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成年晚期生活目标的变化与低度慢性炎症

Changes in Purpose in Life and Low-Grade Chronic Inflammation Across Older Adulthood.

作者信息

Giannis Irene, Wrosch Carsten, Herriot Heather, Gouin Jean-Philippe

机构信息

Concordia University, Montreal, Canada.

出版信息

Int J Aging Hum Dev. 2024 Mar;98(2):182-207. doi: 10.1177/00914150231196098. Epub 2023 Aug 29.

Abstract

Older adults often experience an increase in low-grade chronic inflammation. Purpose in life could act as a protective factor as it is associated with beneficial health outcomes. Purpose in life may exert part of its adaptive function by promoting persistence in goal pursuit. During older adulthood, however, when many individuals experience an increase in intractable stressors and declining resources, the adaptive function of purpose could become reduced. We examined whether the association between inter- and intra-individual differences in purpose in life and chronic inflammation differed across older adulthood. We assessed four waves of data among 129 older adults (63-91 years old) across 6 years. Hierarchical linear modeling demonstrated that within-person increases in purpose in life predicted reduced levels of chronic inflammation in early old age (25th percentile or 73 years,  = -.016, .01), but not in advanced old age (75th percentile or 81 years,  = .002, 67). Between-person differences in purpose were not related to chronic inflammation. These results suggest that greater within-person increases in purpose may protect health processes particularly in early old age but become less effective in advanced old age.

摘要

老年人经常会出现低度慢性炎症增加的情况。生活目标可以作为一种保护因素,因为它与有益的健康结果相关。生活目标可能通过促进对目标追求的坚持来发挥其部分适应功能。然而,在老年期,当许多人经历难以应对的压力源增加和资源减少时,目标的适应功能可能会减弱。我们研究了生活目标的个体间差异和个体内差异与慢性炎症之间的关联在老年期是否存在差异。我们评估了129名老年人(63 - 91岁)在6年中的四波数据。分层线性模型表明,个体内生活目标的增加在老年早期(第25百分位数或73岁,β = -0.016,p = 0.01)可预测慢性炎症水平降低,但在高龄期(第75百分位数或81岁,β = 0.002,p = 0.67)则不然。个体间生活目标的差异与慢性炎症无关。这些结果表明,个体内生活目标的更大增加可能对健康过程具有保护作用,尤其是在老年早期,但在高龄期效果会减弱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca10/10845832/c35f8ebe0d18/10.1177_00914150231196098-fig1.jpg

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