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关节炎、抑郁症与社区居住的老年人群体中的跌倒:来自健康与退休研究的数据证据。

Arthritis, Depression, and Falls Among Community-Dwelling Older Adults: Evidence From the Health and Retirement Study.

机构信息

1 University of Massachusetts Boston, MA, USA.

2 VA Boston Healthcare System, MA, USA.

出版信息

J Appl Gerontol. 2018 Sep;37(9):1133-1149. doi: 10.1177/0733464816646683. Epub 2016 May 12.

Abstract

The aims of this study were to examine the association between different types of arthritis and falls and to investigate whether clinically significant depression symptoms (CSDS) moderate these relationships. The study used nationally representative data from the 2008 Health and Retirement Study ( n = 7,715, M age = 75, 62% female, and 90% White). Among the respondents, 42% experienced at least one fall during the previous 2 years. About one third had some form of arthritis: 22% osteoarthritis (OA), 4.8% rheumatoid arthritis (RA), 2.3% both OA and RA, and 7.9% with other arthritis types. About one fifth of respondents had CSDS. OA and CSDS are associated with the odds of falling (17% and 29%, respectively), adjusting for socio-demographic characteristics, lifestyle, health conditions, and psychiatric medications. There was no statistically significant interaction between types of arthritis and CSDS. Health care providers should pay attention to managing arthritis, especially OA, and CSDS to prevent falls among older adults.

摘要

本研究旨在探讨不同类型的关节炎与跌倒之间的关系,并调查是否存在临床显著抑郁症状(CSDS)会影响这些关系。本研究使用了来自 2008 年健康与退休研究(n=7715,平均年龄 75 岁,62%为女性,90%为白人)的全国代表性数据。在受访者中,42%的人在过去 2 年内至少经历过一次跌倒。约三分之一的人患有某种形式的关节炎:22%的骨关节炎(OA),4.8%的类风湿关节炎(RA),2.3%的 OA 和 RA 并存,7.9%的人患有其他类型的关节炎。约五分之一的受访者存在 CSDS。OA 和 CSDS 与跌倒的几率相关(分别为 17%和 29%),调整了社会人口统计学特征、生活方式、健康状况和精神科药物。关节炎类型和 CSDS 之间没有统计学上显著的交互作用。医疗保健提供者应该注意管理关节炎,尤其是 OA 和 CSDS,以预防老年人跌倒。

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