气象因素与跌倒关联的流行病学研究进展

Epidemiological research progress on association between meteorological factors and falls

  • 摘要: 跌倒是最常见的伤害之一,其发生率高且致残风险大,尤其对老年人的健康威胁最大。跌倒的发生受多种因素的影响,包括路面湿滑、气象条件和光线不足等环境因素。联合国政府间气候变化专门委员会(IPCC)第六次评估报告指出,近年来气候变化愈加明显,威胁着人群健康和生命。本文归纳了气温、降雨、霜冻、降雪等气象因素与跌倒关联的流行病学研究进展,发现大部分研究集中在气温与跌倒的关联研究,且不同的研究结果差别很大,其他气象因素与跌倒关联研究较少,气象因素与跌倒关联的机制也不清楚。因此今后要进一步加强大样本、多中心的研究以及多种气象因素复合暴露效应的研究,深入阐明气象因素与跌倒关联的机制,为更好地应对气候变化提供科学依据。

     

    Abstract: Falls are one of the most common injuries, with a high prevalence and risk of disability, which poses the greatest threat to the health of the elderly. Falls are influenced by a variety of factors, including environmental factors such as slippery pavements, poor meteorological conditions, and inadequate lighting. The Sixth Assessment Report of the United Nations Intergovernmental Panel on Climate Change (IPCC) stated that climate change has become more frequent and stronger in recent years, which may threat people's health and lives. This review summarized the progress of epidemiological studies on the association between meteorological factors (e.g. temperature, precipitation, frost, and snowfall) and falls, and found that most of the studies focused on the association between temperature and falls, and the results of different studies varied greatly. While the studies on the association between other meteorological factors and falls were relatively few. Moreover, the mechanisms behind the associations were unclear. Therefore, we point out that it is necessary to further conduct large-sample and multi-centre studies to evaluate the effects of exposure to multiple meteorological factors, and further to explore the mechanisms of the associations, which may provide scientific evidence for better response to climate change.

     

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