HALST專區
- HALST計畫
- 研究成果
- 衛教資源
- 聯絡資訊
HALST計畫
台灣中老年健康因子及健康老化長期研究
Healthy Aging Longitudinal Study in Taiwan(HALST)
在2019年男性的平均壽命達到77.7歲,女性達到84.2歲,由於壽命的延展,台灣的人口逐漸老化,目前65歲以上的人佔全人口的14.1%。這個比率將逐漸增加,在2026年時估計將達到全人口的21.2%。人口老化相繼而來的通常是慢性病及老人症候群的盛行率增加,進而提高國家醫療成本。
本計畫是一個多中心長期追蹤的研究計畫,本研究重視人口老化的公共衛生議題,因此,自2009 年起,於北、中、南、東,共七個地區,針對55 歲以上中老年人進行長期追蹤調查。除了每五至六年一次的家庭訪視與健康檢查外,期間每一年也會利用電話訪視追蹤個案的健康情形與變化。由於本計畫原追蹤世代的年齡層隨著追蹤年數增加而增加,以及個案數因為遷徙、疾病或死亡等因素而流失或減少,為維持本計畫之代表性,故於2023年起建立新的追蹤世代。
研究內容包含個人人口學基本變項與生活型態、飲食運動習慣、認知功能、精神狀態評估、身體活動功能、慢性病狀況生化檢查、生物標記,以及基因和環境相關因子等,以了解中老年健康老化之生理、心理與社會功能的狀態與相互影響情形。因此規劃延緩老化失能的策略,提供政策參考並促進銀髮族健康。
參考文獻:
- Hsu CC, Chang HY, Wu IC, Chen CC, Tsai HJ, Chiu YF, Chuang SC, Hsiung WC, Tsai TL, Liaw WJ, Lin IC, Shen SC, Juan CC, Lien LM, Lee M, Chen YI, Liu K and Hsiung CA: Cohort Profile: The Healthy Aging Longitudinal Study in Taiwan (HALST). Int J Epidemiol 2017, 46(4):1106-1106j.
圖片來源:Image by pch.vector on Freepik
研究目的
本計畫將可提供政策制定者將資源分配於促進健康生活型態上,以使得老年人能延緩罹病和失能開始的時間,維持高品質的生活並降低醫療成本。
執行重點:
- 影響中老年人身體功能、衰弱症(含相關疾病狀態)及其變化之因子之研究
- 健康的生活型態對中老年人心血管及代謝疾病與癌症的預防,以及生活品質與身體活動功能所帶來的益處之研究
- 中老年人心血管及代謝症候群個人與環境層次之危險因子之研究
- 中老年人精神疾患之相關因子及其對健康影響之研究
- 中老年人衰老/成功老化及相關慢性病的生物、遺傳標記與環境因子之研究
- 建置高齡低劑量斷層掃描(GOLD-CT,Geriatric Observation LDCT)
特點:
- 參與者具全國城鄉之差異性,長期追蹤超過12年,串聯衛生福利資料科學中心(含健保資料檔、死亡檔、癌登癌篩檔等),各項與健康相關的結果完整、可信度高。
研究方法
原追蹤世代:
針對第一期所收錄的55 歲以上中老年人進行長期追蹤調查,每五至六年一次的家庭訪視與健康檢查,各期之間進行三次電話追蹤訪視(每一至二年一次),並串聯衛生福利資料科學中心,追蹤期間發生的醫療服務使用、新發之健康相關事件、死亡等資訊。
新追蹤世代:
依照原追蹤世代的標準作業流程執行,進行長期追蹤調查。
研究對象
原追蹤世代: 長期追蹤5663位北中南東七家醫院附近社區55歲以上中老年人(第一期)
世代建立及追蹤
研究團隊
計畫名稱:台灣中老年健康因子及健康老化長期研究
執行單位:財團法人國家衛生研究院
研究團隊(依姓名筆劃排序):
王貞予、
吳其炘、
吳易謙、
吳銘庭、
許文俐、
陳主智、
張新儀、
莊淑鈞、
莊紹源、
鄭婉汝、
賴瑞華、
鍾仁華等
規劃期顧問教授(依姓名筆劃排序):
李明瑱、
梁賡義、
劉江、
Dilip V. Jeste、
Jack M. Guralnik、
Luigi Ferrucci
合作醫院(依計畫執行順序排列):
苗栗:梓榮醫療社團法人弘大醫院
嘉義:衛生福利部朴子醫院
楊梅:怡仁綜合醫院
彰化:彰化基督教醫療財團法人彰化基督教醫院
秀傳醫療社團法人秀傳紀念醫院
花蓮:臺灣基督教門諾會醫療財團法人門諾醫院
高雄:阮綜合醫療社團法人阮綜合醫院
台北:新光醫療財團法人新光吳火獅紀念醫院
研究助理(依姓名筆劃排序):
方耀輝(博士後研究員)、王甄、吳瑞欽、吳翠如、林星妤、林憲志、陳美智、陳惠玲、陳蕾娜、曾暐婷、鄭秋汶、賴玫均、賴萬銓
暨多位曾參與本計畫之工作同仁及訪視人員(略)
研究成果
- 聽科學Podcast: 要活就要動,您今天有「動」對了嗎?(下) 國家衛生研究院電子報 2024-10-31
- 聽科學Podcast: 要活就要動,您今天有「動」對了嗎?(上) 國家衛生研究院電子報 2024-10-18
- 中老年女性高度勞動 國衛院研究:失能餘命增加 自由健康網 2024-08-15
- 家務也要注意 中高齡女週勞動逾310分鐘恐損健康 中央社 2024-07-12
- 體力活動對中老年人健康餘命與失能餘命的影響 國家衛生研究院電子報 2024-06-13
- 老年期白血球粒線體去氧核醣核酸拷貝數與慢性發炎之關聯性 國家衛生研究院電子報 2024-07-04
- 憂鬱症提高衰弱症發生風險!國衛院:應關注老年憂鬱症預防與治療 HEHO健康 2022-07-05
- 憂鬱症會提高衰弱症的發生風險 國家衛生研究院電子報 2022-06-30
- 糖化血色素濃度偏高和偏低,可能透露衰老速度警訊 衛生福利部新聞 2019-01-18
- 健檢時注意這數值 國衛院研究:它透露身體衰老速度 自由健康網 2019-01-18
- 老年人糖化血色素與身體功能長期改變之間的矛盾關係:一項前瞻性的世代研究 國家衛生研究院電子報 2018-12-06
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聯絡資訊
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