Caregiving, metabolic syndrome indicators, and 1-year decline in walking speed: results of Caregiver-SOF.
Caregiving, metabolic syndrome indicators, and 1-year decline in walking speed: results of Caregiver-SOF.
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DOI：
10.1093/gerona/glq025
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发表时间：
2010-05
期刊：
影响因子：
--
通讯作者：
Hochberg MC
中科院分区：
文献类型：
--
作者：
Fredman L;Doros G;Cauley JA;Hillier TA;Hochberg MC
慢性压力可能会通过代谢综合征导致健康状况下降。因此，处于压力看护环境中且具有更多代谢综合征指标的人可能比其他看护者或非看护者经历更多的衰退。样本包括来自护理者骨质疏松性骨折研究的 921 名女性（338 名护理者和 583 名非护理者）。参与者在 1999 年至 2003 年间进行了基于家庭的基线和 1 年随访访谈。在基线时，护理人员被分为长期（34 年）和短期（<4 年），以及是否护理患有阿尔茨海默病/痴呆症的人。代谢风险综合评分是四个指标的总和：体重指数≥30，以及诊断或使用高血压、糖尿病或高胆固醇药物。在两次访谈中测量了步行速度（米/秒）。总样本的步行速度平均在 1.04 年 (±0.16) 内下降（调整平均值 = -0.005 m/秒，±0.16）。总体而言，护理与衰退无关。代谢风险评分的增加与总样本以及长期护理人员和痴呆症护理人员的更大下降相关，但与其他护理人员或非护理人员无关。代谢风险评分修正了护理年限和痴呆症护理与步行速度下降之间的调整后关联（交互作用项的 p 值分别为 0.039 和 0.057）。下降幅度最大的是长期看护者和痴呆症看护者，他们也有 3-4 项代谢指标（分别为 -0.10 米/秒和 -0.155 米/秒）。在护理压力大且代谢综合征指标较多的老年女性中，步行速度下降幅度最大，这表明这些护理人员亚组健康下降的风险可能增加。
Chronic stress may lead to health decline through metabolic syndrome. Thus, persons in stressful caregiving situations who also have more indicators of metabolic syndrome may experience more decline than other caregivers or noncaregivers. The sample included 921 women (338 caregivers and 583 noncaregivers) from the Caregiver-Study of Osteoporotic Fractures study. Participants had home-based baseline and 1-year follow-up interviews between 1999 and 2003. At baseline, caregivers were categorized as long term (³4 years) versus short term (<4 years), and caring for someone with Alzheimer's disease/dementia or not. A metabolic risk composite score was the sum of four indicators: body mass index ³30, and diagnosis or using medications for hypertension, diabetes, or high cholesterol. Walking speed (m/second) was measured at both interviews. Walking speed declined for the total sample (adjusted mean = −0.005 m/second, ±0.16) over an average of 1.04 years (±0.16). Overall, caregiving was not associated with decline. Increasing metabolic risk score was associated with greater decline for the total sample and long-term and dementia caregivers, but not other caregivers or noncaregivers. Metabolic risk score modified the adjusted associations between years of caregiving and dementia caregiving with walking speed decline (p values for interaction terms were 0.039 and 0.057, respectively). The biggest declines were in long-term caregivers and dementia caregivers who also had 3–4 metabolic indicators (−0.10 m/second and −0.155 m/second, respectively). Walking speed declined the most among older women who had both stressful caregiving situations and more metabolic syndrome indicators, suggesting these caregiver subgroups may have increased risk of health decline.
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DOI：
10.1111/j.1532-5415.2007.01413.x
发表时间：
2007-11-01
影响因子：
6.3
作者：
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通讯作者：
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影响因子：
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DOI：
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发表时间：
2003-07-22
影响因子：
11.1
作者：
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影响因子：
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