心理韧性与中国老年人全因死亡率关联强度的异质性:一项前瞻性队列研究
DOI:
作者:
作者单位:

临床研究院, 南京中医药大学附属医院 (江苏省中医院)

作者简介:

通讯作者:

中图分类号:

基金项目:

江苏省中药特色制剂融合创新中心(k2024J02);2023年度江苏省科技资源(重大疾病生物样本)统筹服务平台开放课题(TC2023B010); 江苏省中医疫病研究中心开放课题(JSYB2024KF17); 2023年度江苏省预防医学科研课题(Ym2023103)


Heterogeneity of Association Strength Between Psychological Resilience and All-cause Mortality among Chinese Older Adults: A Prospective Cohort Study
Author:
Affiliation:

Fund Project:

Jiangsu Provincial Centre for Integration and Innovation in Traditional Chinese Medicine Formulations (k2024J02); Open Project of Jiangsu Province Science and Technology Resources Integrated Service Platform (TC2023B010); Open Project of Jiangsu Provincial Traditional Chinese Medicine Epidemic Disease Research Center (JSYB2024KF17); 2023 Jiangsu Province Preventive Medicine Research Project (Ym2023103)

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:从四种不同的肥胖指标的角度出发,探索心理韧性与全因死亡率在中国老年人群中的潜在差异,发现更值得关注的亚群。 方法:中国老年健康影响因素跟踪调查中2011至2012年招募的7481名老年人被纳入该研究。建立Cox风险比例回归模型探索心理韧性与老年人全因死亡率的关联。亚群疗效评估模式图用于探索心理韧性在中国老年亚人群的作用的异质性。 结果:在中国老年人群中,更高的心理韧性将使全因死亡率降低(P < 0.001)。心理韧性对全因死亡率的影响在基于身体指数、体圆指数、腰高比和身体综合指数划分的亚人群间的差异具有统计学意义(P < 0.001)。 结论:心理韧性与中国老年人的全因死亡率的关联强度在不同亚群间存在异质性。多个指数评估为超重的老年人更需要保持良好的心理韧性以降低全因死亡风险。

    Abstract:

    Aims To explore potential heterogeneity of the association strength between psychological resilience and all-cause mortality based on four obesity indexes, and find the subpopulations wroth great attention. Methods 7481 eligible participants from the Chinese Longitudinal Healthy Longevity Survey surveyed in 2011 to 2012 was included in this cohort study. Cox proportional hazards models were used to analysis the associations between psychological resilience and all-cause mortality. Subpopulation treatment evaluation pattern plot was applied to explore the heterogeneity of the association strength between psychological resilience and all-cause mortality among Chinese older adults. Results Higher psychological resilience was associated with lower risk of all-cause mortality among Chinese older adults (all P < 0.001). The heterogeneity of association strength among different subpopulations based on a body shape index (ABSI) (P < 0.001), body roundness index (BRI) (P < 0.001), waist-to-height ratio (WHtR) (P < 0.001), and body mass index (BMI) (P < 0.001) was statistically significant. Conclusions The association strength between psychological resilience and all-cause mortality was significantly heterogeneous among different subpopulations of Chinese older adults. Older adults classified as overweight via multiple indexes are suggested to maintain greater psychological resilience to decrease the all-cause mortality.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2025-10-23
  • 最后修改日期:2026-03-24
  • 录用日期:2026-07-17
  • 在线发布日期:
  • 出版日期:
关闭