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通过肌肉减少症以及衰老在西班牙的情况来理解针对老年人的去机构化政策。

Understanding deinstitutionalization policies for older adults through sarcopenia and the place of aging in Spain.

作者信息

Tortosa-Chuliá María Ángeles, Cezón-Serrano Natalia, Arnal-Gómez Anna, Balasch-Bernat Mercè, Sentandreu-Mañó Trinidad, Iranzo Maria Àngels Cebrià I

机构信息

Public Economic Evaluation Research Group (EVALPUB), Department of Applied Economics, Faculty of Economics, University of Valencia, Valencia, Spain.

Physiotherapy in Motion, Multi-Specialty Research Group (PTinMOTION), Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, C/Gascó Oliag nº 5, 46010, Valencia, Spain.

出版信息

Sci Rep. 2025 Jul 1;15(1):20587. doi: 10.1038/s41598-025-06036-3.

DOI:10.1038/s41598-025-06036-3
PMID:40594342
Abstract

To support deinstitutionalization policies in Spain, it's useful to understand sarcopenia determinants. This study analyzed 267 community-dwelling and institutionalized older adults, measured sarcopenia using the European Working Group of Sarcopenia in Older People 2 (EWGSOP2) algorithm and looked for the role of place of aging among a set of social, economic, psychological and environmental variables. Findings reveal that the place of aging might have a significant relationship with sarcopenia in Spanish older adults and that a large proportion of older adults with sarcopenia could end up living in institutions. These results are in accordance with some actions lines of the deinstitutionalization Spanish strategy and point out that it would be necessary to prevent sarcopenia, mainly in the oldest, in those with low cognitive status and quality of life in order to promote deinstitutionalization and retain older adults in their community as much as possible.

摘要

为支持西班牙的去机构化政策,了解肌肉减少症的决定因素很有必要。本研究分析了267名居住在社区和机构中的老年人,使用欧洲老年人肌肉减少症工作组2(EWGSOP2)算法测量肌肉减少症,并在一系列社会、经济、心理和环境变量中寻找衰老地点的作用。研究结果表明,衰老地点可能与西班牙老年人的肌肉减少症有显著关系,并且很大一部分患有肌肉减少症的老年人最终可能会住进机构。这些结果与西班牙去机构化战略的一些行动方针一致,并指出有必要预防肌肉减少症,主要是在年龄最大、认知状态和生活质量较低的人群中,以促进去机构化并尽可能让老年人留在他们的社区。

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本文引用的文献

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