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首页> 外文期刊>Geriatrics & gerontology international. >Underweight/overweight and the risk of long-term care: Follow-up study using data of the Japanese long-term care insurance system
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Underweight/overweight and the risk of long-term care: Follow-up study using data of the Japanese long-term care insurance system

机译：体重过轻/超重和长期护理的风险：使用日本长期护理保险系统数据的后续研究

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Aim: Both being underweight and overweight can lead to reduced activity of daily living, which subsequently can require long-term care. The aim of the present study was to clarify the association between underweight/overweight and the subsequent risk of long-term care introduction. Methods: We tracked the data of long-term care insurance for 1580 men and women aged ≥65 years who had participated in the official population-based health check-up program in 2001 in Tsunan town and Sekikawa village, Japan. The health check-up data and medical expenditure data for the fiscal year 2001 were used as baseline data. Participants were classified into underweight (body mass index (BMI) 18.5kg/m2), normal range (BMI=18.5 to 25.0kg/m2) and overweight (BMI ≥25.0kg/m2); the normal range was used as a reference category in Cox proportional hazards models. Results: During the average 5.8 years of follow up, 156 participants were identified to start using long-term care services. Among the young-old elderly (65-74 years-of-age), underweight was significantly associated with the risk of long-term care introduction (multivariable-adjusted HR 4.26, 95% CI 1.69-10.72), whereas overweight was not (multivariable-adjusted HR 1.45, 95% CI 0.69-3.06). Neither underweight nor overweight were significantly associated with long-term care introduction among the old-old elderly (≥75 years-of-age). Conclusions: Underweight could be a good predictor of long-term care introduction in the young-old elderly. We should pay attention to underweight in the elderly, as it might be a manifestation of some physical or mental problems related to future long-term care introduction.
机译：目的：体重过轻和过重都会导致日常生活活动减少，从而可能需要长期护理。本研究的目的是阐明体重过轻/超重与随后引入长期护理的风险之间的关系。方法：我们追踪了2001年在日本津南町和关川村参加了官方的基于人口的健康检查计划的1580名≥65岁的男女的长期护理保险数据。使用2001财政年度的健康检查数据和医疗费用数据作为基准数据。参与者分为体重过轻（BMI <18.5kg / m2），正常体重（BMI = 18.5至<25.0kg / m2）和超重（BMI≥25.0kg/ m2）。正常范围在Cox比例风险模型中用作参考类别。结果：在平均5​​.8年的随访期间，确定了156名参与者开始使用长期护理服务。在年轻的老年人（65-74岁）中，体重过轻与长期护理的风险显着相关（多变量调整后的HR为4.26，95％CI为1.69-10.72），而超重并非如此（多变量调整后的HR 1.45，95％CI 0.69-3.06）。体重过轻或超重与老年（≥75岁）老年人的长期照护没有显着相关。结论：体重过轻可以很好地预测年轻老年人的长期护理。我们应该注意老年人的体重过轻，因为这可能是与将来进行长期护理有关的一些身体或精神问题的表现。

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