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老年人抑郁症症状与跌倒之间的关系:一项病例对照研究。

The relationship between symptoms of depression and falls in older adults: A case-control study.

作者信息

Moshtaghi Manizheh, Kargarian-Marvasti Sadegh, Afshar Pouya Farokhnezhad, Moghaddam Seyedeh Melika Kharghani, Bahramnezhad Fatemeh

机构信息

School of Public Health, Iran University of Medical Sciences, Tehran, Iran.

Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

JAR Life. 2025 Jul 10;14:100018. doi: 10.1016/j.jarlif.2025.100018. eCollection 2025.

DOI:10.1016/j.jarlif.2025.100018
PMID:40689053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12274764/
Abstract

BACKGROUND

Fall is one of the most common and severe syndromes of older adults that causes disability. Depression is one of the disorders that can lead to many problems, but the results have been contradictory.

OBJECTIVES

This study aimed to determine the relationship between symptoms of depression and falls in older adults.

DESIGN

This observational study.

SETTING

We collected the data from the health records of older adults in comprehensive health service centers.

PARTICIPANTS

We selected two groups of older adults (60 years and above) as the case group (400 older adults with a history of falling) and the control group (400 older adults without a history of falling).

MEASUREMENTS

The history of falling was based on the report of old people during a month ago. Symptoms of Depression has been assessed using the Goldberg General Health Questionnaire (GHQ-28).

RESULTS

62.5 % of the sample were old women. The elderly males were 74.6 ± 0.47 years, and the elderly women were 72.9 ± 0.34 years. There was no significant relationship between symptoms of depression and falls in older adults (OR = 1.321, = 0.203). Age (over 75 years) (OR = 4.391, < 0.001) and living alone (OR = 2.924, < 0.001), and high school education (OR = 3.947, = 0.008) are risk factors.

CONCLUSIONS

The symptoms of depression are not related to falls in older adults. However, being above 75 years old and living alone increases the risk of falls, and higher education reduces the risk of falls.

摘要

背景

跌倒为老年人最常见且最严重的致残综合征之一。抑郁症是可导致诸多问题的疾病之一,但相关研究结果相互矛盾。

目的

本研究旨在确定老年人抑郁症状与跌倒之间的关系。

设计

本观察性研究。

地点

我们从综合健康服务中心的老年人健康记录中收集数据。

参与者

我们选取两组老年人(60岁及以上)作为病例组(400名有跌倒史的老年人)和对照组(400名无跌倒史的老年人)。

测量指标

跌倒史基于老年人一个月前的报告。使用戈德堡一般健康问卷(GHQ - 28)评估抑郁症状。

结果

样本中62.5%为老年女性。老年男性年龄为74.6±0.47岁,老年女性年龄为72.9±0.34岁。老年人抑郁症状与跌倒之间无显著关系(比值比[OR]=1.321,P = 0.203)。年龄(75岁以上)(OR = 4.391,P<0.001)、独居(OR = 2.924,P<0.001)以及高中教育程度(OR = 3.947,P = 0.008)是危险因素。

结论

老年人的抑郁症状与跌倒无关。然而,75岁以上及独居会增加跌倒风险,而较高的教育程度可降低跌倒风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeea/12274764/6cff346e3f94/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeea/12274764/6cff346e3f94/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeea/12274764/6cff346e3f94/gr1.jpg

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