Differences in the frequency of subjective geriatric complaints along with aging and their associations with physical function, multimorbidity, and mood: A cross-sectional study.

Differences in the frequency of subjective geriatric complaints along with aging and their associations with physical function, multimorbidity, and mood: A cross-sectional study.
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DOI:
10.1371/journal.pone.0263889
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发表时间:
2022
期刊:
影响因子:
3.7
通讯作者:
Kanada Y
Kanada Y
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Takechi H;Tsuzuki A;Matsumoto K;Fukui A;Kawakita H;Yoshino H;Kanada Y

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在这项研究中,我们调查了主观老年主诉(SGC)作为社区老年人健康问题的条件,并分析了其频率与衰老的关系以及与其他因素的关系。这项横断面研究纳入了居住在日本具有代表性的老龄化人口社区的 10,434 名老年人。通过邮寄方式向那些尚未申请正式护理需求认证的人发送了一份调查问卷。老年常见症状的存在和关注被作为 SGC 进行询问,身体功能水平、多种疾病和抑郁也是如此。对症状进行分类主成分分析(CATPCA),并分析获得的成分与其他因素之间的关联。参与者的平均年龄为 73.7 ± 6.1 岁,其中 52.5% 为女性。平均而言,他们有 1.72 ± 1.57 个 SGC,并且随着年龄的增长而逐渐增加。 CATPCA 的结果揭示了四个组成部分:SGC1,排泄/循环/吞咽不适; SGC2,视听投诉; SGC3,神经系统疾病;和 SGC4,肌肉骨骼疾病。所有 SGC 成分均与身体功能、多种疾病和抑郁症独立相关。随着年龄的增长,每个 SGC 都表现出不同的频率和差异,并且 SGC 被分为四个被认为具有共同背景的组成部分。这些发现可能有助于为老年人规划更好的健康管理策略。
In this study, we investigated subjective geriatric complaints (SGCs) as conditions regarding health concerns in community-dwelling older people and analyzed their frequencies with aging and relationships with other factors. This cross-sectional study enrolled 10,434 older people living in a community with a representative aging population in Japan. A questionnaire was sent by mail to those who had not applied for formal care needs certification. The presence of and concern for symptoms common in old age were asked as SGCs, as were physical function levels, multimorbidity, and depression. Categorical principal component analysis (CATPCA) of the symptoms was performed, and the association between the obtained components and other factors was analyzed. The mean age of the participants was 73.7 ± 6.1 years, and 52.5% were women. On average, they had 1.72 ± 1.57 SGCs, which showed a gradual increase with age. The results of the CATPCA revealed four components: SGC1, excretory/circulatory/swallowing complaints; SGC2, audiovisual complaints; SGC3, neurological complaints; and SGC4, musculoskeletal complaints. All SGC components were independently associated with physical function, multimorbidity, and depression. Each SGC showed various frequencies and differences along with aging, and SGCs were classified into four components that were thought to share a common background. These findings could contribute to the planning of better health management strategies for older people.
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