Determinants of living situation in a population of community-dwelling and assisted living-dwelling elders.

Determinants of living situation in a population of community-dwelling and assisted living-dwelling elders.
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DOI:
10.1016/j.jamda.2009.07.006
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发表时间:
2010-02
影响因子:
7.6
通讯作者:
Kenny AM
Kenny AM
中科院分区:
医学1区
文献类型:
--
作者:
Avery E;Kleppinger A;Feinn R;Kenny AM

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确定哪些变量将社区居住的老年人与辅助生活居住的老年人区分开来。康涅狄格州横断面社区和辅助生活设施 114 人(77 个社区住宅,37 个辅助生活设施) 营养调查、6 分钟步行、简易精神状态检查 (MMSE)、流行病学研究中心 (CES)-抑郁量表、25-OH 维生素 D 在基线时,辅助生活住宅老年人似乎具有较低的血清 25-OH 维生素 D 水平、较低的 MMSE 评分、较高的 CES-抑郁量表分数,并且在六分钟步行中走了更短的距离。使用逻辑回归分析,两组之间的血清 25-OH 维生素 D 水平和六分钟步行有显着差异。随着血清25-OH维生素D水平的升高,老年人发生ALF的概率降低,而随着六分钟步行中步行距离的增加,老年人发生ALF的概率降低。生活在辅助生活设施中的老年人的 25-OH 维生素 D 水平显着较低,并且在 6 分钟步行期间步行的距离较短。这些变量可用于预测老年人住在辅助生活设施中的概率。缺乏营养作用表明维生素 D 在这种情况下的作用是在身体机能方面。
To determine what variables separate community-dwelling elders from assisted-living dwelling elders. Cross-sectional Community and assisted living facilities in Connecticut 114 individuals (77 community-dwelling, 37 assisted living) Nutritional survey, 6 minute walk, Mini-Mental Status Exam (MMSE), Center of Epidemiologic Studies (CES)-Depression Scale, 25-OH vitamin D At baseline, assisted-living dwelling elders appeared to have lower serum 25-OH vitamin D levels, lower MMSE scores, higher CES-depression scale scores, and walked shorter distances in the six minute walk. Serum 25-OH vitamin D levels and six minute walk were significantly different between the two groups using logistic regression analysis. As serum 25-OH vitamin D levels increased, the probability of an elder living in an ALF decreased, and as distance walked during the six minute walk increased, the probability of an elder living in an ALF decreased. Elders living in assisted living facilities had significantly lower 25-OH vitamin D levels and walked shorter distances during the six minute walk. These variables can be used to predict the probability of an elder living in an assisted living facility. The lack of effect of nutrition suggests that the role of vitamin D in this setting is in physical function.
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