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中年及老年人的衰弱和抑郁症状与心血管疾病风险的关系

Frailty and depressive symptoms in relation to cardiovascular disease risk in middle-aged and older adults.

作者信息

Zhang Zheng, Xu Huijie, Zhang Runjia, Yan Yangxinyu, Ling Xi, Meng Yun, Zhang Xilin, Wang Yuanyuan

机构信息

Key Laboratory of Brain, Cognition and Education Sciences, South China Normal University, Ministry of Education, Guangzhou, China.

School of Psychology, South China Normal University, Guangzhou, China.

出版信息

Nat Commun. 2025 Jul 1;16(1):6008. doi: 10.1038/s41467-025-61089-2.


DOI:10.1038/s41467-025-61089-2
PMID:40595747
Abstract

As global aging accelerates, frailty and depressive symptoms have emerged as critical contributors to cardiovascular disease (CVD) risk among older adults. However, the dynamic interplay between these factors remains underexplored. Here, we examine the associations among frailty, depressive symptoms, and incident CVD using data from five international cohorts (HRS, CHARLS, SHARE, ELSA, MHAS) involving individuals aged 50 and above. Our findings reveal that frailty significantly increases CVD risk, with depressive symptoms partially mediating this relationship. Transitions into frailty elevate CVD risk, while improvements reduce it. Cross-lagged panel network analysis identifies consistent CVD predictors, including hypertension, diabetes, and mobility issues. Subgroups with stronger associations include frail males, older individuals, working or retired people, and those with unhealthy lifestyles. These results underscore the need for integrated interventions targeting frailty and depressive symptoms to prevent CVD in aging populations.

摘要

随着全球老龄化加速,身体虚弱和抑郁症状已成为老年人心血管疾病(CVD)风险的关键因素。然而,这些因素之间的动态相互作用仍未得到充分探索。在此,我们使用来自五个国际队列(健康与退休研究、中国健康与养老追踪调查、欧洲健康、年龄与退休调查、英国老龄化纵向研究、墨西哥健康与老龄化研究)的数据,研究了50岁及以上个体的身体虚弱、抑郁症状与新发CVD之间的关联。我们的研究结果表明,身体虚弱显著增加CVD风险,抑郁症状部分介导了这种关系。向身体虚弱的转变会增加CVD风险,而身体状况的改善则会降低风险。交叉滞后面板网络分析确定了一致的CVD预测因素,包括高血压、糖尿病和行动不便问题。关联较强的亚组包括身体虚弱的男性、老年人、在职或退休人员以及生活方式不健康的人。这些结果强调了针对身体虚弱和抑郁症状采取综合干预措施以预防老年人群CVD的必要性。

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[1]
Frailty and depressive symptoms in relation to cardiovascular disease risk in middle-aged and older adults.

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[2]
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本文引用的文献

[1]
Associations of frailty and cognitive impairment with all-cause and cardiovascular mortality in older adults: a prospective cohort study from NHANES 2011-2014.

BMC Geriatr. 2025-2-22

[2]
Interacting and joint effects of frailty and inflammation on cardiovascular disease risk and the mediating role of inflammation in middle-aged and elderly populations.

BMC Cardiovasc Disord. 2025-2-20

[3]
Cardiovascular health: an important component of cancer survivorship.

BMJ Oncol. 2023-10-13

[4]
Cardiovascular Diseases Among Indian Older Adults: A Comprehensive Review.

Cardiovasc Ther. 2024-6-25

[5]
Reducing inequity through tackling social determinants of cardiovascular diseases in China.

BMJ. 2024-10-18

[6]
The cardiovascular disease burden attributable to kidney dysfunction from 1990 to 2021: an age-period-cohort analysis of the Global Burden of Disease study.

Eur Heart J Qual Care Clin Outcomes. 2025-6-23

[7]
The impact of mold exposure on anxiety symptoms in the older adults: A moderated mediation model based on CLHLS.

Ecotoxicol Environ Saf. 2024-10-1

[8]
Advancements in Cardiovascular Disease Research Affected by Smoking.

Rev Cardiovasc Med. 2024-8-21

[9]
Association between internet exclusion and depressive symptoms among older adults: panel data analysis of five longitudinal cohort studies.

EClinicalMedicine. 2024-8-2

[10]
Urban resilience reduces depressive symptoms among middle-aged and elderly adults: A multidimensional analysis based on China longitudinal healthy longevity survey.

J Psychiatr Res. 2024-10

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