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步态速度在痴呆症中的作用:来自 SABE 哥伦比亚研究的二次分析。

The Role of Gait Speed in Dementia: A Secondary Analysis from the SABE Colombia Study.

机构信息

Semillero de Neurociencias y Envejecimiento, Facultad de Medicina, Instituto de Envejecimiento, Pontificia Universidad Javeriana, Bogotá, Colombia,

Grupo Neurociencias Universidad de Antioquia, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia,

出版信息

Dement Geriatr Cogn Disord. 2020;49(6):565-572. doi: 10.1159/000510494. Epub 2020 Nov 18.

Abstract

INTRODUCTION

Gait speed (GS) is a predictor of negative outcomes in older adults and in those in risk to develop cognitive impairment; as such, it has been associated with dementia. Studies in Latin-American older adults showing this association are scarce. This study aimed to evaluate the relationship between GS and dementia in a representative sample of Colombian older adults.

METHODS

This study is a secondary analysis from the Survey on Health, Well-Being, and Aging, SABE (from initials in Spanish: Salud, Bienestar & Envejecimiento) Colombia's survey conducted in 2015 with a sample of 23,694 elderly adults aged 60 years or older.

RESULTS

A total of 19,470 participants from the SABE Colombia survey were available for analysis. The multivariate analysis shows that dementia was associated with slow GS (PR 2.39; CI 1.91-3.01) independently to the other variables (p < 0.001). Similarly, GS as a continuous variable shows a statistically significant association with dementia in the adjusted analysis (OR 0.06; CI 0.04-0.09; p < 0.001).

CONCLUSION

Dementia was associated with slow GS. This finding provides evidence to include GS as a complementary parameter in the assessment of Colombian elderly adults.

摘要

简介

步态速度(GS)是老年人和有认知障碍风险人群负面结果的预测指标;因此,它与痴呆有关。在拉丁美洲老年人中进行的研究表明存在这种关联,但研究较少。本研究旨在评估哥伦比亚代表性老年人群体中 GS 与痴呆之间的关系。

方法

本研究是对 2015 年开展的健康、幸福和老龄化调查(SABE,源自西班牙语:Salud,Bienestar & Envejecimiento)的二次分析,该调查的样本为 23694 名年龄在 60 岁及以上的老年人。

结果

共有 19470 名 SABE 哥伦比亚调查参与者可用于分析。多变量分析表明,痴呆与 GS 缓慢(PR 2.39;CI 1.91-3.01)独立相关,与其他变量无关(p < 0.001)。同样,GS 作为连续变量在调整分析中与痴呆呈显著统计学关联(OR 0.06;CI 0.04-0.09;p < 0.001)。

结论

痴呆与 GS 缓慢有关。这一发现为将 GS 作为哥伦比亚老年人评估的补充参数提供了证据。

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