中年女性跌倒与死亡风险增加有关：第三次全国健康与营养检查调查结果
Midlife falls are associated with increased risk of mortality in women: Findings from the National Health and Nutrition Examination Survey III.
作者信息
Karvonen-Gutierrez Carrie A, Ylitalo Kelly R, Peng Mia Q
机构信息
Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, United States.
Department of Public Health, Robbins College of Health and Human Sciences, Baylor University, Waco, TX, United States.
出版信息
Arch Gerontol Geriatr. 2020 Nov/Dec;91:104206. doi: 10.1016/j.archger.2020.104206. Epub 2020 Jul 25.
OBJECTIVES
Falls are a public health concern for older adults but are also common among midlife adults. However, the consequences of falls occurring during midlife are not well understood.
METHODS
This investigation assessed the relationship between falls and mortality among midlife adults using survey data from the Third National Health and Nutrition Examination Survey (n = 1,295), linked to the National Death Index. The relationship between recurrent falls (≥2 falls) in the past year and 10-year death rate was assessed using survey-weighted Cox regression.
RESULTS
Nearly 20 % of adults who died within 10 years of their interview date were recurrent fallers at the time of interview. For women only, recurrent fallers had more than 4-fold increased hazard of death within 10 years compared to non-recurrent fallers (HR = 4.41; 95 % CI:2.24,8.68).
CONCLUSIONS
Findings suggest that midlife women are particularly vulnerable to adverse outcomes following recurrent falls. Fall prevention efforts should include efforts targeted at midlife women.
目的
跌倒对老年人来说是一个公共卫生问题，但在中年成年人中也很常见。然而，中年时期发生跌倒的后果尚未得到充分了解。
方法
本研究利用第三次全国健康与营养检查调查（n = 1295）的调查数据，与国家死亡指数相链接，评估中年成年人跌倒与死亡率之间的关系。使用调查加权的Cox回归评估过去一年中反复跌倒（≥2次跌倒）与10年死亡率之间的关系。
结果
在访谈日期后10年内死亡的成年人中，近20%在访谈时是反复跌倒者。仅对于女性而言，与非反复跌倒者相比，反复跌倒者在10年内死亡的风险增加了4倍多（HR = 4.41；95%CI：2.24，8.68）。
结论
研究结果表明，中年女性在反复跌倒后尤其容易出现不良后果。预防跌倒的努力应包括针对中年女性的措施。
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