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老年人的社会隔离、孤独感与身体机能:一项队列研究的固定效应分析。

Social isolation, loneliness and physical performance in older-adults: fixed effects analyses of a cohort study.

机构信息

NHLI Respiratory Muscle Laboratory, National Heart and Lung Institute, Imperial College London, Royal Brompton Campus, Fulham Rd., London, SW3 6NP, UK.

Respiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, UK.

出版信息

Sci Rep. 2020 Aug 17;10(1):13908. doi: 10.1038/s41598-020-70483-3.


DOI:10.1038/s41598-020-70483-3
PMID:32807857
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7431531/
Abstract

Isolation and loneliness are related to various aspects of health. Physical performance is a central component of health. However, its relationship with isolation and loneliness is not well understood. We therefore assessed the relationship between loneliness, different aspects of social isolation, and physical performance over time. 8,780 participants from the English Longitudinal Study of Ageing, assessed three times over 8 years of follow-up, were included. Measures included physical performance (Short Physical Performance Battery), loneliness (modified UCLA Loneliness Scale), and isolation considered in three ways (domestic isolation, social disengagement, low social contact). Fixed effects regression models were used to estimate the relationship between changes in these parameters. Missing data were imputed to account for variable response and ensure a representative sample. Loneliness, domestic isolation and social disengagement were longitudinally associated with poorer physical performance when accounting for both time-invariant and time-variant confounders (loneliness: coef = - 0.06, 95% CI - 0.09 to - 0.02; domestic isolation: coef = - 0.32, 95% CI - 0.46 to - 0.19; social disengagement: coef = - 0.10, 95% CI - 0.12 to - 0.07). Low social contact was not associated with physical performance. These findings suggest social participation and subjectively meaningful interpersonal interactions are related to physical performance, and highlight additional considerations regarding social distancing related to COVID-19 control measures.

摘要

孤独感和隔离感与健康的各个方面有关。身体机能是健康的一个核心组成部分。然而,它与孤独感和隔离感的关系尚未得到很好的理解。因此,我们评估了孤独感、社会隔离的不同方面以及身体机能随时间的变化之间的关系。 8780 名来自英国老龄化纵向研究的参与者,在 8 年的随访中评估了 3 次,包括在内。测量包括身体机能(简短身体机能电池)、孤独感(改良的加州大学洛杉矶分校孤独量表)以及以三种方式考虑的隔离(家庭隔离、社会脱节、低社会接触)。固定效应回归模型用于估计这些参数变化之间的关系。为了确保代表性样本,采用缺失数据插补来考虑可变响应和可变混淆因素。当同时考虑时间不变和时变混杂因素时,孤独感、家庭隔离和社会脱节与身体机能下降呈纵向相关(孤独感:系数= - 0.06,95%置信区间- 0.09 至- 0.02;家庭隔离:系数= - 0.32,95%置信区间- 0.46 至- 0.19;社会脱节:系数= - 0.10,95%置信区间- 0.12 至- 0.07)。低社会接触与身体机能无关。这些发现表明社会参与和主观上有意义的人际互动与身体机能有关,并强调了与 COVID-19 控制措施相关的社交距离的额外考虑因素。

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本文引用的文献

[1]
Evaluation of a Panel of MicroRNAs that Predicts Fragility Fracture Risk: A Pilot Study.

Calcif Tissue Int. 2020-3

[2]
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BMC Public Health. 2019-1-16

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