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BMJ：社会经济地位和非传染性疾病对老年人群身体机能衰退的影响

2018-03-27 zhangfan MedSci原创

社会经济地位非传染性疾病身体机能衰退
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研究发现，社会经济地位和非传染性疾病对老年人群身体机能衰退的影响超过年龄本身，提高社会经济地位并改变部分生活习惯将大大改善老年人群的身体机能，延长寿命

近日研究人员评估了低社会经济地位和非传染性疾病（糖尿病、高酒精摄入、高血压、肥胖、缺乏运动、吸烟）与老年人身体功能丧失的关系。

研究对1990-2017年间，来自欧洲、美国、拉丁美洲、非洲和亚洲24个国家的37项队列研究进行考察，109107名45-90岁人群参与，通过步行测试评估参与者身体机能。

研究发现，社会经济地位低的60岁男性其步行速度与66.6岁的高社会经济地位男性相当，即身体机能损失6.6年，而女性低社会经济地位导致机体损失4.6年。考察发现，60岁的男女参与者因体力活动不足、肥胖、高血压、糖尿病以及吸烟导致身体机能损失分别为5.7和5.4年、5.1和7.5年、2.3和3.0年、5.6和6.3年以及3.0和0.7年。高收入国家因社会经济地位低导致的身体机能损失更为显著，在高收入国家，60岁男女因低社会经济地位导致机体机能损失8.0和5.4年，而中低收入国家则为2.6和2.7年，美国较欧洲地区该不平等更为显著。所有参与者身体机能在60至85岁期间继续下降。由于社会经济地位低下和非传染性疾病因素导致的机体功能丧失程度超过了寿命减少。

研究发现，社会经济地位和非传染性疾病对老年人群身体机能衰退的影响超过年龄本身，提高社会经济地位并改变部分生活习惯将大大改善老年人群的身体机能，延长寿命。

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    2018-07-23 ms1260584454294838

    #社会经济#

    0

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    2018-10-04 xzw113

    #传染性#

    0

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    2018-09-08 hbwxf

    #身体机能#

    0

  4. 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topicName=传染性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2317301, createdName=xzw113, createdTime=Thu Oct 04 10:33:00 CST 2018, time=2018-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1716481, encodeId=d8521e164811d, content=<a href='/topic/show?id=5c14932094d' target=_blank style='color:#2F92EE;'>#身体机能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93209, encryptionId=5c14932094d, topicName=身体机能)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c54332230971, createdName=hbwxf, createdTime=Sat Sep 08 21:33:00 CST 2018, time=2018-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1997559, encodeId=bedd199e559e0, content=<a href='/topic/show?id=caf4992616a' target=_blank style='color:#2F92EE;'>#非传染性疾病#</a>, beContent=null, objectType=article, channel=null, level=null, 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target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu Aug 30 20:33:00 CST 2018, time=2018-08-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=317948, encodeId=d67a31e94811, content=学习了.谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed May 23 23:07:27 CST 2018, time=2018-05-23, status=1, ipAttribution=), 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GetPortalCommentsPageByObjectIdResponse(id=1526740, encodeId=062c1526e4034, content=<a href='/topic/show?id=f37e8012213' target=_blank style='color:#2F92EE;'>#老年人群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80122, encryptionId=f37e8012213, topicName=老年人群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=xugumin, createdTime=Thu Mar 29 01:33:00 CST 2018, time=2018-03-29, status=1, ipAttribution=)]
    2018-07-03 chendoc242

    #非传染性疾病#

    0

  5. 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target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu Aug 30 20:33:00 CST 2018, time=2018-08-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=317948, encodeId=d67a31e94811, content=学习了.谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed May 23 23:07:27 CST 2018, time=2018-05-23, status=1, ipAttribution=), 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GetPortalCommentsPageByObjectIdResponse(id=1526740, encodeId=062c1526e4034, content=<a href='/topic/show?id=f37e8012213' target=_blank style='color:#2F92EE;'>#老年人群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80122, encryptionId=f37e8012213, topicName=老年人群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=xugumin, createdTime=Thu Mar 29 01:33:00 CST 2018, time=2018-03-29, status=1, ipAttribution=)]
    2018-04-05 s_pl2008

    #经济地位#

    0

  6. 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target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu Aug 30 20:33:00 CST 2018, time=2018-08-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=317948, encodeId=d67a31e94811, content=学习了.谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed May 23 23:07:27 CST 2018, time=2018-05-23, status=1, ipAttribution=), 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GetPortalCommentsPageByObjectIdResponse(id=1526740, encodeId=062c1526e4034, content=<a href='/topic/show?id=f37e8012213' target=_blank style='color:#2F92EE;'>#老年人群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80122, encryptionId=f37e8012213, topicName=老年人群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=xugumin, createdTime=Thu Mar 29 01:33:00 CST 2018, time=2018-03-29, status=1, ipAttribution=)]
    2018-08-30 gaoxiaoe

    #BMJ#

    0

  7. 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target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu Aug 30 20:33:00 CST 2018, time=2018-08-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=317948, encodeId=d67a31e94811, content=学习了.谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed May 23 23:07:27 CST 2018, time=2018-05-23, status=1, ipAttribution=), 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GetPortalCommentsPageByObjectIdResponse(id=1526740, encodeId=062c1526e4034, content=<a href='/topic/show?id=f37e8012213' target=_blank style='color:#2F92EE;'>#老年人群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80122, encryptionId=f37e8012213, topicName=老年人群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=xugumin, createdTime=Thu Mar 29 01:33:00 CST 2018, time=2018-03-29, status=1, ipAttribution=)]
    2018-05-23 1e145228m78(暂无匿称)

    学习了.谢谢作者分享!

    0

  8. 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target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu Aug 30 20:33:00 CST 2018, time=2018-08-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=317948, encodeId=d67a31e94811, content=学习了.谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed May 23 23:07:27 CST 2018, time=2018-05-23, status=1, ipAttribution=), 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GetPortalCommentsPageByObjectIdResponse(id=1526740, encodeId=062c1526e4034, content=<a href='/topic/show?id=f37e8012213' target=_blank style='color:#2F92EE;'>#老年人群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80122, encryptionId=f37e8012213, topicName=老年人群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=xugumin, createdTime=Thu Mar 29 01:33:00 CST 2018, time=2018-03-29, status=1, ipAttribution=)]
    2018-03-31 张新亮1853311252142e2fm

    好资源.学习了

    0

  9. 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GetPortalCommentsPageByObjectIdResponse(id=1526740, encodeId=062c1526e4034, content=<a href='/topic/show?id=f37e8012213' target=_blank style='color:#2F92EE;'>#老年人群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80122, encryptionId=f37e8012213, topicName=老年人群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=xugumin, createdTime=Thu Mar 29 01:33:00 CST 2018, time=2018-03-29, status=1, ipAttribution=)]
    2018-03-29 chenwq10

    #社会经济地位#

    0

  10. 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target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu Aug 30 20:33:00 CST 2018, time=2018-08-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=317948, encodeId=d67a31e94811, content=学习了.谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed May 23 23:07:27 CST 2018, time=2018-05-23, status=1, ipAttribution=), 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GetPortalCommentsPageByObjectIdResponse(id=1526740, encodeId=062c1526e4034, content=<a href='/topic/show?id=f37e8012213' target=_blank style='color:#2F92EE;'>#老年人群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80122, encryptionId=f37e8012213, topicName=老年人群)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=xugumin, createdTime=Thu Mar 29 01:33:00 CST 2018, time=2018-03-29, status=1, ipAttribution=)]
    2018-03-29 xugumin

    #老年人群#

    0

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由此可见，尽管卒中复发的风险随着时间的推移有所降低，不同的社会经济群体之间的卒中复发风险的差异在2001年至2012年期间仍保持在类似的水平。

Stroke：环境污染和社会经济地位与脑卒中严重性的相关性！

环境与脑卒中严重性间的关系尚不清楚。本研究旨在探索环境暴露与其与首发脑卒中交互作用之间的关系，环境暴露主要包括社会经济较差和短期暴露于空气颗粒物<2.5 μm和臭氧，并将结果发表在Stroke上。

JAMA Pediatr：成年后左心室结构和舒张功能与儿童期社会经济地位的关系

研究认为，对于家庭社会经济地位较低的儿童，其30年后心血管系统的相关疾病风险较大，该结果强调心血管疾病的预防有必要从儿童时期开展

Int J Cardiol：儿童社会经济地位与终生健康行为分析！

由此可见，这些结果显示儿童期SES与成年后的几种生活方式因素有关。因此，应该重视低SES家庭儿童的生活行为，以促进心血管健康。

SCI REP：克罗恩病患者社会经济地位和种族都与增加的住院率独立相关！

由此可见，SES和种族都与CD患者住院有关，并且需要进一步调查。