时间标签：数据日期 2026-10-31 · 生成时间 2026-11-01 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/10/28–2026/10/31 ｜ 情报发生日期 2026-10-31
研究问题
Population ageing is a major global public health challenge.；Evidence in older adults remains more limited, but available work supports its potential relevance to physical fitness and functional assessment in later life [].；However, these constructs are not necessarily central determinants of every physical or mental health outcome.
方法
Participants were recruited from community-based senior organizations and long-term care institutions.；Participants were eligible if they were able to understand study information, provide written informed consent, complete interviewer-administered questionnaires and safely participate in functional assessments.；Cognitive and physical eligibility screening was conducted by trained members of the author team, who had the professional qualifications required for the physical and questionnaire-based assessments.；Screening was based on structured interviewer-administered interaction, direct observation during recruitment and testing, and evaluation of whether participants could understand questions, follow instructions and safely perform the FMS and handgrip procedures.
核心结论
Institutionalized participants were significantly older than community-dwelling participants (81.10 ± 7.82 vs. 72.44 ± 6.17 years, p < 0.001).；Community-dwelling participants reported more frequent nature exposure, higher WHO-5 wellbeing and higher FMS scores than institutionalized participants.；Institutionalized participants reported higher religiosity and greater symptom burden. ‖ 结论：Second, the sample size was modest for cluster and network analyses, and these results should be interpreted as exploratory and hypothesis-generating.
局限
This study examined healthy ageing as a multidimensional, cross-sectional and exploratory construct in community-dwelling and institutionalized older adults.；Therefore, the present findings should be interpreted as evidence of a modest bivariate association that was attenuated in multivariable analysis, not as evidence of an independent or causal effect.；In the present cross-sectional study, these should be regarded as plausible intervention hypotheses rather than demonstrated effects.
对本项目的价值
★☆☆☆☆ 衰弱/肌少症是少有的已有监管认可终点的老年综合征，是临床转化的最短路径。设计 cross-sectional。
全文来源
PMC JATS 全文（正文 29,082 字符，已过标题/DOI 逐字归属校验）
原文题录
- 英文标题：Functional health, environmental engagement and mental wellbeing as interrelated components of healthy ageing: a cross-sectional comparative study of community-dwelling and institutionalized older adults.
- 期刊与标识：BMC Geriatr · PMID 42958487 · DOI 10.1186/s12877-026-08063-9
A 级证据分级：A 级（同行评议人体研究）
本文属人体研究证据，但需注意：观察性或小样本干预的结论不等于已证实临床获益；效应量与长期安全性仍需更大规模、更长随访的试验验证。
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