低收入和中等收入国家50岁以上成年人的水果和蔬菜消费与伤害性跌倒

IF 3.4 3区 医学 Q2 GERIATRICS & GERONTOLOGY
Lee Smith, Guillermo F. López Sánchez, Nicola Veronese, Mark A Tully, Damiano Pizzol, Laurie Butler, Masoud Rahmati, José Francisco López-Gil, Yvonne Barnett, Louis Jacob, Pinar Soysal, Alberto Castagna, Jae Il Shin, Ai Koyanagi
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引用次数: 0

摘要

目的:水果和蔬菜摄入不足可能会增加跌倒的风险。然而,迄今为止,只有一项研究在仅限于女性的样本中检验了这种关联,而这种关联的中介在很大程度上是未知的。因此,我们的目的是研究水果和蔬菜消费与伤害性跌倒之间的关系,并在包括男性和女性在内的样本中确定潜在的介质。方法分析世界卫生组织(WHO)全球老龄化与成人健康研究(SAGE)中具有全国代表性的横断面数据。水果/蔬菜的摄入量被分为两组:每天≥2份水果和≥3份蔬菜(足够的摄入量)或其他(不足的摄入量)。与跌倒有关的伤害是指在过去12个月内发生的伤害。进行多变量logistic回归和中介分析。结果分析了34,129例年龄≥50岁的个体的数据(平均年龄62.4岁;52.1%的女性)。总的来说,水果/蔬菜摄入不足与伤害性跌倒的几率高出1.41倍(95%CI = 1.05-1.90)相关。这种关联仅在女性中显著(OR = 1.96;95%ci = 1.32-2.85)。中介分析显示,情绪(中介百分比为8.8%)、认知(中介百分比为7.2%)和睡眠/能量(中介百分比为7.5%)是显著的中介,而视力、握力和步态速度不是显著的中介。结论:在50岁以上的成年人(尤其是女性)中,摄入充足的水果和蔬菜与较高的伤害性跌倒风险相关,这种关联部分由认知、情感和睡眠/能量介导。未来的纵向研究是必要的,以提供更多的深入了解潜在的机制,并评估增加水果/蔬菜消费是否可以降低跌倒的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fruit and vegetable consumption and injurious falls among adults aged ≥ 50 years from low- and middle-income countries

Objective

Inadequate fruit and vegetable consumption may increase risk for falls. However, to date, only one study has examined this association in a sample restricted to females, while the mediators of this association are largely unknown. Therefore, we aimed to examine the association between fruit and vegetable consumption and injurious falls, and to identify potential mediators in a sample including both males and females.

Methods

Cross-sectional, nationally representative data from the World Health Organization (WHO) Study on global AGEing and adult health (SAGE) were analyzed. Fruit/vegetable consumption was divided into two groups: ≥2 servings of fruits and ≥3 servings of vegetables per day (adequate consumption) or else (inadequate consumption). Fall-related injury referred to those that occurred in the past 12 months. Multivariable logistic regression and mediation analysis were conducted.

Results

Data on 34,129 individuals aged ≥ 50 years were analyzed (mean age 62.4 years; 52.1% females). Overall, inadequate fruit/vegetable intake was associated with a significant 1.41 (95%CI = 1.05–1.90) times higher odds for injurious falls. This association was only significant among females (OR = 1.96; 95%CI = 1.32–2.85). Mediation analysis showed that affect (mediated percentage 8.8%), cognition (7.2%), and sleep/energy (7.5%) were significant mediators, but vision, grip strength, and gait speed were not.

Conclusions

Inadequate fruit and vegetable consumption was associated with higher odds for injurious falls among adults aged ≥ 50 years (especially females), and this association was partly mediated by cognition, affect, and sleep/energy. Future longitudinal studies are necessary to provide more insight into the underlying mechanisms, and to assess whether increasing fruit/vegetable consumption may reduce risk for falls.

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来源期刊
CiteScore
7.90
自引率
5.00%
发文量
283
审稿时长
1 months
期刊介绍: Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.
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