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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Cortisol secretion and functional disabilities in old age: importance of using adaptive control strategies.
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Cortisol secretion and functional disabilities in old age: importance of using adaptive control strategies.

机译：老年患者的皮质醇分泌和功能障碍：使用适应性控制策略的重要性。

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OBJECTIVES: To examine whether the use of health-related control strategies moderates the association between elevated diurnal cortisol secretion and increases in older adults' functional disabilities. METHODS: Functional disabilities of 164 older adults were assessed over 4 years by measuring participants' problems with performing activities of daily living. The main predictors included baseline levels of diurnal cortisol secretion and control strategies used to manage physical health threats. RESULTS: A large increase in functional disabilities was observed among participants who secreted elevated baseline levels of cortisol and did not use health-related control strategies. By contrast, high cortisol level was not associated with increases in functional disabilities among participants who reported using these control strategies. Among participants with low cortisol level, there was a relatively smaller increase in functional disabilities over time, and the use of control strategies was not significantly associated with changes in functional disabilities. CONCLUSIONS: The findings suggest that high cortisol level is associated with an increase in older adults' functional disabilities, but only if older adults do not engage in adaptive control strategies.
机译：目的：研究使用健康相关的控制策略是否能缓解昼夜皮质醇分泌增加与老年人功能障碍增加之间的关联。方法：通过评估参与者在进行日常活动方面的问题，在4年中对164名老年人的功能障碍进行了评估。主要预测指标包括昼夜皮质醇分泌的基线水平和用于控制身体健康威胁的控制策略。结果：在分泌皮质醇基线水平升高且未使用健康相关控制策略的参与者中，观察到功能障碍大量增加。相比之下，在报告使用这些控制策略的受试者中，高皮质醇水平与功能障碍的增加无关。在皮质醇水平低的参与者中，随着时间的流逝，功能障碍的增加相对较小，控制策略的使用与功能障碍的变化没有显着相关。结论：研究结果表明，高皮质醇水平与老年人功能障碍的增加有关，但前提是老年人不参与适应性控制策略。

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