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Social Isolation and Loneliness as Risk Factors for Grip Strength Decline Among Older Women and Men in China

文献类型：期刊论文

作者Yu, Bin2; Steptoe, Andrew1; Niu, Kaijun5,6; Jia, Xiaohua3,4
刊名JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
出版日期2020-12-01
卷号21期号:12页码:1926-1930
关键词Social isolation loneliness grip strength older adults gender differences
ISSN号1525-8610
DOI10.1016/j.jamda.2020.06.029
通讯作者Yu, Bin(yubin80@tmu.edu.cn) ; Jia, Xiaohua(xiaohua.jia@ia.ac.cn)
英文摘要Objective: The purpose of this study was to examine the relationships of social isolation and loneliness, both individually and simultaneously, on changes in grip strength among Chinese older adults and whether these relations vary by gender. Design: A 4-year prospective observational study. Setting and Participants: This study used data from the China Health and Retirement Longitudinal Study (CHARLS). Analyses were conducted with data from 2 waves (2011 and 2015) and were restricted to those respondents aged 50 and older [n = 7025, mean age (SD) = 61.46 (7.59); male, 48.4%]. Methods: Social isolation, loneliness, and grip strength were measured at baseline. Follow-up measures of grip strength were obtained 4 years later. Multiple linear regressionwas used to evaluate the associations among baseline isolation, loneliness, and decline of grip strength between 2 waves after adjustment for age, gender, education, body mass index, chronic diseases, smoking and drinking status, activities of daily living (ADL) and instrumental ADL disabilities, and depressive symptoms. Results: For women, baseline loneliness (b = 0.04, P =.035) rather than isolation (b = 0.03, P =.110) significantly predicted grip strength decline after 4 years when other confounding variables were taken into account. For men, baseline isolation (b = 0.05, P =.005) rather than loneliness (b = 0.01, P=.570) significantly predicted grip strength decline. No synergistic effect of isolation and loneliness on grip strength was found for either women or men. Conclusions and Implications: In this prospective study, gender differences were found for the associations of social isolation and loneliness with grip strength decline. Our results suggest that older women and men may benefit from different social enhancement strategies for prevention of physical function decline. (C) 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
资助项目National Social Science Foundation, China[18BSH118]
WOS研究方向Geriatrics & Gerontology
语种英语
WOS记录号WOS:000595574700029
出版者ELSEVIER SCIENCE INC
资助机构National Social Science Foundation, China
源URL[http://ir.ia.ac.cn/handle/173211/42779]  
专题自动化研究所_中国科学院分子影像重点实验室
通讯作者Yu, Bin; Jia, Xiaohua
作者单位1.UCL, Dept Behav Sci & Hlth, London, England
2.Tianjin Med Univ, Sch Basic Med Sci, Dept Psychiat & Psychol, 22 Qixiangtai Rd, Tianjin 300070, Peoples R China
3.Chinese Acad Sci, Inst Automat, Key Lab Mol Imaging, Beijing, Peoples R China
4.Gen Hosp Peoples Liberat Army, Dept Ultrasound, Beijing, Peoples R China
5.Tianjin Med Univ, Sch Publ Hlth, Tianjin, Peoples R China
6.Tianjin Med Univ, Nutr Epidemiol Inst, Tianjin, Peoples R China
推荐引用方式
GB/T 7714		 Yu, Bin,Steptoe, Andrew,Niu, Kaijun,et al. Social Isolation and Loneliness as Risk Factors for Grip Strength Decline Among Older Women and Men in China[J]. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION,2020,21(12):1926-1930.
APA Yu, Bin,Steptoe, Andrew,Niu, Kaijun,&Jia, Xiaohua.(2020).Social Isolation and Loneliness as Risk Factors for Grip Strength Decline Among Older Women and Men in China.JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION,21(12),1926-1930.
MLA Yu, Bin,et al."Social Isolation and Loneliness as Risk Factors for Grip Strength Decline Among Older Women and Men in China".JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION 21.12(2020):1926-1930.

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来源：自动化研究所

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