gender differences

性别差异
  • 文章类型: Journal Article
    最近的研究表明,左心耳封堵(LAAC)后心血管结局存在性别差异,突出不同的并发症发生率和不良事件,特别是在短期评估中。因此,在这些差异如何直接影响LAAC手术的疗效和安全性方面,仍存在显著的知识差距.这项回顾性研究的目的是调查使用WatchmanFLX设备的女性和男性LAAC的临床结果。
    这次回顾展,多中心研究分析了在2019年3月至2022年5月期间使用WatchmanFLX设备接受LAAC的650名患者的性别特异性结局,该患者来自ITALIAN-FLX注册中心。
    结果显示全因死亡率相当,中风,手术后12个月,男性和女性的短暂性脑缺血发作和大出血。值得注意的是,围手术期并发症无显著性别差异.
    总而言之,这项研究表明,LAAC采用WatchmanFLX装置,在短期和长期随访中,性别间的临床结局具有可比性.
    UNASSIGNED: Recent studies have shown gender differences in cardiovascular outcomes after left atrial appendage closure (LAAC), highlighting different complication rates and adverse events, particularly in short-term assessments. As a result, there remains a significant knowledge gap on how these differences directly impact the efficacy and safety of LAAC procedures. The aim of this retrospective study was to investigate the clinical outcomes of LAAC in women and men using the Watchman FLX device.
    UNASSIGNED: This retrospective, multicenter study analyzes gender-specific outcomes in 650 patients who underwent LAAC with the Watchman FLX device between March 2019 and May 2022, drawn from the ITALIAN-FLX registry.
    UNASSIGNED: The results show comparable rates of all-cause mortality, stroke, transient ischemic attack and major bleeding in men and women 12 months after the procedure. Notably, no significant gender differences were found for periprocedural complications.
    UNASSIGNED: In conclusion, this study shows that LAAC with the Watchman FLX device has comparable clinical outcomes between genders at both short-term and long-term follow-up.
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  • 文章类型: Journal Article
    探索认知能力的性别差异可以为人类大脑功能提供重要的见解。
    我们的研究利用了磁共振测温等先进技术,标准工作记忆n-back任务,和功能磁共振成像,以研究大脑温度的性别变化是否与不同的神经元反应和工作记忆能力相关。
    我们观察到男性在工作记忆任务期间平均大脑温度显著下降,女性身上没有的现象。尽管女性大脑温度的变化明显低于男性,我们发现绝对温度变化(ATC)与认知表现之间存在反比关系,与神经活动引起的血氧水平依赖性(BOLD)信号变化有关。这表明在女性中,ATC是认知表现和BOLD反应之间联系的关键决定因素,在男性中没有明显的联系。然而,我们还观察到其他女性特异性BOLD反应与男性的任务表现相当。
    我们的结果表明,女性通过激活额外的神经元网络来支持工作记忆,从而补偿大脑对温度的敏感性。这项研究不仅强调了认知过程中性别差异的复杂性,而且为理解温度波动如何影响大脑功能开辟了新途径。
    UNASSIGNED: Exploring gender differences in cognitive abilities offers vital insights into human brain functioning.
    UNASSIGNED: Our study utilized advanced techniques like magnetic resonance thermometry, standard working memory n-back tasks, and functional MRI to investigate if gender-based variations in brain temperature correlate with distinct neuronal responses and working memory capabilities.
    UNASSIGNED: We observed a significant decrease in average brain temperature in males during working memory tasks, a phenomenon not seen in females. Although changes in female brain temperature were significantly lower than in males, we found an inverse relationship between the absolute temperature change (ATC) and cognitive performance, alongside a correlation with blood oxygen level dependent (BOLD) signal change induced by neural activity. This suggests that in females, ATC is a crucial determinant for the link between cognitive performance and BOLD responses, a linkage not evident in males. However, we also observed additional female specific BOLD responses aligned with comparable task performance to that of males.
    UNASSIGNED: Our results suggest that females compensate for their brain\'s heightened temperature sensitivity by activating additional neuronal networks to support working memory. This study not only underscores the complexity of gender differences in cognitive processing but also opens new avenues for understanding how temperature fluctuations influence brain functionality.
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  • 文章类型: Journal Article
    UNASSIGNED: Surgical undergraduate training takes place in a male-dominated work environment that struggles with recruitment problems. Experiences of cultural and sex/gender-specific barriers of women in surgery have been reported worldwide. Overall, the experiences that students have in coping with the emotional impact of surgery as a profession are thought to be crucial to their subsequent career choices. We investigated whether students\' self-reported experiences differed by sex/gender in terms of frequency and content, and whether they were related to their career aspirations.
    UNASSIGNED: In Germany, the final year represents the last part of the undergraduate medical study program. At the Mannheim Medical Faculty, a 12-week surgical training is mandatory. After completing their surgical training, the students were asked about their experiences and their later career aspirations. These experiences were analysed using quantitative content analysis. The relationship between the quality of experience and career aspirations as well as sex/gender differences were statistically measured.
    UNASSIGNED: In the 475 questionnaires analysed (response rate 52%), the number of positive and negative mentions does not differ by sex/gender. However, male students feel more actively involved and female students feel poorly briefed and think that supervisors are less interested in their training. A significant influence on career aspirations was found in the performance category for female and male students, and in the supervision category for female students.
    UNASSIGNED: The positive experiences that students gain while performing surgical activities have an impact on their subsequent career choices. In particular, a good settling-in period and encouragement to actively participate could help to attract more women to surgery.
    UNASSIGNED: Die chirurgische Ausbildung findet in einem männlich dominierten Arbeitsumfeld statt, das mit Rekrutierungsproblemen konfrontiert ist. Weltweit wird über kulturelle und geschlechtsspezifische Barrieren für Frauen in der Chirurgie berichtet. Generell wird davon ausgegangen, dass die Erfahrungen, die Studierende bei der Bewältigung der emotionalen Anforderungen im Fachbereich Chirurgie machen, entscheidend für ihre spätere Berufswahl sind. Wir untersuchten, ob sich die selbstberichteten Erfahrungen der Studierenden in diesem Bereich in Bezug auf Häufigkeit und Inhalt geschlechtsspezifisch unterscheiden und ob ein Zusammenhang mit den späteren Berufswünschen besteht.
    UNASSIGNED: In Deutschland stellt das Praktische Jahr den letzten Abschnitt des Medizinstudiums dar. An der Medizinischen Fakultät Mannheim ist ein 12-wöchiger klinisch-praktischer Einsatz im Fachbereich Chirurgie obligatorisch. Die Studierenden wurden am Ende dieses Einsatzes über ihre Erlebnisse und ihre späteren Berufswünsche befragt. Die berichteten Erlebnisse wurden mittels quantitativer Inhaltsanalyse ausgewertet. Der Zusammenhang zwischen der Qualität der Erfahrungen und den Berufswünschen sowie die geschlechtsspezifischen Unterschiede wurden statistisch geprüft.
    UNASSIGNED: 475 Fragebögen wurden ausgewertet (Rücklaufquote 52%). Die Anzahl der positiven und negativen Nennungen unterscheidet sich zwischen den männlichen und weiblichen Studierenden nicht. Studenten berichten jedoch häufiger, aktiv eingebunden worden zu sein und Studentinnen fühlen sich weniger gut eingearbeitet und meinen eher, dass die Betreuungsperson nicht an ihrer Ausbildung interessiert ist. Ein signifikanter Einfluss auf die Berufswünsche wurde in der Kategorie Praktisches Arbeiten für weibliche und männliche und in der Kategorie Supervision nur für weibliche Studierende festgestellt.
    UNASSIGNED: Die angenehmen Erfahrungen, die Studierende bei der Ausübung chirurgischer Tätigkeiten im Praktischen Jahr machen, wirken sich positiv auf ihre spätere Berufswahl in der Chirurgie aus. Insbesondere eine gute Einführungsphase und die Ermutigung zur aktiven Teilnahme könnten dazu beitragen, mehr Frauen für die Chirurgie zu gewinnen.
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  • 文章类型: Journal Article
    Hyperacusis,以对日常声音异常敏感为特征,是与听觉系统的主观痛苦和生理变化有关的条件。患病率在世界范围内差异很大,强调需要标准化标准。本研究旨在确定迈索尔地区高中生的运动过度患病率,并探讨性别差异。
    597名高中生参加了这项横断面研究。改良的Khalfa高运动障碍问卷评估了高运动障碍症状。人口数据包括年龄,性别,和教育地位。问卷上的截止得分为28分,确定了运动过度病例。数据进行描述性分析。
    该研究显示,在迈索尔地区的高中生中,运动过度的患病率为17.25%。在103个确诊病例中,43.69%是女性,男性占56.31%。这些结果表明,高音患病率存在潜在的性别差异。这项研究的发现强调了印度高中生中运动过度的高患病率,强调在青少年健康中需要注意这个问题。在这项研究中观察到的性别差异与以前的研究一致,表明男性患病率较高。
    Hyperacusis是印度高中生中普遍存在的一种情况,保证进一步研究其原因和在不同年龄段的共同发生。这些发现强调了在青少年中解决运动过度作为关键健康问题的重要性,并强调需要量身定制的干预措施和提高认识。
    UNASSIGNED: Hyperacusis, characterized by an abnormal sensitivity to everyday sounds, is a condition associated with subjective distress and physiological changes in the auditory system. Prevalence rates have varied significantly worldwide, emphasizing the need for standardized criteria. This study aimed to determine the prevalence of hyperacusis among high school students in Mysore district and explore gender differences.
    UNASSIGNED: A diverse cohort of 597 high school students participated in this cross-sectional study. The Modified Khalfa Hyperacusis Questionnaire assessed hyperacusis symptoms. Demographic data included age, gender, and educational status. A cut-off score of 28 on the questionnaire identified hyperacusis cases. Data were analyzed descriptively.
    UNASSIGNED: The study revealed a substantial hyperacusis prevalence of 17.25% among high school students in the Mysore district. Out of 103 identified cases, 43.69% were females, and 56.31% were males. These results suggest a potential gender disparity in hyperacusis prevalence. The study\'s findings highlight the high prevalence of hyperacusis among Indian high school students, emphasizing the need for attention to this issue in adolescent health. Gender differences observed in this study align with previous research, indicating a higher prevalence among males.
    UNASSIGNED: Hyperacusis is a prevalent condition among Indian high school students, warranting further research on its causes and co-occurrence across different age groups. These findings underscore the significance of addressing hyperacusis as a critical health concern among adolescents and emphasize the need for tailored interventions and increased awareness.
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  • 文章类型: Journal Article
    本研究探讨自我调节在青少年欺凌受害与抑郁症状关系中的中介作用,考虑到性别和地区的调节作用。对来自英国的3984名12-18岁青少年进行了横断面分析,香港,台湾,和荷兰。数据是通过Qualtrics进行的在线调查收集的。调查包括经过验证的措施,例如伊利诺伊州欺凌量表(IBS),以衡量欺凌受害情况,青少年自我调节量表(ASRI)来衡量自我调节,和患者健康问卷(PHQ)来测量抑郁症。采用SPSS宏过程进行数据分析,模型4用于测试自我调节的中介效应,模型1用于评估性别和地区的调节作用。结果表明,欺凌受害之间存在显著关联,自我调节,和抑郁症状。自我调节介导了欺凌受害和抑郁之间的正相关,性别和地区之间存在显著差异。具体来说,香港的男学生在受到欺凌时表现出更容易患抑郁症。这些发现强调了自我调节在减轻欺凌受害对青少年心理健康的不利影响方面的保护作用。讨论了针对青少年抑郁症的干预措施和预防策略的含义。
    This study explores the mediating role of self-regulation in the relationship between bullying victimization and depressive symptoms among adolescents, considering the moderating effects of gender and region. A cross-sectional analysis was conducted with 3984 adolescents aged 12-18 from the United Kingdom, Hong Kong, Taiwan, and the Netherlands. Data were collected via an online survey administered through Qualtrics. The survey included validated measures such as the Illinois Bullying Scale (IBS) to measure bullying victimization, the Adolescent Self-Regulatory Inventory (ASRI) to measure self-regulation, and the Patient Health Questionnaire (PHQ) to measure depression. The SPSS macro PROCESS was employed for data analysis, with model 4 used for testing the mediating effects of self-regulation and model 1 for assessing the moderating effects of gender and region. The results demonstrated significant associations between bullying victimization, self-regulation, and depressive symptoms. Self-regulation mediated the positive association between bullying victimization and depression, with notable variations across genders and regions. Specifically, male students in Hong Kong exhibited an increased susceptibility to depression when subjected to bullying. These findings underscore the protective role of self-regulation in mitigating the adverse effects of bullying victimization on adolescent mental health. Implications for interventions and prevention strategies targeting adolescent depression are discussed.
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  • 文章类型: Journal Article
    本文探讨了青春期性别与体育参与的交集,专注于传统上男性主导的运动,如足球。我们旨在基于计划行为理论(TPB)开发一个结构模型,以研究性别差异的模式和影响青少年参与足球的因素。我们使用结构方程模型(SEM)分析了1147名青少年的数据。结果表明,态度的混合,主观规范,感知行为控制,过去的行为有效地预测了青少年参与足球的意愿。此外,这项研究调查了感知行为控制的作用,过去的行为,和实际足球参与中的行为意图,在从过去的行为到意图和随后的行为的进展中发现显著的性别差异。这项研究强调了性别在足球参与中的复杂作用,并为增加女孩参与这项运动提供了战略见解。我们的研究为未来关于提高女孩参与足球的研究奠定了基础。
    This paper explores the intersection of gender and sports participation in adolescence, focusing on traditionally male-dominated sports like football. We aim to develop a structural model based on the Theory of Planned Behavior (TPB) to examine gender-differentiated patterns and factors influencing adolescent participation in football. We analyzes data from 1,147 adolescents using Structural Equation Modeling (SEM). The results indicate that a blend of attitudes, subjective norms, perceived behavioral control, and past behavior effectively predicts adolescents\' willingness to engage in football. Moreover, the study investigates the roles of perceived behavioral control, past behavior, and behavioral intentions in actual football participation, uncovering significant gender disparities in the progression from past behavior to intentions and subsequent behavior. This research highlights the complex role of gender in football participation and provides strategic insights for increasing girls\' involvement in the sport. Our study sets the stage for future research on enhancing girls\' participation in football.
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  • 文章类型: Journal Article
    医学生的同理心正受到越来越多的关注,因为它是建立和发展功能性医患关系的基础。当观察其决定因素时,人口统计学和学术因素似乎与塑造这一人群的同理心相一致。尽管数据显示了整个医学院的性别差异和同理心的变化,目前尚不清楚这些变化的方向,以及性别和课程特征是否会调节它们。这项纵向研究检查了移情的变化,并探讨了整个医学院的性别差异。意大利医科学生的四个连续队列(N=336)完成了杰斐逊同理心量表-学生(JSE-S)和人际反应指数(IRI)在他们的第二年研究(在任何临床书记和沟通技巧课程之前)和第五年的研究(2年临床书记和沟通技巧课程之后)。重复测量的方差分析显示,除了性别的影响,JSE-S总分和IRI视角增加,而IRI个人困扰和IRI幻想在整个医学院显著下降。随着时间的推移,IRI移情关注没有显着变化。学生的t检验表明,在接受医学培训的第二年和第五年中,女生的所有同理心指标的平均得分均明显高于男性。研究结果表明,医学课程会影响本科医学生自我报告的移情维度。需要进一步的研究来加深对促进医学培训期间同理心水平变化的教育因素的理解。
    Empathy in medical students is receiving increasing attention as it is fundamental to build and develop a functional patient-physician relationship. When looking at its determinants, demographic and academic factors seem to concur in shaping empathy in this population. Although data show strong gender differences and changes in empathy throughout medical school, it is not clear the direction of these changes and whether gender and curriculum features modulate them. This longitudinal study examined changes in empathy and explored gender differences throughout the medical school. Four consecutive cohorts of Italian medical students (N = 336) completed the Jefferson Scale of Empathy - Student (JSE-S) and the Interpersonal Reactivity Index (IRI) in their second year of study (before any clinical clerkship and communication skills courses) and fifth year of study (after a 2-year clinical clerkship and communication skills courses). Analysis of variance for repeated-measures revealed that, beyond the effect of gender, JSE-S total score and IRI Perspective Taking increased, whereas IRI Personal Distress and IRI Fantasy significantly decreased throughout medical school. No significant change in IRI Empathic Concern emerged over time. Student\'s t-tests showed that female students displayed significantly higher mean scores than their male counterparts for all empathy measures in both their second and fifth years of medical training. The findings suggest that the medical curriculum affects self-reported empathy dimensions among undergraduate medical students. Further research is needed to deepen the understanding of the educational factors that promote the changes in empathy levels during medical training.
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  • 文章类型: Journal Article
    本研究旨在比较经导管主动脉瓣植入术后短期和长期结局的性别差异。
    纳入2017年9月至2022年12月因严重主动脉瓣狭窄(AS)而接受经导管主动脉瓣植入术(TAVI)的患者。主要终点是5年全因死亡率。次要终点是30天死亡率和术后并发症的发生率。对患者进行性别分离后进行统计学分析。比较具有相似基线特征的患者,我们进行了倾向匹配。
    共有704名患者[女性,361(51.3%);男性,343(48.7%)]入组。与女性相比,男性吸烟率较高(40.5%vs.14.7%,p<0.001),糖尿病(32.9%vs.25.1%,p<0.025),外周动脉疾病(35.8%vs.18.3%,p<0.001),和以前的心脏手术(13.7%vs.7.2%,p=0.006)和较低的射血分数[56.6(9.3)vs.59.8(7.5),p=0.046]。女性患者在手术时比较虚弱[行动不便,26%vs.11.7%,p<0.001;CCI(Charlson合并症指数)2.4(0.67)与2.32(0.63),p=0.04]。尽管有这些不同的风险,在术后结局和长期生存率方面无显著差异.倾向评分匹配导致每组204名患者的良好匹配(占整个研究人群的57.9%)。在匹配的队列中,与女性相比,男性新植入起搏器的发生率明显较高[33(16.2%)与18(8.8%)]。Kaplan-Meier的5年生存率估计为女性82.4%,男性72.1%,p=0.038。
    女性可以被认为是TAVI后更好结果的预测因素。
    UNASSIGNED: This study aimed to compare gender-related differences in short- and long-term outcomes after transcatheter aortic valve implantation.
    UNASSIGNED: Patients who underwent transcatheter aortic valve implantation (TAVI) for severe aortic stenosis (AS) from September 2017 to December 2022 were enrolled. The primary endpoint was 5-year all-cause mortality. The secondary endpoints were 30-day mortality and the incidence of post-procedural complication. Patients were separated according to gender before statistical analysis. To compare patients with similar baseline characteristics, we performed a propensity matching.
    UNASSIGNED: A total of 704 patients [females, 361 (51.3%); males, 343 (48.7%)] were enrolled. Compared to women, men had a higher incidence of smoking (40.5% vs. 14.7%, p < 0.001), diabetes (32.9% vs. 25.1%, p < 0.025), peripheral artery disease (35.8% vs. 18.3%, p < 0.001), and previous cardiac surgery (13.7% vs. 7.2%, p = 0.006) and a lower ejection fraction [56.6 (9.3) vs. 59.8 (7.5), p = 0.046]. Female patients were frailer at the time of the procedure [poor mobility rate, 26% vs. 11.7%, p < 0.001; CCI (Charlson comorbidity index) 2.4 (0.67) vs. 2.32 (0.63), p = 0.04]. Despite these different risk profiles, no significant differences were reported in terms of post-procedural outcomes and long-term survival. Propensity score matching resulted in a good match of 204 patients in each group (57.9% of the entire study population). In the matched cohort, men had a significantly higher incidence of new pacemaker implantation compared to women [33 (16.2%) vs. 18 (8.8%)]. The Kaplan-Meier 5-year survival estimate was 82.4% for women and 72.1% for men, p = 0.038.
    UNASSIGNED: Female gender could be considered as a predictor of better outcomes after TAVI.
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  • 文章类型: Journal Article
    在手机上观看短视频是目前非常普遍的现象。研究发现,过度使用短视频与抑郁症密切相关。这项研究的目的是调查短视频过度使用行为与大学生抑郁之间的关系以及这种关系中存在的性别差异。
    使用短视频使用行为量表和流行病研究中心抑郁量表对331名大学生进行了随访测量,间隔为2个月。
    (1)相关分析显示,短视频过度使用行为与抑郁呈显著正相关,无论是在相同或不同的时间点测量,重复测量方差分析表明,短视频过度使用行为和抑郁在两次测量之间的间隔内具有很强的稳定性。(2)考前短视频过度使用行为能显著正向预测考后抑郁,而测试前抑郁不能显著预测测试后短视频过度使用行为。(3)短视频过度使用行为与抑郁的交叉滞后效应无性别差异。
    这些发现表明,对于大学生来说,短视频过度使用行为可能会增加抑郁症的风险,而抑郁症不能诱发短视频过度使用行为。
    UNASSIGNED: Watching short videos on mobile phones is currently a very prevalent phenomenon. It has been found in research that excessive use of short videos is closely related to depression. The aim of this study is to investigate the relationship between short video overuse behavior and depression among college students as well as the gender differences that are present in such relationship.
    UNASSIGNED: A follow-up measurement was conducted on 331 college students using the Short Video Usage Behavior Scale and the Epidemic Research Center Depression Scale with an interval of 2 months.
    UNASSIGNED: (1) Correlation analysis revealed a significant positive correlation between short video overuse behavior and depression, whether measured at the same or different time points, repeated measures ANOVA indicates that short video overuse behavior and depression have strong stability within the interval between two measurements. (2) Pre-test short video overuse behavior could significantly and positively predict post-test depression, whereas pre-test depression could not significantly predict post-test short video overuse behavior. (3) The cross-lagged effect between short video overuse behavior and depression showed no gender differences.
    UNASSIGNED: These findings indicate that, for college students, short video overuse behavior may increase the risk of depression, whereas depression cannot induce short video overuse behavior.
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  • 文章类型: Journal Article
    背景:姿势不稳定和步态困难(PIGD)是帕金森病(PD)患者活动能力丧失和生活质量下降的重要原因。当PD进展时,患者可能会出现跌倒和步态冻结(FoG),导致对跌倒的恐惧并增加镇静感。久坐行为导致肌少症与身体成分的其他变化有关,尤其是老年患者变得虚弱。以前的研究表明,随着年龄的增长,身体成分的性别特异性变化以及PD症状和进展的性别差异,然而,性别特异性身体成分与PIGD症状之间的关联,如FoG和跌倒,仍未探索。
    目的:本研究旨在调查身体成分的性别特异性变化之间的关联。雾和跌倒评估。
    方法:136名PD受试者接受了详细的临床测试,并使用双能X射线吸收法(DXA)评估了全身成分。进行多变量逻辑正向逐步回归以定义FoG和跌倒的身体成分关联。
    结果:多因素回归分析显示,男性PD患者,小腿瘦体重与FoG的存在显着相关(OR,0.429;95%CI,0.219-0.839;p=0.013),但没有跌倒。在有PD的女性中,较高的腿部脂肪量与跌倒显著相关(OR,4.780;95%CI,1.506-15.174;p=0.008),但与FoG无关。
    结论:这些观察结果表明,身体成分与FoG之间存在特定性别的关联。落入PD。未来的研究应通过特别关注性别差异来探索干预措施对PD患者身体成分的影响。
    BACKGROUND: Postural instability and gait difficulties (PIGD) are a significant cause of mobility loss and lower quality of life in Parkinson\'s disease (PD). When PD progresses, patients may experience falls and freezing of gait (FoG) resulting in fear of falling and increasing sedentariness. Sedentary behavior results in sarcopenia associated with other changes in body composition, especially in older patients becoming frail. Previous studies have shown gender-specific changes in body composition with aging as well as gender disparities in symptoms and progression of PD, yet the association between gender-specific body composition and PIGD symptoms such as FoG along with falls, remains unexplored.
    OBJECTIVE: This study aimed to investigate the association between gender-specific changes in body composition, FoG and falls assessment.
    METHODS: 136 PD subjects underwent detailed clinical test batteries and had whole-body composition assessed using dual-energy X-ray absorptiometry (DXA). Multivariate logistic forward stepwise regression was performed to define body composition associations for FoG and falls.
    RESULTS: Multivariate regression analysis revealed that in males with PD, lower leg lean mass was significantly associated with the presence of FoG (OR, 0.429; 95% CI, 0.219-0.839; p=0.013) but not with falls. In females with PD, higher leg adipose mass was significantly associated with falls (OR, 4.780; 95% CI, 1.506-15.174; p=0.008) but not with FoG.
    CONCLUSIONS: These observations suggest gender specific associations between body composition and FoG vs. falls in PD. Future research should explore the impact of interventions on body composition in individuals with PD by paying specific attention to gender differences.
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