男性体重过轻与百岁老人跌倒的关系比女性更密切。

Y-J Zhang, S-H Fu, Q Zhu, C-X Ning, F-X Luan, F Zhang, Y-L Zhao, Y Yao
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引用次数: 0

摘要

这项研究的目的是评估体重不足和跌倒之间的关系。这是一项来自中国海南百岁老人队列研究(CHCCS)的以社区为基础的横断面研究。2014年7月至2016年12月共纳入942名百岁老人(男性平均年龄102.4岁,女性平均年龄102.9岁,21.8%为半超级百岁老人,3.2%为超级百岁老人)。根据标准方案测量身高和体重。研究人员对参与者进行了面对面的采访,让他们报告最近3个月的跌倒情况。采用莫尔斯坠落量表(Morse Fall Scale, MFS)评估未来坠落风险。男性平均体重指数(BMI)为19.04±2.79 kg/m2,女性为18.07±3.27 kg/m2。3个月一次跌倒的发生率男性为10.3%,女性为13.4%,反复跌倒的发生率男性为15.4%,女性为13.4%,未来跌倒的高风险发生率男性为36.6%,女性为44.3%。性别相互作用导致至少一次跌倒(OR=1.39, 95% CI=1.04-1.86, P=0.026)和未来高跌倒风险(OR=1.39, 95% CI=1.07-1.80, P=0.014)。体重过轻的男性至少有一次跌倒(OR=4.12, 95% CI=1.59-10.70, P=0.004)、复发跌倒(OR=6.71, 95% CI=1.69-26.63, P=0.007)和未来跌倒的高风险(OR=2.44, 95% CI=1.27-4.70, P=0.007)的比例较高,而体重过轻的女性仅与未来跌倒的高风险相关(OR=1.37, 95% CI=1.01-1.85, P=0.043)。与正常体重和超重相比,体重过轻的男性的MFS得分更高(平均增加7.6分,P=0.010),但这种趋势在女性中没有观察到。体重不足与百岁老人3个月及未来的高跌倒风险有关,这在男性中更为明显。体重不足可能是识别长寿人群(尤其是男性)潜在体重下降的一个标志,他们需要采取进一步措施将体重增加到正常水平,防止体重下降。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Underweight in Men Had a Closer Relationship with Falls than Women in Centenarians.

The aim of the study was to assess the relationship between underweight and falls. It was a cross-sectional study in community-based participants from China Hainan Centenarian Cohort Study (CHCCS). A total of 942 centenarians (mean ages were 102.4 years in men and 102.9 years in women, 21.8% were semi-supercentenarians, and 3.2% were supercentenarians) were enrolled from July 2014 to December 2016. Height and weight were measured according to the standard protocol. Participants were interviewed face to face to self-report falls for recent 3 months. The risks of future falls were evaluated by Morse Fall Scale (MFS). The mean body mass index (BMI) was 19.04±2.79 kg/m2 in men and 18.07±3.27 kg/m2 in women. The 3-month incidences of once fall were 10.3% in men and 13.4% in women, recurrent falls were 15.4% in men and 13.4% in women, future high risks of falls were 36.6% in men and 44.3% in women. There were underweight by gender interactions on at least one fall (OR=1.39, 95% CI=1.04-1.86, P=0.026) and future high fall risk (OR=1.39, 95% CI=1.07-1.80, P=0.014). Men with underweight had higher ratios of at least one fall (OR=4.12, 95% CI=1.59-10.70, P=0.004), recurrent falls (OR=6.71, 95% CI=1.69-26.63, P=0.007) and high risk of future falls (OR=2.44, 95% CI=1.27-4.70, P=0.007), while women with underweight was only associated with high risk of future falls (OR=1.37, 95% CI=1.01-1.85, P=0.043). Compared with normal weight and overweight, underweight in men had a higher MFS Score (increased by average 7.6 points, P=0.010), yet this trend was not observed in women counterparts. Underweight was associated with incidences of 3-month and future high fall risk in centenarians, which was more pronounced in men. Underweight could be a marker in identifying potential falls in long-lived people, especially men, who need further measures to gaining weight to normal and preventing falling.

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