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关节炎与加拿大老龄化纵向研究中加拿大老年成年人的高营养风险相关。

Arthritis is associated with high nutritional risk among older Canadian adults from the Canadian Longitudinal Study on Aging.

机构信息

School of Health, Concordia University, Montreal, QC, Canada.

École de Santé Publique, Centre de Recherche en Santé Publique, Université de Montréal, Montreal, QC, Canada.

出版信息

Sci Rep. 2024 May 11;14(1):10807. doi: 10.1038/s41598-024-58370-7.

Abstract

This study assessed the association between arthritis, functional impairment, and nutritional risk (NR). Cross-sectional data were from the Canadian Longitudinal Study on Aging, a nationally representative sample of 45-85-year-old community-dwelling Canadians (n = 41,153). The abbreviated Seniors in the Community: Risk Evaluating for Eating and Nutrition II (SCREEN II-AB) Questionnaire determined NR scores (continuous), and high NR (score < 38); the Older American Resources and Services scale measured functional impairment. NR scores and status (low/high) were modelled using multiple linear and logistic regressions, respectively. Analyses adjusted for demographic characteristics, functional impairment, and health (body mass index, self-rated general and mental health). Additional analyses stratified the models by functional impairment. People with arthritis had poorer NR scores (B: - 0.35, CI - 0.48, - 0.22; p < 0.05) and increased risks of high NR (OR 1.11, 95% CI 1.06, 1.17). Among those with functional impairment, the likelihood of high NR was 31% higher in people with arthritis compared to those without arthritis (95% CI 1.12, 1.53). Among those with no functional impairment, the likelihood of high NR was 10% higher in people with arthritis compared to those without (95% CI 1.04, 1.16). These relationships differed based on the type of arthritis. Arthritis is associated with high NR in community-dwelling older adults, both with and without functional impairment. Findings highlight the need for further research on these relationships to inform interventions and improve clinical practices.

摘要

本研究评估了关节炎、功能障碍和营养风险(NR)之间的关联。横断面数据来自加拿大老龄化纵向研究,这是一项针对 45-85 岁社区居住的加拿大人群(n=41153)的全国代表性样本。简化的老年人社区:营养风险评估 II(SCREEN II-AB)问卷确定了 NR 评分(连续),高 NR(评分<38);老年人资源和服务量表测量了功能障碍。分别使用多元线性和逻辑回归模型对 NR 评分和状态(低/高)进行建模。分析调整了人口统计学特征、功能障碍和健康状况(体重指数、自我报告的一般和心理健康)。进一步的分析按功能障碍对模型进行分层。患有关节炎的人 NR 评分较差(B:-0.35,CI-0.48,-0.22;p<0.05),且发生高 NR 的风险增加(OR 1.11,95% CI 1.06,1.17)。在有功能障碍的人群中,与无关节炎人群相比,有关节炎人群发生高 NR 的可能性高 31%(95% CI 1.12,1.53)。在无功能障碍的人群中,与无关节炎人群相比,有关节炎人群发生高 NR 的可能性高 10%(95% CI 1.04,1.16)。这些关系因关节炎类型而异。关节炎与社区居住的老年人群中,无论是否存在功能障碍,都与高 NR 相关。这些发现强调需要进一步研究这些关系,以为干预措施提供信息并改善临床实践。

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