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非残疾老年人日常活动中的疲劳作为残疾发生的决定因素。

Tiredness in daily activities among nondisabled old people as determinant of onset of disability.

作者信息

Avlund Kirsten, Damsgaard Mogens Trab, Sakari-Rantala Ritva, Laukkanen Pia, Schroll Marianne

机构信息

Department of Social Medicine, Institute of Public Health, University of Copenhagen, Blegdamsvej 3, 2200 N Copenhagen, Denmark.

出版信息

J Clin Epidemiol. 2002 Oct;55(10):965-73. doi: 10.1016/s0895-4356(02)00463-8.

Abstract

The purpose of this article was to examine whether self-reported tiredness in daily activities at age 75 is an independent determinant of onset of disability at 5-year follow-up. The investigation is based on two subgroups of nondisabled participants of 75 year olds who survived and participated in the follow-up study 5 years later (n = 510 and 429). Persons who felt tired in their daily activities had a larger risk of becoming disabled in mobility (OR = 3.2, 95% CI = 1.4-7.6) and in daily activities (OR = 2.1, 95% CI = 1.0-4.2) compared to persons without tiredness. In addition, persons with poor cognitive function, little diversity in social relations and no physical activity had an independent risk of onset of disability. The results indicate that it is important to take it seriously when older people complain about tiredness in daily activities, as these people are at higher risk of becoming disabled than others.

摘要

本文旨在探讨75岁时日常活动中自我报告的疲劳是否是5年随访时残疾发生的独立决定因素。该调查基于两组75岁非残疾参与者的亚组,他们存活下来并在5年后参与了随访研究(n = 510和429)。与无疲劳感的人相比,日常活动中感到疲劳的人在行动能力方面致残的风险更大(OR = 3.2,95%CI = 1.4 - 7.6),在日常活动方面致残的风险也更大(OR = 2.1,95%CI = 1.0 - 4.2)。此外,认知功能差、社会关系缺乏多样性且无体育活动的人有独立的残疾发生风险。结果表明,当老年人抱怨日常活动中的疲劳时应予以重视,因为这些人比其他人有更高的致残风险。

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