Objective:To explore the application effect of combined exercise intervention based on the hospital-community-family model on intrinsic capacity in elderly patients with diabetes mellitus complicated by chronic kidney...Objective:To explore the application effect of combined exercise intervention based on the hospital-community-family model on intrinsic capacity in elderly patients with diabetes mellitus complicated by chronic kidney disease.Methods:Using convenience sampling,100 elderly patients with diabetes mellitus complicated by chronic kidney disease who received treatment in the endocrinology department of a tertiary A-level hospital from May 2024 to May 2025 were selected as the study subjects.They were randomly divided into an experimental group(50 cases)and a control group(50 cases)using a random number table method.The control group received routine health education and telephone follow-up,while the experimental group,in addition to the control group’s interventions,underwent combined exercise intervention based on the hospital-community-family model.Remote medical guidance was utilized to monitor and study the application effect of exercise intervention on intrinsic capacity in elderly patients with diabetes mellitus complicated by chronic kidney disease.Fasting blood glucose,2-hour postprandial blood glucose,glomerular filtration rate,6-minute walk distance,and scores in five dimensions of intrinsic capacity(exercise,cognition,psychology,vitality,and sensation)were measured before the intervention,at 4 weeks of intervention,and at 12 weeks of intervention for both groups.Results:Before the exercise intervention,there were no statistically significant differences(p>0.05)between the two groups in terms of fasting blood glucose,2-hour postprandial blood glucose,glomerular filtration rate,6-minute walk distance,and scores across five dimensions of intrinsic capacity:mobility,cognition,psychology,vitality,and sensation.After 12 weeks of intervention,the experimental group demonstrated significantly higher scores than the control group in glomerular filtration rate,6-minute walk distance,and the dimensions of mobility,cognition,and vitality within intrinsic capacity,with all differences being statistically significant(p<0.05).Conversely,the experimental group showed significantly lower scores than the control group in fasting blood glucose,2-hour postprandial blood glucose,and the psychological dimension of intrinsic capacity,with these differences also being statistically significant(p<0.05).Conclusion:Continuous nursing care utilizing telemedicine based on a hospital-community-family model combined with exercise intervention can effectively enhance exercise tolerance and intrinsic capacity in elderly patients with diabetes mellitus complicated by chronic kidney disease,thereby improving their quality of life.The effectiveness of the intervention is positively correlated with the duration of the intervention.展开更多
Background:Intrinsic capacity reflects the overall health status of older adults and decline in intrinsic abilities can lead to adverse health outcomes.However,empirical studies examining the association between digit...Background:Intrinsic capacity reflects the overall health status of older adults and decline in intrinsic abilities can lead to adverse health outcomes.However,empirical studies examining the association between digital health literacy,health-promoting lifestyles and intrinsic capacity are scarce.Methods:A cross-sectional study was conducted.Using convenience sampling method,371 older adults were recruited from communities.Multidimensional intrinsic capacity,digital health literacy,health promoting lifestyle and sociodemographic information were measured.Results:The intrinsic capacity of older adults scored 3.75±1.10.The prevalences of declined cognitive capacity,psychological capacity,sensory capacity,vitality,and locomotor capacity were 13.7%,24.3%,19.1%,14.8%,53.1%,respectively.The multiple regression analysis revealed that age(β=−0.253),only living with children and/or grandchildren(β=0.249),current working status(β=−0.132),number of chronic diseases(β=−0.149),frequency of Internet usage(β=0.193),the domain of ability to acquire and evaluate digital health information(β=0.197)in digital health literacy,and the domain of nutrition(β=0.171)in health-promoting lifestyle were the significant factors influencing intrinsic capacity,explaining 27.1%of the variance.Conclusion:Digital health literacy and health-promoting lifestyle have a significant impact on intrinsic capacity.Enhancing digital health literacy and advocating a health-promoting lifestyle are critical to promoting intrinsic capacity for community-dwelling older adults.展开更多
Background:The trajectory of intrinsic capacity(IC)among the older population is characterized by its diversity and is predictive of adverse health outcomes such as disability,nursing home admission,decline in quality...Background:The trajectory of intrinsic capacity(IC)among the older population is characterized by its diversity and is predictive of adverse health outcomes such as disability,nursing home admission,decline in quality of life,and mortality.Gaining an understanding of the trajectory of IC and the factors that influence it is of paramount importance for fostering healthy aging.This research is focused on exploring the trajectory of IC among older adults in China and examining the factors that influence it.Methods:This observational longitudinal cohort study leveraged data from the China Health and Retirement Longitudinal Study(CHARLS),which was conducted in the years 2011,2013,and 2015.For the purpose of this analysis,a total of 2,233 participants who were aged 60 and over were included.A Growth Mixture Model(GMM)was utilized to define trajectory categories for IC.Influential factors were ascertained based on the health ecology model,and binary logistic regression analysis was utilized to investigate the factors linked with the different trajectory categories.Results:Two distinct trajectory classes of IC were identified:Class 1,the normal-stable group,encompassed 90.4%of the elderly population,while Class 2,the declining group,made up 9.6%.Advanced age and a history of stroke were found to be significantly associated with Class 2.High scores in activities of daily living(ADL),employment status,receiving primary or junior high school education,and residence in the East or Central regions of China were significantly linked with Class 1.Conclusion:The trajectory of IC among older Chinese adults is marked by its heterogeneity.Advanced age and a history of stroke are significant risk factors for a declining IC trajectory,while higher ADL scores,being employed,receiving primary or junior high school education,and residing in the East or Central regions of China are protective factors associated with a stable IC trajectory.Healthcare institutions must closely monitor IC levels and understand these trajectory patterns to implement personalized and targeted interventions promptly to maintain IC at a healthy level and advocate for healthy aging.展开更多
The prevalence of frailty across the world in older adults is increasing dramatically and having frailty places a person at increased risk for many adverse health outcomes,including impaired mobility,falls,hospitaliza...The prevalence of frailty across the world in older adults is increasing dramatically and having frailty places a person at increased risk for many adverse health outcomes,including impaired mobility,falls,hospitalizations,and mortality.Globally,the concept of frailty is gaining attention and the scientific field has made great strides in identifying and conceptually defining frailty through consensus conferences,in advancing the overall science of frailty by drawing on basic science discoveries including concepts surrounding the hallmarks of aging,resilience,and intrinsic capacities,and in identifying the many challenges faced by professionals within diverse clinical settings.Currently,it is thought that frailty is preventable,thus the identification of a person's degree of frailty is vital.Identification of frailty is achievable through widely used frailty screening tools,which are valid,reliable,and easy to use.Following the identification of a person's degree of frailty,targeted intervention strategies,such as physical activity programs must be implemented.In this perspective,we provide a historical perspective of the frailty field since the last quarter of the 20th century to present.We identify the proposed underlying patho-physiology of multiple physiological systems,including compromised homeostasis and resilience.Next,we outline the available screening tools for frailty with a physical performance assessment and highlight specific benefits of physical activity.Lastly,we discuss current scientific evidence supporting the physical activity rec-ommendations for the aging population and for older adults with frailty.The goal is to emphasize early detection of frailty and stress the value of physical activity.展开更多
The intrinsic growth ability of all the neurons declines during development although some may grow better than others. Numerous intracellular signaling proteins and transcription factors have been shown to regulate th...The intrinsic growth ability of all the neurons declines during development although some may grow better than others. Numerous intracellular signaling proteins and transcription factors have been shown to regulate the intrinsic growth capacity in mature neurons. Among them, PI3 kinase/Akt pathway is important for controlling axon elongation. As a negative regulator of this pathway, the tumor suppressor phosphatase and tensin homolog （PTEN） appears critical to con- trol the regenerative ability of young and adult neurons. This review will focus on recent research progress in axon regeneration and neural repair by PTEN inhibition and therapeutic potential of blocking this phosphatase for neurological disorders. Inhibition of PTEN by deletion in con- ditional knockout mice, knockdown by short-hairpin RNA, or blockade by pharmacological approaches, including administration of selective PTEN antagonist peptides, stimulates various degrees of axon regrowth in juvenile or adult rodents with central nervous system injuries. Im- portantly, post-injury PTEN suppression could enhance axonal growth and functional recovery in adult central nervous system after injury.展开更多
To alleviate the energy crisis and global warming,photothermal catalysis is an attractive way to effi ciently convert CO_(2)and renewable H_(2) into value-added fuels and chemicals.However,the catalytic performance is...To alleviate the energy crisis and global warming,photothermal catalysis is an attractive way to effi ciently convert CO_(2)and renewable H_(2) into value-added fuels and chemicals.However,the catalytic performance is usually restricted by the trade-off between the dispersity and light absorption property of metal catalysts.Here we demonstrate a simple SiO 2-protected metal-organic framework pyrolysis strategy to fabricate a new type of integrated photothermal nanoreactor with a comparatively high metal loading,dispersity,and stability.The core-satellite structured Co@SiO_(2)exhibits strong sunlight-absorptive abil-ity and excellent catalytic activity in CO_(2)hydrogenation,which is ascribed to the functional separation of diff erent sizes of Co nanoparticles.Large-sized plasmonic Co nanoparticles are mainly responsible for the light absorption and conversion to heat(nanoheaters),whereas small-sized Co nanoparticles with high intrinsic activities are responsible for the catalysis(nanoreactors).This study provides a new concept for designing effi cient photothermal catalytic materials.展开更多
基金2024 Medical Science Research Project Plan of Hebei Province:Research on the Rehabilitation Effect of Combined Exercise Intervention Based on a Hospital-Community-Family Model for Elderly Patients with Chronic Diseases(Project No.:20240083)Youth Science and Technology Project of the Hebei Provincial Health Department:Research on the Standardization Level of Self-Management in Patients with Diabetic Foot and Related Factors Affecting Wound Healing(Project No.:20190002)。
文摘Objective:To explore the application effect of combined exercise intervention based on the hospital-community-family model on intrinsic capacity in elderly patients with diabetes mellitus complicated by chronic kidney disease.Methods:Using convenience sampling,100 elderly patients with diabetes mellitus complicated by chronic kidney disease who received treatment in the endocrinology department of a tertiary A-level hospital from May 2024 to May 2025 were selected as the study subjects.They were randomly divided into an experimental group(50 cases)and a control group(50 cases)using a random number table method.The control group received routine health education and telephone follow-up,while the experimental group,in addition to the control group’s interventions,underwent combined exercise intervention based on the hospital-community-family model.Remote medical guidance was utilized to monitor and study the application effect of exercise intervention on intrinsic capacity in elderly patients with diabetes mellitus complicated by chronic kidney disease.Fasting blood glucose,2-hour postprandial blood glucose,glomerular filtration rate,6-minute walk distance,and scores in five dimensions of intrinsic capacity(exercise,cognition,psychology,vitality,and sensation)were measured before the intervention,at 4 weeks of intervention,and at 12 weeks of intervention for both groups.Results:Before the exercise intervention,there were no statistically significant differences(p>0.05)between the two groups in terms of fasting blood glucose,2-hour postprandial blood glucose,glomerular filtration rate,6-minute walk distance,and scores across five dimensions of intrinsic capacity:mobility,cognition,psychology,vitality,and sensation.After 12 weeks of intervention,the experimental group demonstrated significantly higher scores than the control group in glomerular filtration rate,6-minute walk distance,and the dimensions of mobility,cognition,and vitality within intrinsic capacity,with all differences being statistically significant(p<0.05).Conversely,the experimental group showed significantly lower scores than the control group in fasting blood glucose,2-hour postprandial blood glucose,and the psychological dimension of intrinsic capacity,with these differences also being statistically significant(p<0.05).Conclusion:Continuous nursing care utilizing telemedicine based on a hospital-community-family model combined with exercise intervention can effectively enhance exercise tolerance and intrinsic capacity in elderly patients with diabetes mellitus complicated by chronic kidney disease,thereby improving their quality of life.The effectiveness of the intervention is positively correlated with the duration of the intervention.
基金funded by the College Students’Innovation and Entrepreneurship Program(X2024110650385).
文摘Background:Intrinsic capacity reflects the overall health status of older adults and decline in intrinsic abilities can lead to adverse health outcomes.However,empirical studies examining the association between digital health literacy,health-promoting lifestyles and intrinsic capacity are scarce.Methods:A cross-sectional study was conducted.Using convenience sampling method,371 older adults were recruited from communities.Multidimensional intrinsic capacity,digital health literacy,health promoting lifestyle and sociodemographic information were measured.Results:The intrinsic capacity of older adults scored 3.75±1.10.The prevalences of declined cognitive capacity,psychological capacity,sensory capacity,vitality,and locomotor capacity were 13.7%,24.3%,19.1%,14.8%,53.1%,respectively.The multiple regression analysis revealed that age(β=−0.253),only living with children and/or grandchildren(β=0.249),current working status(β=−0.132),number of chronic diseases(β=−0.149),frequency of Internet usage(β=0.193),the domain of ability to acquire and evaluate digital health information(β=0.197)in digital health literacy,and the domain of nutrition(β=0.171)in health-promoting lifestyle were the significant factors influencing intrinsic capacity,explaining 27.1%of the variance.Conclusion:Digital health literacy and health-promoting lifestyle have a significant impact on intrinsic capacity.Enhancing digital health literacy and advocating a health-promoting lifestyle are critical to promoting intrinsic capacity for community-dwelling older adults.
基金China Health and Retirement Longitudinal Study(CHARLS)the 2022-2023 Nursing Research Project of Chinese Medical Association Publishing House(Grant No.CMAPH-NRD2022024)。
文摘Background:The trajectory of intrinsic capacity(IC)among the older population is characterized by its diversity and is predictive of adverse health outcomes such as disability,nursing home admission,decline in quality of life,and mortality.Gaining an understanding of the trajectory of IC and the factors that influence it is of paramount importance for fostering healthy aging.This research is focused on exploring the trajectory of IC among older adults in China and examining the factors that influence it.Methods:This observational longitudinal cohort study leveraged data from the China Health and Retirement Longitudinal Study(CHARLS),which was conducted in the years 2011,2013,and 2015.For the purpose of this analysis,a total of 2,233 participants who were aged 60 and over were included.A Growth Mixture Model(GMM)was utilized to define trajectory categories for IC.Influential factors were ascertained based on the health ecology model,and binary logistic regression analysis was utilized to investigate the factors linked with the different trajectory categories.Results:Two distinct trajectory classes of IC were identified:Class 1,the normal-stable group,encompassed 90.4%of the elderly population,while Class 2,the declining group,made up 9.6%.Advanced age and a history of stroke were found to be significantly associated with Class 2.High scores in activities of daily living(ADL),employment status,receiving primary or junior high school education,and residence in the East or Central regions of China were significantly linked with Class 1.Conclusion:The trajectory of IC among older Chinese adults is marked by its heterogeneity.Advanced age and a history of stroke are significant risk factors for a declining IC trajectory,while higher ADL scores,being employed,receiving primary or junior high school education,and residing in the East or Central regions of China are protective factors associated with a stable IC trajectory.Healthcare institutions must closely monitor IC levels and understand these trajectory patterns to implement personalized and targeted interventions promptly to maintain IC at a healthy level and advocate for healthy aging.
基金support,in part,by National Institutes of Health Grant(R56AG067724)and the Travis M.Roy Endowed Professor in Rehabilitation Sciences to LVT.
文摘The prevalence of frailty across the world in older adults is increasing dramatically and having frailty places a person at increased risk for many adverse health outcomes,including impaired mobility,falls,hospitalizations,and mortality.Globally,the concept of frailty is gaining attention and the scientific field has made great strides in identifying and conceptually defining frailty through consensus conferences,in advancing the overall science of frailty by drawing on basic science discoveries including concepts surrounding the hallmarks of aging,resilience,and intrinsic capacities,and in identifying the many challenges faced by professionals within diverse clinical settings.Currently,it is thought that frailty is preventable,thus the identification of a person's degree of frailty is vital.Identification of frailty is achievable through widely used frailty screening tools,which are valid,reliable,and easy to use.Following the identification of a person's degree of frailty,targeted intervention strategies,such as physical activity programs must be implemented.In this perspective,we provide a historical perspective of the frailty field since the last quarter of the 20th century to present.We identify the proposed underlying patho-physiology of multiple physiological systems,including compromised homeostasis and resilience.Next,we outline the available screening tools for frailty with a physical performance assessment and highlight specific benefits of physical activity.Lastly,we discuss current scientific evidence supporting the physical activity rec-ommendations for the aging population and for older adults with frailty.The goal is to emphasize early detection of frailty and stress the value of physical activity.
基金supported by research grants to SL from NIH(1R21NS066114,1R01NS079432 and 1R01EY024575)Christopher&Dana Reeve Foundation(LA1-1002-2)Shriners Research Foundation(86300)
文摘The intrinsic growth ability of all the neurons declines during development although some may grow better than others. Numerous intracellular signaling proteins and transcription factors have been shown to regulate the intrinsic growth capacity in mature neurons. Among them, PI3 kinase/Akt pathway is important for controlling axon elongation. As a negative regulator of this pathway, the tumor suppressor phosphatase and tensin homolog （PTEN） appears critical to con- trol the regenerative ability of young and adult neurons. This review will focus on recent research progress in axon regeneration and neural repair by PTEN inhibition and therapeutic potential of blocking this phosphatase for neurological disorders. Inhibition of PTEN by deletion in con- ditional knockout mice, knockdown by short-hairpin RNA, or blockade by pharmacological approaches, including administration of selective PTEN antagonist peptides, stimulates various degrees of axon regrowth in juvenile or adult rodents with central nervous system injuries. Im- portantly, post-injury PTEN suppression could enhance axonal growth and functional recovery in adult central nervous system after injury.
基金financially supported by the National Natural Science Foundation of China (Nos. 52172221, 21902113, and 51920105005)the Natural Science Foundation of Jiangsu Province (BK20200101)+6 种基金the National Key R&D Program of China (2021YFF0502000)the National Postdoctoral Program for Innovative Talents (BX20220222)the China Postdoctoral Science Foundation (2021M702388)Jiangsu Funding Program for Excellent Postdoctoral Talent (2022ZB564)Suzhou Key Laboratory of Functional Nano&Soft Materials,Collaborative Innovation Center of Suzhou Nano Science&Technologythe “111” ProjectJoint International Research Laboratory of Carbon-Based Functional Materials and Devices
文摘To alleviate the energy crisis and global warming,photothermal catalysis is an attractive way to effi ciently convert CO_(2)and renewable H_(2) into value-added fuels and chemicals.However,the catalytic performance is usually restricted by the trade-off between the dispersity and light absorption property of metal catalysts.Here we demonstrate a simple SiO 2-protected metal-organic framework pyrolysis strategy to fabricate a new type of integrated photothermal nanoreactor with a comparatively high metal loading,dispersity,and stability.The core-satellite structured Co@SiO_(2)exhibits strong sunlight-absorptive abil-ity and excellent catalytic activity in CO_(2)hydrogenation,which is ascribed to the functional separation of diff erent sizes of Co nanoparticles.Large-sized plasmonic Co nanoparticles are mainly responsible for the light absorption and conversion to heat(nanoheaters),whereas small-sized Co nanoparticles with high intrinsic activities are responsible for the catalysis(nanoreactors).This study provides a new concept for designing effi cient photothermal catalytic materials.
