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首页> 外文期刊>Annals of epidemiology >A high anticholinergic burden is associated with a history of falls in the previous year in middle-aged women: findings from the Aberdeen Prospective Osteoporosis Screening Study
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A high anticholinergic burden is associated with a history of falls in the previous year in middle-aged women: findings from the Aberdeen Prospective Osteoporosis Screening Study

机译:高抗胆碱能负担与上一年中的秋季历史有关:来自阿伯丁骨质疏松症筛查研究的发现

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PurposeTo examine the cross-sectional association between anticholinergic medication burden (ACB) and a history of falls, bone mineral density, and low trauma fractures in middle-aged women aged under 65?years from the Aberdeen Prospective Osteoporosis Screening Study. MethodsACB (0?=?none, 1?= possible, ≥2?=?definite) was calculated from medication use for 3883 Caucasian women [mean age (SD)?=?54.3 (2.3) years] attending the second Aberdeen Prospective Osteoporosis Screening Study visit (1997–2000). Outcomes were examined using logistic regression. Model adjustments were selected a priori based on expert opinion. ResultsOf 3883 participants, 3293 scored ACB?=?0, 328 scored ACB?=?1, and 262 scored ACB ≥2. High ACB burden (≥2) was associated with increased odds (ACB?= 0 reference) for falls (fully adjusted odds ratio [95% confidence intervals]?=?1.81 [1.25–2.62];P?= 0.002) and having low bone mineral density (lowest quintile-20%) at Ward's triangle (3.22 [1.30–7.99];P?= 0.01). A history of falls over the year prior to the study visit in participants with ACB score ≥2 was 32 per 100. For ACB categories 1 and 0, a history of falls per 100 was 21 and 22, respectively. ConclusionsThe risk of falling associated with ACB observed in older age may also extend to middle-aged women.
机译:Purposeto检查抗胆碱能药物负担(ACB)与跌倒,骨矿物密度和65岁以下的中年女性患者历史之间的横截面关联,从Aberdeen骨质疏松症筛查研究中的中年妇女中的中年女性。方法(0?=?没有,1?=可能,≥2?=?确定)从药物用途中计算3883个白种人女性[意思年龄(SD)吗?=?54.3(2.3)岁]参加第二次阿伯丁骨质疏松症筛选研究访问(1997-2000)。使用Logistic回归检查结果。根据专家意见选择了模型调整。结果3883名参与者,3293次得分ACB?=?0,328得分ACB?=?1,262得分ACB≥2。高ACB负担(≥2)与下降的赔率增加(ACB?= 0参考)相关(完全调整的差距[95%置信区间]?=?1.81 [1.25-2.62]; p?= 0.002)并低病房三角形(3.22 [1.3.2-7.99]; P?= 0.01)。在研究ACB得分≥2的参与者的参与者前一年中的一年中的历史为每100次。对于ACB类别1和0,每100次跌幅分别为21和22。结论较老年人观察到的ACB与ACB相关的风险也可能延伸到中年妇女。

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