predictor of mortality in older individuals.
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