Department of Nursing, Graduate School of Medicine, Nagoya University, Nagoya 461-8673, Japan.
Department of Nursing, Graduate School of Medicine, Gifu University, Gifu 501-1194, Japan.
Int J Environ Res Public Health. 2023 Oct 29;20(21):6994. doi: 10.3390/ijerph20216994.
This study aimed to clarify the factors associated with low albumin in Japanese older adults aged ≥75 years. The data utilized were the health checkup data of older adults aged ≥75 years from 42 municipalities in Gifu Prefecture, which were provided by the National Health Insurance database system. After excluding the data of individuals with incomplete information on serum albumin, BMI, lifestyle habits, or weight at previous year, the data from 18,674 individuals' health checkup were analyzed. A logistic regression showed that low albumin was associated with smoking, not walking at least 1 h/day, slow walking speed, difficulty in chewing, slow eating speed, weight loss in the previous year, and underweight. Furthermore, an analysis conducted for older adults aged ≥85 years showed that low albumin was associated with not walking at least 1 h/day, difficulty in chewing, slow eating speed, weight loss in the previous year, and underweight. In the future, the number of older adults will increase in Japan; therefore, a strategic approach to promote the health of these aged individuals will become even more necessary. An early approach to maintaining an active physical life, an appropriate weight, and good oral function will lead to improved health in older adults.
本研究旨在阐明与 75 岁以上日本老年人低白蛋白相关的因素。本研究使用的数据来自岐阜县 42 个市町村 75 岁以上老年人的健康检查数据，这些数据来自国民健康保险数据库系统。在排除了血清白蛋白、BMI、生活习惯或上一年体重信息不完整的个体数据后，对 18674 名个体的健康检查数据进行了分析。逻辑回归显示，低白蛋白与吸烟、每天行走时间不足 1 小时、行走速度慢、咀嚼困难、进食速度慢、上一年体重减轻和体重不足有关。此外，对 85 岁以上老年人进行的分析显示，低白蛋白与每天行走时间不足 1 小时、咀嚼困难、进食速度慢、上一年体重减轻和体重不足有关。在未来，日本的老年人数量将会增加；因此，采取战略措施促进这些老年人的健康将变得更加必要。尽早采取保持积极的身体活动、适当的体重和良好的口腔功能的方法，将有助于改善老年人的健康状况。
