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退伍军人健康寿命评估指标的研究:一项单中心探索性研究。

Research on evaluation indicators of healthspan for veterans: A single-center exploratory study.

作者信息

Zhu Jianbo, Zhang Jingda, Liu Tongbo, Zhang Yong, Xu Guogang

机构信息

Jianbo Zhu Health Management Institute, The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100853, China.

Jingda Zhang Health Management Institute, The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, 100853, China.

出版信息

Pak J Med Sci. 2024 Aug;40(7):1437-1442. doi: 10.12669/pjms.40.7.8714.

Abstract

OBJECTIVE

To explore a definition of healthspan that based on actual situation of veterans is of significance for improving their health status and life quality.

METHODS

This was a retrospective study. Based on the medical data of veterans from the Chinese PLA General Hospital. Total of 1,421 subjects were enrolled to this study, among which 441 deceased cases were further analyzed. The indicators of healthspan of the subjects was calculated from four dimensions (the status of chronic diseases, physical function, social function and psychological function). The risk factors for death were analyzed in a population cohort from 2008 to 2021 (including 763 subjects, among which 372 were deceased).

RESULTS

The average lifespan and adjusted healthspan of the subjects were 93.3 years and 75.1 years, respectively. The four dimensions of healthspan were: adjusted healthspan without chronic diseases was 76.3 years, social function-related healthspan was 88.8 years, physical function-related healthspan was 91.5 years, and psychological function-related healthspan was 92.7 years. By analyzing the cohort in 2008, it was inferred that the main risk factors for the death of veterans were poor nutritional status, renal function injury, high blood pressure, high blood sugar, and aging.

CONCLUSIONS

This study proposed four dimensions related to "healthspan" for Chinese veterans (adjusted healthspan without chronic diseases, physical function-related healthspan, social function-related healthspan, and psychological function-related healthspan). Besides, poor nutritional status, renal function injury, and high blood pressure were the most important risk factors affecting the death of veterans.

摘要

目的

探索基于退伍军人实际情况的健康寿命定义,对改善其健康状况和生活质量具有重要意义。

方法

这是一项回顾性研究。基于中国人民解放军总医院退伍军人的医疗数据。共纳入1421名受试者,其中441例死亡病例进行进一步分析。从慢性病状况、身体功能、社会功能和心理功能四个维度计算受试者的健康寿命指标。对2008年至2021年的人群队列(包括763名受试者,其中372例死亡)进行死亡危险因素分析。

结果

受试者的平均寿命和调整后的健康寿命分别为93.3岁和75.1岁。健康寿命的四个维度为:无慢性病的调整后健康寿命为76.3岁,社会功能相关健康寿命为88.8岁,身体功能相关健康寿命为91.5岁,心理功能相关健康寿命为92.7岁。通过对2008年队列分析,推断退伍军人死亡的主要危险因素为营养状况差、肾功能损伤、高血压、高血糖和衰老。

结论

本研究提出了中国退伍军人“健康寿命”相关的四个维度(无慢性病的调整后健康寿命、身体功能相关健康寿命、社会功能相关健康寿命和心理功能相关健康寿命)。此外,营养状况差、肾功能损伤和高血压是影响退伍军人死亡的最重要危险因素。

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本文引用的文献

1
Meeting the complex healthcare needs of veterans.满足退伍军人的复杂医疗保健需求。
Nurse Pract. 2022 Sep 1;47(9):20-28. doi: 10.1097/01.NPR.0000855292.67169.4b.
2
Shifting metabolism to increase lifespan.代谢转换以延长寿命。
Trends Endocrinol Metab. 2022 Aug;33(8):533-535. doi: 10.1016/j.tem.2022.05.001. Epub 2022 May 19.
4
Extending human healthspan and longevity: a symposium report.延长人类健康寿命:研讨会报告。
Ann N Y Acad Sci. 2022 Jan;1507(1):70-83. doi: 10.1111/nyas.14681. Epub 2021 Sep 8.
8
Dietary Intake and Chronic Disease Prevention.饮食摄入与慢性病预防。
Nutrients. 2021 Apr 19;13(4):1358. doi: 10.3390/nu13041358.

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