age factors

年龄因素
  • 文章类型: Journal Article
    Eusocial昆虫,例如无刺蜜蜂(Meliponini),取决于分工,重叠的世代,和协作育苗护理,以确保其殖民地的功能和成功。女工在其一生中通过一系列特定年龄的任务过渡(即,年龄-多伦理),并在殖民地的成功中起着核心作用。这些特定年龄的任务(例如,育卵护理或觅食)通常与确保最佳性能所必需的关键生理变化紧密相关。然而,我们对营养的理解,年龄,多伦理可能会影响无刺蜜蜂的这种生理特征的发展。在这里,我们表明花粉的消耗和年龄的多元性决定了四角龙骨中下咽腺(HPG)的腺泡大小和蛋白质含量。通过进行受控的实验室实验,我们监测了花粉消耗对工蜂生存的影响,并评估了花粉饮食和年龄如何影响其HPG腺泡宽度和蛋白质含量。Further,我们从田间菌落中抽取护士和觅食者样本,以测量年龄多伦理对HPG腺泡宽度的影响。我们发现,花粉消耗可提高存活率,并导致HPG腺泡宽度和蛋白质含量增加,并且HPG腺泡在护士蜜蜂中达到预期的最大。我们的发现强调了充足的饮食对无刺蜜蜂的生理发育和健康的有益影响,并揭示了年龄多伦理是控制工蜂HPG大小的关键因素。由于HPG对于协作育巢护理是必不可少的,这是Eusociality的重要组成部分,因此数据为未来的研究奠定了基础,以研究潜在的环境压力因素对无st蜜蜂的关键生理性状的影响,这可能是理解影响的代表在殖民地水平。
    Eusocial insects, such as stingless bees (Meliponini), depend on division of labour, overlapping generations, and collaborative brood care to ensure the functionality and success of their colony. Female workers transition through a range of age-specific tasks during their lifespan (i.e., age-polyethism) and play a central role in the success of a colony. These age-specific tasks (e.g., brood care or foraging) often closely coincide with key physiological changes necessary to ensure optimal performance. However, our understanding of how nutrition, age, and polyethism may affect the development of such physiological traits in stingless bees remains limited. Here we show that pollen consumption and age-polyethism govern hypopharyngeal gland (HPG) acini size and protein content in Tetragonula pagdeni. By conducting a controlled laboratory experiment we monitored the effect of pollen consumption on worker bee survival as well as assessed how a pollen diet and age affected their HPG acini width and protein content. Further, we sampled nurses and foragers from field colonies to measure the effect of age-polyethism on HPG acini width. We found that pollen consumption enhanced survival and led to increased HPG acini width and protein content and that HPG acini were as expected largest in nurse bees. Our findings highlight the beneficial effects of an adequate diet for physiological development and health in stingless bees and reveal that age-polyethism is the key factor governing HPG size in worker bees. As HPGs are imperative for collaborative brood care-an essential component of eusociality-the data provide a foundation for future studies to investigate the impact of potential environmental stressors on a critical physiological trait in stingless bees which may serve as a proxy to understand the effects at the colony level.
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    文章类型: Journal Article
    背景:全髋关节置换术(THA)后假体脱位是THA翻修的最常见原因之一。引入了双移动性(DM)轴承以减轻并发症;但是,关于他们在年轻患者中的表现的数据很少。这项研究比较了55岁以下接受DM或固定轴承(FB)植入物的原发性THA的患者的结果。
    方法:在2011年6月至2019年8月期间,对55岁以下接受原发性THA的患者进行了至少2年随访。根据接受的植入物,将患者分为两组(DM与FB)。主要结果是90天全因再入院,位错,所有原因的修订,90天因错位而重新入院和修订,和植入物组件存活。使用卡方和独立样本t检验评估人口统计学差异。使用多元线性和逻辑回归比较结果以控制混杂变量。
    结果:共包括803例患者(DM=73,FB=730)。DM和FB队列的90天全因再入院率相似(6.8%与3.2%;p=0.243)和由于脱位而导致的90天再入院(4.1%与0.8%;p=0.653)。平均随访4.42±1.91年,位错(4.1%vs.1.1%;p=0.723)和全因修订(5.5%与4.9%;p=0.497)DM和FB队列之间的发生率相似。KaplanMeier分析得出的全因翻修组之间的生存率没有显着差异(95.1%vs.94.5%;p=0.923),由于脱位引起的翻修(100%与98.9%;p=0.370),和髋臼组件翻修(97.3%vs.98.6%;p=0.418)。
    结论:在小于55岁的患者中,与FB相比,双活动植入物显示出相似的脱位率和植入物存活率。可能需要进行长期随访的大型试验,以进一步阐明与接受原发性THA的年轻患者相比,DM轴承与FB插入物的影响。
    BACKGROUND: Prosthetic dislocation after total hip arthroplasty (THA) is one of the most common causes of revision THA. Dual-mobility (DM) bearings were introduced to mitigate complications; however, there is minimal data on their performance in younger patients. This study compared results of patients who were under 55 years of age undergoing primary THA with DM or fixed-bearing (FB) implants.
    METHODS: A retrospective review of patients younger than 55 years who underwent primary THA with at least 2 years of follow-up between June 2011 and August 2019 was performed. Patients were stratified into two cohorts based on the implant they received (DM vs. FB). Primary outcomes were 90-day all-cause readmission, dislocation, all-cause revision, 90-day readmission and revision due to dislocation, and implant component survivorship. Demographic differences were assessed using chi-squared and independent samples t-tests. Outcomes were compared using multivariate linear and logistic regressions to control for confounding variables.
    RESULTS: A total of 803 patients were included (DM = 73, FB = 730). The DM and FB cohorts had similar rates of 90- day all-cause readmission (6.8% vs. 3.2%; p = 0.243) and 90-day readmission due to dislocation (4.1% vs. 0.8%; p = 0.653). At a mean follow-up of 4.42 ± 1.91 years, dislocation (4.1% vs. 1.1%; p = 0.723) and all-cause revision (5.5% vs. 4.9%; p = 0.497) rates between the DM and FB cohorts were similar. Kaplan Meier analysis yielded no significant differences in survivorship between groups for all-cause revision (95.1% vs. 94.5%; p = 0.923), revision due to dislocation (100% vs. 98.9%; p = 0.370), and acetabular component revision (97.3% vs. 98.6%; p = 0.418).
    CONCLUSIONS: Dual mobility implants demonstrate similar dislocation rates and implant survivorship compared to FB in patients less than 55 years of age. Larger trials with long-term follow-up may be required to further elucidate the effects of DM bearings compared to FB inserts in younger patients undergoing primary THA.
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  • 文章类型: Journal Article
    背景:疼痛是一种随时间变化的动态体验,但疼痛的轨迹是否与随后的认知能力下降有关仍不得而知.这项研究的目的是确定疼痛存在和活动限制疼痛的不同轨迹,并研究它们与老年人随后的认知下降率的纵向关联。
    方法:共有5685名来自英国纵向老龄化研究(ELSA)的参与者和7619名来自健康与退休研究(HRS)的参与者。在ELSA和HRS中,疼痛存在轨迹在8年内被确定,在10年内被确定。而活动限制性疼痛的轨迹在HRS中被确定超过10年。我们利用线性混合效应模型来研究疼痛轨迹与各个领域的认知下降率之间的长期关系。包括记忆,定位,执行功能和全球认知。
    结果:确定了三个疼痛存在轨迹。中等增长和高稳定组的全球认知下降幅度大于低稳定组。此外,中等增长群体中的个体在执行功能上经历了更快的下降,而高稳定组的定向功能下降更快。确定了活动限制性疼痛的两个轨迹,适度增加的群体在定向功能和整体认知方面经历了更快的下降。
    结论:疼痛存在和活动受限疼痛的轨迹与老年人随后的认知功能下降率有关。对特定疼痛轨迹的干预可能有助于延迟特定领域的认知下降速度。
    BACKGROUND: Pain is a dynamic experience that varies over time, but it remains unknown whether trajectories of pain are associated with subsequent cognitive decline. The purpose of this study was to identify distinct trajectories of pain presence and activity-limiting pain and investigate their longitudinal associations with the rate of subsequent cognitive decline in older adults.
    METHODS: A total of 5685 participants from the English Longitudinal Study of Ageing (ELSA) and 7619 participants from the Health and Retirement Study (HRS) were included. Pain presence trajectories were identified over eight years in the ELSA and 10 years in the HRS, while trajectories of activity-limiting pain were identified over 10 years in the HRS. We utilised linear mixed-effects models to investigate the long-term relationship between pain trajectories and the rate of cognitive decline across various domains, including memory, orientation, executive function and global cognition.
    RESULTS: Three pain presence trajectories were identified. Moderate-increasing and high-stable groups exhibited steeper declines in global cognition than the low-stable group. Furthermore, individuals in the moderate-increasing group experienced a more rapid decline in executive function, while the high-stable group showed a faster decline in orientation function. Two trajectories of activity-limiting pain were identified, with the moderate-increasing group experiencing a faster decline in orientation function and global cognition.
    CONCLUSIONS: The trajectories of both pain presence and activity-limiting pain are linked to the rate of subsequent cognitive decline among older people. Interventions for specific pain trajectories might help to delay the decline rate of cognition in specific domains.
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  • 文章类型: Journal Article
    背景:合肢Symbalangussyndactylus的肠道形态表现出与其水果消耗和用叶子补充饮食的能力相一致的中间结构。Siamang依靠其肠道微生物组来提取能量,免疫系统发育,和微量营养素的合成。肠道微生物组组成可能基于几个因素,如年龄,性别,和栖息地。尚未对马来西亚Hylobatidae成员尤其是S.syndactylus的肠道微生物群进行研究。
    方法:这项研究旨在通过使用粪便样本作为DNA来源来解决S.syndactylus的肠道微生物组组成,适应高通量测序,和16SrRNA作为靶区域。
    结果:总共将1272903个操作分类单位(OTU)读数分配给22个门,139个家庭,和210属微生物。{UnknownPhylum}细菌-2是在所有样品中发现的优势门。同时,{UnknownPhylum}Bacteria-2和Firmicutes是Siamang肠道中相对丰度最高的属。
    结论:本研究得出Siamang肠道菌群组成与以下三个因素之间的无意义关系:组,性别,和年龄。
    BACKGROUND: The gut morphology of Symphalangus syndactylus exhibits an intermediate structure that aligns with its consumption of fruit and ability to supplement its diet with leaves. The Siamang relies on its gut microbiome for energy extraction, immune system development, and the synthesis of micronutrients. Gut microbiome composition may be structured based on several factors such as age, sex, and habitat. No study has yet been carried out on the gut microbiota of the Hylobatidae members in Malaysia especially S. syndactylus.
    METHODS: This study aims to resolve the gut microbiome composition of S. syndactylus by using a fecal sample as DNA source, adapting high-throughput sequencing, and 16S rRNA as the targeted region.
    RESULTS: A total of 1 272 903 operational taxonomic units (OTUs) reads were assigned to 22 phyla, 139 families, and 210 genera of microbes. The {Unknown Phylum} Bacteria-2 is the dominant phyla found across all samples. Meanwhile, {Unknown Phylum} Bacteria-2 and Firmicutes are genera that have the highest relative abundance found in the Siamang gut.
    CONCLUSIONS: This study yields nonsignificance relationship between Siamang gut microbiome composition with these three factors: group, sex, and age.
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  • 文章类型: Journal Article
    背景:结石是一种牙髓钙化,其存在往往会阻碍牙髓治疗。因此,这项回顾性研究旨在分析中国西南地区人群中浆石的分布情况,并找出影响因素。
    方法:对200例16-45岁患者(男性91例,女性109例)的5066颗牙齿进行锥形束计算机断层扫描(CBCT)扫描。当在牙髓腔中发现明显的不透射线的团块时,牙髓结石被标记为存在或不存在。然后根据牙齿类型评估牙髓结石的发生,性别,年龄组,并与牙齿状况联系。采用Pearson卡方检验和非参数检验进行统计分析。
    结果:在49.0%的患者和7.4%的牙齿中发现了牙髓结石,分别。女性的发病率是男性的1.9倍(OR=1.9,95%CI=1.1-3.3,p=0.001)。牙髓结石在36-45岁的患者中最为普遍。此外,在16-45岁的年龄范围内,发现牙髓结石的可能性随着年龄增长每年增加1.1倍(OR=1.1,95%CI=1.0-1.1,p=0.032).在上颌骨和磨牙中观察到牙髓结石的发生率较高。在研究的5066颗牙齿中,牙髓结石在非完整牙齿中更为常见。
    结论:中国西南地区近一半的人口患有牙髓结石。在女性中发现纸浆结石的频率明显更高,上颌骨,和不完整的牙齿,他们的频率随着年龄的增长而增加。对于牙医来说,了解牙髓结石的分布对于正确设计根管治疗(RCT)至关重要。
    背景:本研究获得口腔医学附属医院伦理委员会的批准,西南医科大学(证书编号:20220818001)。
    BACKGROUND: Pulp stones are a type of pulp calcification, the presence of which tends to hinder endodontic treatment. Thus, this retrospective study aimed to analyze the distribution of pulp stones in the population in southwest China and identify the influencing factors.
    METHODS: Cone-beam computed tomography (CBCT) scans of 5066 teeth of 200 patients (91 males and 109 females) aged 16-45 years were evaluated. Pulp stones were marked as either present or absent when distinct radiopaque masses were found in the pulp cavity, then evaluated the occurrence of pulp stones with regard to tooth type, sex, age group, and contact it with tooth status. The Pearson chi-square test and nonparametric test were used for statistical analysis.
    RESULTS: Pulp stones were detected in 49.0% of patients and 7.4% of teeth, respectively. The incidence in females was 1.9 times higher than in males (OR = 1.9, 95% CI = 1.1-3.3, p = 0.001). Pulp stones were most prevalent in patients 36-45 years of age. Furthermore, in the age range of 16-45 years, the likelihood of finding pulp stones increased 1.1 times per year with age (OR = 1.1, 95% CI = 1.0-1.1, p = 0.032). A higher incidence of pulp stones was observed in the maxilla and molars. Of the 5066 teeth studied, pulp stones were more common in non-intact teeth.
    CONCLUSIONS: Nearly half of the population in southwest China had pulp stones. Pulp stones were found significantly more often in females, maxilla, and non-intact teeth, and their frequency increased with age. For dentists, understanding the distribution of pulp stones is crucial for the proper design of root canal treatment (RCT).
    BACKGROUND: This study was approved by the Ethics Committee of the Affiliated Hospital of Stomatology, Southwest Medical University (certificate number: 20220818001).
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  • 文章类型: Journal Article
    背景:Oswestry残疾指数(ODI)被广泛用作患者报告结果(PRO)工具,用于评估患有下腰痛(LBP)和胸腰椎脊柱手术后的患者。尚无主要研究计算出不同美国人群ODI值的基线范围。在美国人口中建立ODI的年龄调整标准值对于评估治疗策略的效用至关重要。
    目的:本研究的目的是描述通过ODI在美国人群中测量的功能性腰背残疾的基线范围。
    方法:横断面观察研究。
    方法:2024年1月,CloudResearch使用Connect和PrimePanel平台的组合从美国招募了1214名参与者,以完成在RedCap在线数据库上管理的调查。调查包括10个人口统计问题和10个ODI调查问题。调查的分布旨在获得以下每个年龄组的约100名受访者:18-29、30-39、40-49、50-59、60-69、70-79和80-89。样本的分布类似地设计为与美国人口普查种族数据相匹配,白人占78.1%,13.9%黑色,其他7.9%。
    方法:Oswestry残疾指数(ODI)。
    方法:使用名为Cloudresearch的众包平台,通过回答Oswestry残疾问卷(ODQ)的问题来收集美国人口的代表性样本,一个10个问题的调查。
    结果:最终样本量为797名参与者,其中男性386名(48.4%),女性411名(51.6%);未完成调查的169名参与者被排除在外,另外248名因注意力检查问题失败而被排除在外。合并年龄组的总平均ODI评分为14.35(95%CI[13.33,15.37])。平均ODI分数随着年龄的增长而增加,70-79岁的平均ODI最高,为18.0(95%CI[14.76,21.24])。在18-29岁年龄段,女性参与者的平均ODI得分高于男性(P=0.01),50-59岁年龄组(P=0.01),60-69岁年龄组(P=0.02)。此外,体重指数(BMI)与ODI评分之间呈弱正相关(r=0.22,P<.001)。
    结论:我们的研究结果表明,残疾随着年龄增长有明显的趋势。这项研究描述了美国人群功能性腰背痛残疾的基线范围。通过定义这些参数,医疗保健专业人员可以更好地定制针对年龄和性别的干预措施,以管理美国老龄化人口的残疾,最终改善LBP相关胸腰椎病变的患者护理以及手术和非手术治疗计划。
    BACKGROUND: The Oswestry Disability Index (ODI) is widely utilized as a patient reported outcome (PRO) tool to assess patients presenting with low back pain (LBP) and following thoracolumbar spine surgery. No primary study has calculated the baseline range of ODI values in the diverse American population. Establishing age-adjusted normative values for ODI in the American population is crucial for assessing the utility of treatment strategies.
    OBJECTIVE: The purpose of this study is to describe the baseline range of functional low back disability as measured by the ODI in an American population.
    METHODS: Cross-Sectional Observational Study.
    METHODS: A total of 1214 participants were recruited from the United States in January 2024 using a combination of the Connect and PrimePanel platforms by CloudResearch to complete a survey administered on a RedCap online database. The survey consisted of 10 demographic questions and the 10 ODI survey questions. The distribution of the survey was designed to obtain approximately 100 respondents in each of the following age groups: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, and 80-89. The distribution of the sample was similarly designed to match the US Census racial data with 78.1% White, 13.9% Black, and 7.9% other.
    METHODS: Oswestry Disability Index (ODI).
    METHODS: A crowd-sourcing platform called Cloudresearch was used to collect a representative sample of the US population by answering questions of the Oswestry Disability Questionnaire (ODQ), a 10-question survey.
    RESULTS: The final sample size was 797 participants including 386 (48.4%) males and 411 (51.6%) females; 169 participants were excluded that did not complete the survey and an additional 248 were excluded for failing attention check questions. The overall mean ODI score for the combined age groups was 14.35 (95% CI [13.33, 15.37]). The mean ODI scores increased with age, with the highest mean ODI in ages 70-79 at 18.0 (95% CI [14.76, 21.24]). Female participants reported higher mean ODI scores than their male counterparts in the 18-29 age group (P = .01), 50-59 age group (P = .01), and 60-69 age group (P = .02). Additionally, a weak positive correlation was found between Body Mass Index (BMI) and ODI scores (r = 0.22, P < .001).
    CONCLUSIONS: Our findings demonstrate a clear trend of increased disability with age. This study describes the baseline range of functional low back pain disability in the US population. By defining these parameters, healthcare professionals can better tailor age and sex-specific interventions to manage disability in the aging U.S. population, ultimately improving patient care and both operative and non-operative treatment plans for LBP-related thoracolumbar pathology.
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  • 文章类型: Journal Article
    目的:确定儿童和青少年的心理社会风险患病率是否在COVID-19大流行期间发生了变化,以及这些变化是否因年龄组而异,性别,和季节,基于标准化的心理社会措施,作为初级保健的常规部分完成。
    方法:在2017年11月至2022年6月期间,使用家长报告《儿科症状清单-17》(PSC-17P)对5.5至17.9岁的儿童和青少年进行筛查。心理社会风险患病率的变化(全球,内化,外部化,和注意力量表)从大流行之前到期间按年龄组进行比较,性别,和季节。
    结果:在459,767次健康监督访问的样本中,PSC-17P在全球的流行,内化,从大流行之前到大流行期间,注意力风险显著恶化,尤其是女性青少年(12.0-17.9岁)。对于一个儿科医生看到1000名青春期女孩的假设样本,在全球范围内,预计面临风险的人数将从103人增加到131人(增加26.6%),在内部化子量表上从189增加到231(增加22.0%),注意力分量表从60增加到82(增加35.7%)。季节性有很大的影响,每年夏季PSC-17P风险显着降低。
    结论:来自大型,全国儿科就诊样本表明,全球,内化,从COVID-19大流行之前到期间,人们的关注总体上略有增加,根据年龄组和性别的不同模式。少女在全球范围内大幅增加,内化,注意问题。这些增加支持了进一步研究以及其他个人和系统级别干预措施的需要。
    OBJECTIVE: To determine whether the prevalence of psychosocial risk in children and adolescents changed from before to during the COVID-19 pandemic and whether these changes differed by age group, sex, and season, based on a standardized psychosocial measure completed as a routine part of primary care.
    METHODS: Children and adolescents aged 5.5 to 17.9 years were screened with a parent report Pediatric Symptom Checklist-17 (PSC-17P) between November 2017 and June 2022. Changes in the prevalence of psychosocial risk (global, internalizing, externalizing, and attention scales) from before to during the pandemic were compared by age group, sex, and season.
    RESULTS: In a sample of 459,767 health supervision visits, the prevalence of PSC-17P global, internalizing, and attention risk worsened significantly from before to during the pandemic, especially among female adolescents (ages 12.0-17.9). For a pediatrician seeing a hypothetical sample of 1000 adolescent girls, the expected number at risk would have increased from 103 to 131 on the global scale (26.6% increase), from 189 to 231 on the internalizing subscale (22.0% increase), and from 60 to 82 on the attention subscale (35.7% increase). Seasonality had a large effect, with significantly lower PSC-17P risk in the summer every year.
    CONCLUSIONS: Data from a large, national sample of pediatric visits suggested that global, internalizing, and attention concerns increased slightly overall from before to during the COVID-19 pandemic, with different patterns by age group and sex. Adolescent girls showed substantially increased global, internalizing, and attention problems. These increases support the need for further research and additional individual and system-level interventions.
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  • 文章类型: Journal Article
    我们的研究是使用临床相关定义来表征C57BL/6J小鼠中的肌肉减少症,以研究潜在的分子机制。成年雄性(23-32月龄)和雌性(27-28月龄)C57BL/6J小鼠被分类为非,可能-,或基于对握力的评估而减少肌肉,肌肉质量,和跑步机运行时间,使用低于年轻同行平均值的2个SDs作为截止点。在23-26个月大的雄性小鼠中发现9%-22%的肌肉减少症患病率,与年龄相关的肌肉功能下降比质量更严重。与男性相比,年龄在27-28个月之间的女性显示出较少的肌少症,但可能的病例更多。随着肌少症的发展,在男性中观察到肌肉收缩性降低和IIB型纤维尺寸降低的趋势。线粒体生物发生,氧化能力,AMPK-自噬信号随着男性肌少症的发展而减少,与线粒体代谢相关的途径与肌肉质量呈正相关。在线粒体生物发生中没有观察到年龄或肌肉减少相关的变化,OXPHOS复合物,AMPK信号,线粒体自噬,或者女性的atrogenes。我们的结果突出了与年龄相关的肌肉质量和功能下降的不同轨迹,提供与肌肉减少症进展相关的性别依赖性分子变化的见解,这可能为新的治疗干预措施的未来发展提供信息。
    Our study was to characterize sarcopenia in C57BL/6J mice using a clinically relevant definition to investigate the underlying molecular mechanisms. Aged male (23-32 months old) and female (27-28 months old) C57BL/6J mice were classified as non-, probable-, or sarcopenic based on assessments of grip strength, muscle mass, and treadmill running time, using 2 SDs below the mean of their young counterparts as cutoff points. A 9%-22% prevalence of sarcopenia was identified in 23-26 month-old male mice, with more severe age-related declines in muscle function than mass. Females aged 27-28 months showed fewer sarcopenic but more probable cases compared with the males. As sarcopenia progressed, a decrease in muscle contractility and a trend toward lower type IIB fiber size were observed in males. Mitochondrial biogenesis, oxidative capacity, and AMPK-autophagy signaling decreased as sarcopenia progressed in males, with pathways linked to mitochondrial metabolism positively correlated with muscle mass. No age- or sarcopenia-related changes were observed in mitochondrial biogenesis, OXPHOS complexes, AMPK signaling, mitophagy, or atrogenes in females. Our results highlight the different trajectories of age-related declines in muscle mass and function, providing insights into sex-dependent molecular changes associated with sarcopenia progression, which may inform the future development of novel therapeutic interventions.
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  • 文章类型: Journal Article
    为了研究年龄的影响,period,并对抑郁症的趋势进行队列研究;并研究这三种时间效应对抑郁症居民差异的影响。
    使用2011年至2020年中国健康与退休纵向研究(CHARLS)的数据,涉及77,703名45岁及以上的受访者。抑郁症状的测量是流行病学研究中心抑郁量表(CES-D10)的10个问题的得分。进行分层年龄-时期-队列交叉分类随机效应模型,以检查与年龄相关的抑郁症状的趋势,时期和队列。
    CES-D评分随年龄增长而增加,年龄较大时略有下降。除了1950年代出生的人的下降趋势外,队列趋势大多增加。至于周期效应,CES-D评分从2011年到2013年逐渐下降,随后呈上升趋势。农村居民的抑郁水平高于城市居民。这些居住在抑郁症中的差距在80岁之前扩大,然后缩小。CES-D得分的城乡差异在不同队列中逐渐缩小,而城乡差距相应的阶段性变化并不显著。
    当年龄,period,考虑队列因素,年龄对抑郁症的影响占主导地位,时期和队列差异相对较小。抑郁症的居住差异随着连续队列的增加而减少,应该更多地关注城市地区年轻人群的抑郁状况恶化。
    UNASSIGNED: To investigate the effects of age, period, and cohort on the trends of depression; and to examine the influence of these three temporal effects on residential disparities in depression.
    UNASSIGNED: Using data from the China Health and Retirement Longitudinal Study (CHARLS) during 2011 to 2020, involving 77,703 respondents aged 45 years old and above. The measurement of depressive symptoms was the score of 10-question version of the Center for Epidemiologic Studies Depression Scale (CES-D 10). The hierarchical age-period-cohort cross-classified random effects models were conducted to examine trends in depressive symptoms related to age, period and cohort.
    UNASSIGNED: CES-D scores increased with age and slightly decreased at older age. The cohort trends mostly increased except for a downward trend among those born in 1950s. As for the period effect, CES-D scores decreased gradually from 2011 to 2013 followed by a upward trend. Rural residents were associated with higher level of depression than those live in urban area. These residence gaps in depression enlarged before the age of 80, and then narrowed. The urban-rural disparities in CES-D scores gradually diminished across cohorts, while the corresponding period-based change in urban-rural gaps was not significant.
    UNASSIGNED: When age, period, cohort factors are considered, the age effects on depression dominated, and the period and cohort variations were relatively small. The residence disparities in depression reduced with successive cohorts, more attention should be paid to the worsening depression condition of younger cohorts in urban areas.
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  • 文章类型: English Abstract
    Objective: To analyze the detection of colorectal advanced neoplasms in the population who underwent colonoscopy screening in Henan Province as part of the Urban China Cancer Screening Program and its influencing factors. Methods: A cross-sectional study design was employed. Based on the Cancer Screening Program conducted in Henan Province, the study enrolled 7 454 urban residents who manifested no symptoms and were recruited from eight cities in the province, including Zhengzhou, Zhumadian, Anyang, Luoyang, Nanyang, Jiaozuo, Xinxiang, and Puyang from October 2013 to October 2019, and participated in colonoscopy screening. The χ2 test was used to compare the detection rates of colorectal advanced neoplasms among participants with different characteristics, and a multivariate logistic stepwise regression model was used to analyze the factors affecting the detection rates. Results: A total of 7 454 subjects underwent colonoscopy screening, and 112 cases of colorectal advanced neoplasms were detected. Multivariate logistic regression analysis suggested that older age, smoking, higher meat intake, history of diabetes, and family history of colorectal cancer in a first-degree relative were risk factors for colorectal advanced neoplasms. The detection rate was significantly higher in people aged 60-74 years compared with those aged 40-49 years, with an odds ratio (OR) of 2.04 (95% CI: 1.23-3.38).The rates were higher in people who smoked than those who did not smoke, with an OR of 2.21 (95% CI: 1.48-3.31), and in people who consumed more meat than those who consumed less, with an OR of 1.53 (95% CI: 1.04-2.26). Those with diabetes had a higher detection rate compared with those without, with an OR of 1.69 (95% CI: 1.07-2.69), and those with a first-degree family history of colorectal cancer had a higher detection rate than those without, with an OR of 1.64 (95% CI: 1.09-2.46). Conclusion: The detection rate of colorectal advanced neoplasms through colonoscopy screening in Henan Province covered by the Urban China Cancer Screening Program is 1.50%. Older age, smoking, higher meat intake, history of diabetes, and family history of colorectal cancer in a first-degree relative are identified as risk factors for colorectal advanced neoplasms.
    目的: 探讨河南省城市癌症早诊早治项目中结肠镜筛查人群结直肠进展期肿瘤检出情况及其影响因素。 方法: 采用横断面研究设计,依托河南省城市癌症早诊早治项目,以2013年10月至2019年10月在河南省郑州市、驻马店市、安阳市、洛阳市、南阳市、焦作市、新乡市和濮阳市招募的无症状参与结肠镜筛查的7 454名城市居民为研究对象,采用χ2检验比较不同特征人群的结直肠进展期肿瘤检出率,采用多因素logistic回归模型分析结直肠进展期肿瘤检出的影响因素。 结果: 接受结肠镜筛查的7 454人中共检出进展期肿瘤112例,检出率为1.50%。多因素logistic回归分析显示,年龄、吸烟史、肉类摄入量、糖尿病史和一级亲属结直肠癌家族史是结直肠进展期肿瘤检出的独立影响因素。与40~49岁组相比,60~74岁组检出结直肠进展期肿瘤的风险增高(OR=2.04,95% CI:1.23~3.38);与不吸烟人群相比,正在吸烟的人群检出结直肠进展期肿瘤的风险增高(OR=2.21,95% CI:1.48~3.31);与肉类摄入量较少的人群相比,肉类摄入量较多的人群检出结直肠进展期肿瘤的风险增高(OR=1.53,95% CI:1.04~2.26);与无糖尿病史的人群相比,有糖尿病史的人群检出结直肠进展期肿瘤的风险增高(OR=1.69,95% CI:1.07~2.69);与无一级亲属结直肠癌家族史的人群相比,有一级亲属结直肠癌家族史的人群检出结直肠进展期肿瘤的风险增高(OR=1.64,95% CI:1.09~2.46)。 结论: 河南省城市癌症早诊早治项目中结肠镜筛查结直肠进展期肿瘤的检出率为1.50%,高龄、吸烟、肉类摄入较多、糖尿病史、结直肠癌一级亲属家族史是结直肠进展期肿瘤的危险因素。.
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