The impact of multiple impairments on disability in community-dwelling older people.
The impact of multiple impairments on disability in community-dwelling older people.
复制标题
多重损伤对社区老年人残疾的影响。
作者：
Gertrudis I. J. M. Kempen;Lois M. Verbrugge;S. S. Merrill;J. Ormel
介绍
我们已经检验了这样一个假设，即晚年常见损伤（运动和认知障碍、视力和听力损失、抑郁症状）的共同出现对残疾[日常生活活动和工具性活动、社会和角色功能、（不）活动]具有加剧影响。
方法
数据来自624名57岁及以上的社区样本。
结果
运动障碍和抑郁症状与所有残疾指标相关，即使在控制了其他障碍、年龄和性别的影响的情况下。这表明运动障碍和抑郁症状的独立、主要影响。虽然发现了一些重要的一阶相互作用效应（表明残疾恶化），但这些效应不是很强，但视力和听力损失加剧了其他缺陷对残疾的影响。
结论
残疾，特别是运动障碍和抑郁症状，主要是通过对残疾的主要影响“单独”发生的。只有包括视力或听力损失在内的少数组合进一步加剧了其他缺陷对残疾的影响。
INTRODUCTION
we have tested the hypothesis that the co-occurrence of common impairments (motor and cognitive impairments, vision and hearing loss, depressive symptoms) of later life have exacerbating effects on disability [activities and instrumental activities of daily living, social and role function, (in)activity].
METHOD
data were drawn from a community-based sample of 624 people aged 57 and older.
RESULTS
motor impairments and depressive symptoms were associated with all disability measures, even when the effects of other impairments, age and gender were controlled. This indicates independent, predominant effects of motor impairments and depressive symptoms. Although several significant first-order interaction effects (indicating exacerbation) of impairments on disability were found, they were not very strong, but vision and hearing losses exacerbate the impact of the other impairments on disability.
CONCLUSIONS
impairments, particularly motor impairments and depressive symptoms, largely act 'solo', by main effects on disability. Only a few combinations including vision or hearing loss further exacerbate the effects of other impairments on disability.
影响因子：
5.4
作者：
VERBRUGGE, LM;JETTE, AM
通讯作者：
JETTE, AM
DOI：
10.1093/geronj/48.6.m261
发表时间：
1993-11-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
RUDBERG, MA;FURNER, SE;CASSEL, CK
通讯作者：
CASSEL, CK