Association between frailty and lifestyle factors among middle-aged and elderly populations
LIN Jingjing1, DU Yushan2, LIANG Mingbin1, CHEN Xiangyu1, HE Qingfang1, XU Hui3, QIN Jiasheng3, LU Feng1, WANG Lixin1, ZHONG Jieming1, FANG Le1
1. Department of Non-communicable Disease Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China; 2. Peking University, Beijing 100191, China; 3. Changxing Center for Disease Control and Prevention, Changxing, Zhejiang 313199, China
Abstract：Objective To examine the correlation between frailty and lifestyle factors among middle-aged and elderly populations, so as to provide insights into the management of frailty among middle-aged and elderly populations. Methods Middle-aged and elderly residents at ages of 45 ot 69 years were recruited using the convenient sampling method from seven townships in Changxing County of Zhejiang Province from 2019 to 2020. The demographic characteristics and lifestyle factors were collected using questionnaires, and the frailty was measured using the Chinese version of Tilburg Frailty Indicator ( TFI ). Factors affecting frailty were identified among middle-aged and elderly populations using the multivariable logistic regression model. Results A total of 7 170 residents were surveyed, including 2 780 males ( 38.77% ) and 4 390 females ( 61.23% ), which had a median age of 56 (interquartile range, 10) years. The median frailty score was 2 (interquartile range, 3 ) among the study subjects, and the median frailty score was 2 ( interquartile range, 2 ) among residents at ages of 45 to 59 years, and 2 (interquartile range, 3) among residents at ages of 60 to 69 years. The overall detection of frailty was 16.07%, and the detection of frailty was 13.52% among subjects at ages of 45 to 59 years and 21.01% among subjects at ages of 60 to 69 years. Multivariable logistic regression analysis identified physical activity ( OR=0.826, 95%CI: 0.719-0.949 ) and sleep quality ( OR: 3.376-11.493, 95%CI: 2.907-15.808 ) as factors affecting frailty among middle-aged and elderly residents. Following age stratification, physical activity ( OR=0.817, 95%CI: 0.681-0.981 ) and sleep quality ( OR: 3.076-11.566, 95%CI: 2.518-18.216 ) as factors affecting frailty among subjects at ages of 45 to 59 years, while sleep quality ( OR: 3.777-11.827, 95%CI: 3.002-18.547 ) significantly correlated with frailty among residents at ages of 60 to 69 years. Conclusion Physical activity and sleep quality are associated with the risk of frailty among middle-aged and elderly populations.
林静静, 杜雨珊, 梁明斌, 陈向宇, 何青芳, 许辉, 秦家胜, 陆凤, 王立新, 钟节鸣, 方乐. 中老年人衰弱与生活行为因素的关联研究[J]. 预防医学, 2022, 34(3): 263-267.
LIN Jingjing, DU Yushan, LIANG Mingbin, CHEN Xiangyu, HE Qingfang, XU Hui, QIN Jiasheng, LU Feng, WANG Lixin, ZHONG Jieming, FANG Le. Association between frailty and lifestyle factors among middle-aged and elderly populations. Preventive Medicine, 2022, 34(3): 263-267.
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