JAHA:社区老年人下肢外周动脉疾病与生活质量的相关性研究

2017-01-22 xing.T MedSci原创

在社区居住的老年人中,低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。对于老年人生活质量是一个关键因素,因此,需要进一步的研究来评估外周动脉疾病特异性管理可以提高老年人群的生活质量。

有关下肢外周动脉疾病与生活质量(QOL)之间存在相关性的证据主要来自于选定的临床人群或相对较小的临床队列。因此,近日,心血管疾病领域权威杂志JAHA上发表了一篇研究文章,研究人员以社区人群为基础来调查这种相关性。

研究人员所用数据来自于动脉粥样硬化风险社区研究(2011-2013年)中5115名年龄从66-90岁的参与者进行5次随访的数据。使用线性和Logistic回归模型说明潜在的混杂因素后,研究人员采用了几个生活质量参数量化了踝肱指数(ABI),这些参数包括12个项目的简短健康调查问卷(SF-12)。

研究人员发现被定义为ABI<0.90(n=402)的外周动脉疾病与较低的SF-12中的体格组成评定总分独立相关(-3.26 [95%可信区间为-5.60至-0.92 ]),相比于ABI参考值1.10到1.19(n=1900)而不是组成评定总分(-0.07 [-2.21至2.06])。较低的ABI与所有SF-12体格部分状况较差显著相关(躯体功能、角色-躯体、躯体疼痛、一般健康)但在精神部分只有4个部分存在显著相关性。同样,低ABI值始终与其他躯体相关的生活质量参数(休闲-时间运动/活动/步行)比精神相关参数(明显的抑郁症状和绝望感觉)。即使在较低ABI个体(0.90至0.99;n=426)中也观察到了较低的躯体生活质量。

由此可见,在社区居住的老年人中,低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。对于老年人生活质量是一个关键因素,因此,需要进一步的研究来评估外周动脉疾病特异性管理可以提高老年人群的生活质量。

原始出处:

Aozhou Wu,et al. Lower Extremity Peripheral Artery Disease and Quality of Life Among Older Individuals in the Community. JAHA.2017. http://jaha.ahajournals.org/content/6/1/e004519

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    2017-02-11 虈亣靌

    好文,值得点赞,值得拥有,值得收藏!

    0

  3. 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    2017-02-07 虈亣靌

    新进展,值得学习

    0

  4. 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content=低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170207/IMG589913E36908D4741.jpg, createdBy=99331680071, createdName=knowheart, createdTime=Mon Jan 23 22:18:05 CST 2017, time=2017-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=172124, encodeId=bb691e21248f, content=低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Jan 23 10:48:06 CST 2017, time=2017-01-23, status=1, ipAttribution=), 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  5. 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level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74036, encryptionId=7a89e4036eb, topicName=社区)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96f62500201, createdName=12498e67m28暂无昵称, createdTime=Tue Jan 24 05:05:00 CST 2017, time=2017-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1593274, encodeId=a1de15932e4e1, content=<a href='/topic/show?id=8d1342e95fa' target=_blank style='color:#2F92EE;'>#外周动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42795, encryptionId=8d1342e95fa, topicName=外周动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b27818121614, createdName=wujh_7312825, createdTime=Tue Jan 24 05:05:00 CST 2017, time=2017-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=172227, encodeId=b2f51e2227e1, content=低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170207/IMG589913E36908D4741.jpg, createdBy=99331680071, createdName=knowheart, createdTime=Mon Jan 23 22:18:05 CST 2017, time=2017-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=172124, encodeId=bb691e21248f, content=低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Jan 23 10:48:06 CST 2017, time=2017-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=172031, encodeId=6aea1e2031a6, content=学习了,很不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLK1wzJZRTON4gxYUibhUyOypBwMibC4R7SsppicGhz5Ogoy0VVq4CWnqaD2Moeib8RWxI5lOiaVmnxpan/0, createdBy=c53f1730331, createdName=tanxingdoctor, createdTime=Sun Jan 22 21:45:01 CST 2017, time=2017-01-22, status=1, ipAttribution=)]
    2017-01-24 zhaohui6731
  6. 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  7. 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content=低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170207/IMG589913E36908D4741.jpg, createdBy=99331680071, createdName=knowheart, createdTime=Mon Jan 23 22:18:05 CST 2017, time=2017-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=172124, encodeId=bb691e21248f, content=低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Jan 23 10:48:06 CST 2017, time=2017-01-23, status=1, ipAttribution=), 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  8. [GetPortalCommentsPageByObjectIdResponse(id=2058131, encodeId=d3ea2058131ae, content=<a href='/topic/show?id=d104201831a' target=_blank style='color:#2F92EE;'>#下肢外周动脉疾病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20183, encryptionId=d104201831a, topicName=下肢外周动脉疾病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=365d170, createdName=chenwq08, createdTime=Wed Oct 04 17:05:00 CST 2017, time=2017-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=175474, encodeId=08241e54747c, content=好文,值得点赞,值得拥有,值得收藏!, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, 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encryptionId=3f34e253206, topicName=相关性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a9de34, createdName=shenxlcyp, createdTime=Tue Aug 29 21:05:00 CST 2017, time=2017-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267377, encodeId=a44a126e37794, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Tue Jan 24 05:05:00 CST 2017, time=2017-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1395653, encodeId=e111139565383, content=<a href='/topic/show?id=7a89e4036eb' target=_blank style='color:#2F92EE;'>#社区#</a>, beContent=null, objectType=article, channel=null, 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content=低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170207/IMG589913E36908D4741.jpg, createdBy=99331680071, createdName=knowheart, createdTime=Mon Jan 23 22:18:05 CST 2017, time=2017-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=172124, encodeId=bb691e21248f, content=低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Jan 23 10:48:06 CST 2017, time=2017-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=172031, encodeId=6aea1e2031a6, content=学习了,很不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLK1wzJZRTON4gxYUibhUyOypBwMibC4R7SsppicGhz5Ogoy0VVq4CWnqaD2Moeib8RWxI5lOiaVmnxpan/0, createdBy=c53f1730331, createdName=tanxingdoctor, createdTime=Sun Jan 22 21:45:01 CST 2017, time=2017-01-22, status=1, ipAttribution=)]
    2017-01-23 knowheart

    低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。

    0

  9. 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GetPortalCommentsPageByObjectIdResponse(id=172031, encodeId=6aea1e2031a6, content=学习了,很不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLK1wzJZRTON4gxYUibhUyOypBwMibC4R7SsppicGhz5Ogoy0VVq4CWnqaD2Moeib8RWxI5lOiaVmnxpan/0, createdBy=c53f1730331, createdName=tanxingdoctor, createdTime=Sun Jan 22 21:45:01 CST 2017, time=2017-01-22, status=1, ipAttribution=)]
    2017-01-23 inter158

    低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。

    0

  10. 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content=低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170207/IMG589913E36908D4741.jpg, createdBy=99331680071, createdName=knowheart, createdTime=Mon Jan 23 22:18:05 CST 2017, time=2017-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=172124, encodeId=bb691e21248f, content=低ABI(甚至临界值)与较差的生活质量独立相关,特别是躯体组成部分。, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Jan 23 10:48:06 CST 2017, time=2017-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=172031, encodeId=6aea1e2031a6, content=学习了,很不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLK1wzJZRTON4gxYUibhUyOypBwMibC4R7SsppicGhz5Ogoy0VVq4CWnqaD2Moeib8RWxI5lOiaVmnxpan/0, createdBy=c53f1730331, createdName=tanxingdoctor, createdTime=Sun Jan 22 21:45:01 CST 2017, time=2017-01-22, status=1, ipAttribution=)]
    2017-01-22 tanxingdoctor

    学习了,很不错

    0