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随着年龄的增长,老年人主观抱怨的频率存在差异,这些差异与身体功能、多种疾病和情绪有关:一项横断面研究。

Differences in the frequency of subjective geriatric complaints along with aging and their associations with physical function, multimorbidity, and mood: A cross-sectional study.

机构信息

Department of Geriatrics and Cognitive Disorders, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.

Faculty of Rehabilitation, School of Health Science, Fujita Health University, Toyoake, Aichi, Japan.

出版信息

PLoS One. 2022 Feb 11;17(2):e0263889. doi: 10.1371/journal.pone.0263889. eCollection 2022.

Abstract

BACKGROUND

In this study, we investigated subjective geriatric complaints (SGCs) as conditions regarding health concerns in community-dwelling older people and analyzed their frequencies with aging and relationships with other factors.

METHODS

This cross-sectional study enrolled 10,434 older people living in a community with a representative aging population in Japan. A questionnaire was sent by mail to those who had not applied for formal care needs certification. The presence of and concern for symptoms common in old age were asked as SGCs, as were physical function levels, multimorbidity, and depression. Categorical principal component analysis (CATPCA) of the symptoms was performed, and the association between the obtained components and other factors was analyzed.

RESULTS

The mean age of the participants was 73.7 ± 6.1 years, and 52.5% were women. On average, they had 1.72 ± 1.57 SGCs, which showed a gradual increase with age. The results of the CATPCA revealed four components: SGC1, excretory/circulatory/swallowing complaints; SGC2, audiovisual complaints; SGC3, neurological complaints; and SGC4, musculoskeletal complaints. All SGC components were independently associated with physical function, multimorbidity, and depression.

CONCLUSIONS

Each SGC showed various frequencies and differences along with aging, and SGCs were classified into four components that were thought to share a common background. These findings could contribute to the planning of better health management strategies for older people.

摘要

背景

本研究旨在调查社区居住的老年人的主观老年病主诉(SGC),分析其随年龄增长的发生频率及其与其他因素的关系。

方法

本横断面研究纳入了居住在日本一个具有代表性老龄化人口的社区的 10434 名老年人。向未申请正式护理需求认证的人群邮寄问卷。将老年人常见的症状和对这些症状的担忧作为 SGC 进行询问,同时还评估了他们的身体功能水平、多种合并症和抑郁情况。对症状进行分类主成分分析(CATPCA),并分析获得的成分与其他因素之间的关系。

结果

参与者的平均年龄为 73.7 ± 6.1 岁,52.5%为女性。平均而言,他们有 1.72 ± 1.57 种 SGC,随着年龄的增长而逐渐增加。CATPCA 的结果显示出四个成分:SGC1,排泄/循环/吞咽问题;SGC2,视听问题;SGC3,神经问题;和 SGC4,肌肉骨骼问题。所有 SGC 成分均与身体功能、多种合并症和抑郁独立相关。

结论

每个 SGC 随年龄增长呈现不同的发生频率和差异,并被分为四个成分,这些成分被认为具有共同的背景。这些发现有助于为老年人制定更好的健康管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9789/8836324/151ef9ae2484/pone.0263889.g001.jpg

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