COVID-19 Pandemic Impact on Trajectories in Cardiometabolic Health, Physical Activity, and Functioning Among Adults from the 2006-2020 Health and Retirement Study.
COVID-19 Pandemic Impact on Trajectories in Cardiometabolic Health, Physical Activity, and Functioning Among Adults from the 2006-2020 Health and Retirement Study.
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DOI：
10.1093/gerona/glac028
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发表时间：
2022-07-05
期刊：
影响因子：
--
通讯作者：
Zonderman AB
中科院分区：
文献类型：
--
作者：
Beydoun HA;Beydoun MA;Gautam RS;Alemu BT;Weiss J;Hossain S;Zonderman AB
这项研究的目的是根据选定的基线社会人口学特征，全面评估新冠肺炎大流行对美国老年人心脏代谢健康、体力活动和功能的影响。我们使用来自2006-2020年健康和退休研究的1372名参与者的纵向数据进行了二次分析。采用混合效应回归模型和群体轨迹模型，分析新冠肺炎大流行发病前体重指数、心脏代谢危险因素和/或慢性疾病、体力活动、日常生活能力和工具性日常生活能力的关系。新冠肺炎大流行与体重指数显著增加相关(β=1.39，95%可信区间：0.74，2.03)。此外，具有至少一个心脏代谢危险因素和/或慢性疾病的风险在新冠肺炎发病前增加(优势比1.16，95%CI：1.00，1.36)，而身体功能在新冠肺炎发病前恶化(日常生活能力：β=1.11，95%CI：0.94，1.2 8；日常生活能力：β=0.5 9，95%CI：0.46，0.73)。后新冠肺炎时期(2018年-2020年)呈现出一组稳定的轨迹，选定的健康指标有低、中、高三个水平。强调了性别、种族/民族、教育水平、工作状态和总财富方面的健康差距。新冠肺炎大流行似乎会恶化美国老年人的心脏代谢健康和身体功能，根据选定的社会人口学特征定义的个体集群在新冠肺炎大流行爆发前经历了不同的轨迹。
The aim of this study was to evaluate the impact of the COVID-19 pandemic on trajectories in cardiometabolic health, physical activity, and functioning among U.S. older adults, overall and according to selected baseline sociodemographic characteristics. We performed secondary analyses using longitudinal data on 1,372 participants from the 2006–2020 Health and Retirement Study. Pre-post COVID-19 pandemic onset was examined in relation to body mass index (BMI), number of cardiometabolic risk factors and/or chronic conditions, physical activity, Activities of Daily Living (ADL), and Instrumental Activities of Daily Living (IADL) using mixed-effects regression models and group-based trajectory models. The COVID-19 pandemic was associated with significantly increased BMI (β = 1.39, 95% confidence interval [CI]: 0.74, 2.03). Furthermore, the odds of having at least one cardiometabolic risk factor and/or chronic disease increased pre-post COVID-19 onset (odds ratio 1.16, 95% CI: 1.00, 1.36), whereas physical functioning worsened pre-post COVID-19 onset (ADL: β = 1.11, 95% CI: 0.94, 1.28; IADL: β = 0.59, 95% CI: 0.46, 0.73). The pre-post COVID-19 period (2018–2020) showed a stable group of trajectories, with low, medium and high levels of the selected health indicators. Health disparities according to sex, race/ethnicity, educational level, work status, and total wealth are highlighted. The COVID-19 pandemic onset appears to worsen cardiometabolic health and physical functioning among U.S. older adults, with clusters of individuals defined by selected sociodemographic characteristics experiencing distinct trajectories pre-post COVID-19 pandemic onset.
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DOI：
10.3390/ijerph18168567
发表时间：
2021-08-13
影响因子：
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作者：
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