对老年人贫血后果的不同看法。

IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Ercüment Öztürk, Ahmet Çiğiloğlu, Eyyüp Murat Efendioğlu, Zeynel Abidin Öztürk
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引用次数: 0

摘要

目的:贫血是老年人常见的健康问题,具有重要的后果。我们的目的是研究贫血与老年综合征的各种组成部分的关系。方法:本横断面研究共纳入486名65岁及以上的老年人入院的大学医院。根据世界卫生组织的标准,我们将贫血定义为男性血红蛋白浓度低于13 g/dL,女性血红蛋白浓度低于12 g/dL。老年人肌肉减少症工作组(EWGSOP2)标准被用于诊断肌肉减少症。手握力(HGS)用手测力仪测量。使用日常生活活动(ADL)和日常生活工具活动(IADL)问卷评估功能。采用老年抑郁量表(GDS)、迷你营养评估量表(MNA)、迷你精神状态检查量表(MMSE)和欧洲生活质量5维度问卷(EQ-5D)。结果:参与者平均年龄为72.2±6.4岁,女性占58.8%。486例患者中92例为贫血,女性占64.1%。贫血组的IADL、EQ-5D、HGS评分较低,GDS评分较高。多因素logistic回归分析发现,年龄和贫血是男女患者IADL依赖的独立危险因素。贫血、年龄和抑郁是女性低HGS的独立危险因素。结论:贫血和抑郁是女性低HGS的独立因素,贫血和年龄是老年人依赖工具性日常活动的独立因素。治疗抑郁症和将Hb提高到最佳水平可能是改善65岁及以上人群(尤其是女性)健康和生活质量的关键干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A different outlook to consequences of anemia in older adults.

Objectives: Anemia is a common health issue in older adults with crucial consequences. We aimed to investigate the relationship of anemia with various components of geriatric syndromes.

Methods: A total of 486 older individuals aged 65 and over admitted to a university hospital were included in this cross-sectional study. According to WHO criteria, we defined anemia as hemoglobin concentration lower than 13 g/dL in men and 12 g/dL in women. The Working Group on Sarcopenia in Older People (EWGSOP2) criteria were used to diagnose sarcopenia. Handgrip strength (HGS) was measured by a hand dynamometer. Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) questionnaires were used to evaluate functionality. Geriatric Depression Scale (GDS), Mini Nutritional Assessment (MNA), Mini-Mental State Examination (MMSE), and European Quality of Life-5 Dimensions (EQ-5D) questionnaires were also used.

Results: Participants' mean age was 72.2 ± 6.4 years and 58.8% of them were female. Ninety-two of 486 patients were anemic and 64.1% of anemic patients were female. Anemic group had lower IADL, EQ-5D, HGS scores, and higher GDS scores. According to multivariate logistic regression analysis, age, and anemia were found to be independent risk factors for dependency in IADL in both genders. Anemia, age, and depression were found to be independent risk factors for low HGS in women.

Conclusion: Anemia and depression are independent factors for low HGS in women, and anemia and age are independent factors for dependency on instrumental daily activities in older persons. Treating depression and raising Hb to optimal levels may be critical interventions to improve the health and life quality of people aged 65 and over, particularly in the female gender.

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来源期刊
Postgraduate Medicine
Postgraduate Medicine 医学-医学:内科
CiteScore
6.10
自引率
2.40%
发文量
110
审稿时长
6-12 weeks
期刊介绍: Postgraduate Medicine is a rapid peer-reviewed medical journal published for physicians. Tracing its roots back to 1916,  Postgraduate Medicine  was established by Charles Mayo, MD, as a peer-to-peer method of communicating the latest research to aid physicians when making treatment decisions, and it maintains that aim to this day. In addition to its core subscriber base, Postgraduate Medicine is distributed to hundreds of US-based physicians within internal medicine and family practice.
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