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孤独感、功能障碍和下尿路症状提示老年男性良性前列腺增生:来自中国健康与养老追踪调查的见解。

Loneliness, functional disability and lower urinary tract symptoms suggestive of benign prostatic hyperplasia in aging men: Insights from the China health and retirement longitudinal study.

机构信息

Department of Urology, Tianjin Medical University General Hospital, Tianjin, China.

Department of Urology, Tianjin Medical University General Hospital, Tianjin, China.

出版信息

Geriatr Nurs. 2024 Jul-Aug;58:304-309. doi: 10.1016/j.gerinurse.2024.06.002. Epub 2024 Jun 11.

Abstract

BACKGROUND

Research has demonstrated that social isolation and loneliness are linked to functional disability in older adults. With the intensification of global aging, functional disability and lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH) have become common public health issues affecting elderly men.

METHODS

This study utilized data from the CHARLS database. The functional status of participants was evaluated through activities of daily living (ADL) and instrumental activities of daily living (IADL). Logistic regression analyses were employed to investigate variables associated with LUTS/BPH.

RESULTS

Univariate logistic regression revealed associations between loneliness (OR: 1.26; 95 % CI: 1.08-1.46) (excluding social isolation), ADL (OR: 2.17; 95 % CI: 1.86-2.52), IADL disability (OR: 1.37; 95 % CI: 1.16-1.60), and LUTS/BPH. Following rigorous adjustment for potential confounding factors, it was determined that ADL disability independently correlated with LUTS/BPH (OR: 1.92; 95 % CI: 1.17-3.17).

CONCLUSION

ADL disability is significantly linked to an elevated risk of LUTS/BPH in Chinese elderly men. These findings enhance our understanding of the relationship between functional status and LUTS/BPH.

摘要

背景

研究表明,社会隔离和孤独与老年人的功能障碍有关。随着全球老龄化的加剧,功能障碍和下尿路症状(提示良性前列腺增生症,LUTS/BPH)已成为影响老年男性的常见公共卫生问题。

方法

本研究利用 CHARLS 数据库的数据。通过日常生活活动(ADL)和工具性日常生活活动(IADL)评估参与者的功能状态。采用 logistic 回归分析调查与 LUTS/BPH 相关的变量。

结果

单因素 logistic 回归显示,孤独感(OR:1.26;95%CI:1.08-1.46)(不包括社会隔离)、ADL(OR:2.17;95%CI:1.86-2.52)、IADL 残疾(OR:1.37;95%CI:1.16-1.60)与 LUTS/BPH 相关。在严格调整潜在混杂因素后,确定 ADL 残疾与 LUTS/BPH 独立相关(OR:1.92;95%CI:1.17-3.17)。

结论

ADL 残疾与中国老年男性 LUTS/BPH 的风险增加显著相关。这些发现加深了我们对功能状态与 LUTS/BPH 之间关系的理解。

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