90 岁及以上人群的活力 90+研究中的痴呆症及相关共病：2001 至 2018 年的模式和趋势。
Dementia and Related Comorbidities in the Population Aged 90 and Over in the Vitality 90+ Study, Finland: Patterns and Trends From 2001 to 2018.
机构信息
Faculty of Social Sciences (Health Sciences), Tampere University, Tampere, Finland.
Gerontology Research Center, Tampere, Finland.
出版信息
J Aging Health. 2023 Jun;35(5-6):370-382. doi: 10.1177/08982643221123451. Epub 2022 Oct 18.
OBJECTIVES
To examine trends in the prevalence of dementia and related comorbidities among the oldest old.
METHODS
Six repeated cross-sectional surveys were conducted between 2001 and 2018, each including all inhabitants aged over 90 in Tampere, Finland ( = 5386). Co-occurring conditions and their time trends among participants with dementia were examined using logistic regression and generalized estimating equations.
RESULTS
The prevalence of dementia decreased from 47% in 2007 to 41% in 2018. Throughout the study period, depression was more common among people with dementia compared to those without. The prevalence of hypertension, diabetes, and osteoarthritis increased and the prevalence of depression decreased among people with dementia. The mean number of comorbidities increased from 2.0 in 2001 to 2.3 in 2018.
DISCUSSION
Dementia remains highly prevalent among the oldest old and it is accompanied by an increasing burden of comorbidities, posing a challenge to people with dementia, their caregivers, and care systems.
目的
研究高龄老年人痴呆症及相关共病的流行趋势。
方法
2001 年至 2018 年期间共进行了 6 次重复的横断面调查，每次调查均包括芬兰坦佩雷市所有 90 岁以上的居民（=5386 人）。采用逻辑回归和广义估计方程，对痴呆症患者共病及其时间趋势进行了研究。
结果
痴呆症的患病率从 2007 年的 47%下降到 2018 年的 41%。在整个研究期间，与无痴呆症者相比，痴呆症患者中更常见抑郁症。痴呆症患者的高血压、糖尿病和骨关节炎患病率增加，而抑郁症患病率下降。共病的平均数量从 2001 年的 2.0 增加到 2018 年的 2.3。
讨论
痴呆症在高龄老年人中仍然高度流行，且伴随着共病负担的增加，这给痴呆症患者、他们的照顾者和护理系统带来了挑战。
Zotero 插件