Abstract:Objective To analyze the factors affecting frailty among convalescent elderly population, so as to provide the evidence for prevention and treatment of frailty. Methods The convalescent elderly population at ages of 60 years and older were selected from the Wuyunshan Hospital in Hangzhou City using the convenience sampling method from April 2022 to April 2024. Demographic information, chronic disease and medication were collected using questionnaire survey. Frailty was assessed using the FRAIL Scale. Factors affecting frailty among convalescent elderly population were analyzed using a multivariable ordinal logistic regression model. Results A total of 1 050 questionnaires were distributed, and 1 023 valid questionnaires were collected, with a response rate of 97.43%. There were 793 males (77.52%) and 230 females (22.48%); 192 respondents aged 60 to <70 years (18.77%), 431 respondents aged 70 to <80 years (42.13%) and 400 respondents aged ≥80 years (39.10%); 718 respondents with university degree (70.19%); 890 respondents with a monthly income of 10 000 yuan to <20 000 yuan (87.00%); 130 respondents with comorbidity and polypharmacy (12.71%); and 197 respondents with the risk of malnutrition (19.26%). There were 202 cases with pre-frailty (19.75%) and 47 cases with frailty (4.59%). Multivariable ordinal logistic regression analysis showed that the convalescent elderly population who were aged ≥80 years (OR=3.710, 95%CI: 2.340-5.883), with comorbidity and polypharmacy (OR=12.370, 95%CI: 7.949-20.369) and with the risk of malnutrition (OR=5.414, 95%CI: 3.691-7.933) had higher risk of frailty. Conclusion The high risk of frailty among convalescent elderly population is associated with age, comorbidity and polypharmacy, and malnutrition.
[1] 中华医学会老年医学分会,《中华老年医学杂志》编辑委员会.老年人衰弱预防中国专家共识(2022)[J].中华老年医学杂志,2022,41(5):503-511. [2] 马丽娜,陈彪.老年人衰弱综合征的研究现状及发展趋势[J].中华老年医学杂志,2020,39(4):369-372. [3] 林静静,杜雨珊,梁明斌,等.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. [4] HANLON P,NICHOLL B I,JANI B D,et al.Frailty and prefrailty in middle-aged and older adults and its association with multimorbidity and mortality:a prospective analysis of 493 737 UK Biobank participants[J].Lancet Public Health,2018,3(7):323-332. [5] 冯青青,边萌,杜毓锋.社区老年人衰弱情况及其影响因素研究[J].中国全科医学,2021,24(24):3032-3038. [6] 王晓薇,许艳岚.老年2型糖尿病患者认知衰弱风险预测研究[J].预防医学,2023,35(12):1037-1042. [7] 钱玥,骆宏,范为群.疗休养老年人群健康素养调查[J].浙江预防医学,2015,27(5):527-528. [8] 况艺,王安妮.社区老年人个体弹性和家庭弹性与衰弱的相关性研究[J].护士进修杂志,2024,39(7):691-696. [9] RUBENSTEIN L Z,HARKER J O,SALVÀ A,et al.Screening for undernutrition in geriatric practice:developing the Short-Form Mini-Nutritional Assessment(MNA-SF)[J].J Gerontol A Biol Sci Med Sci,2001,56(6):366-372. [10] LAWTON M P,BRODY E M.Assessment of older people:selfmaintaining and instrumental activities of daily living[J].Gerontologist,1969,9(3):179-186. [11] DE FATIMA RIBEIRO SILVA C,OHARA D G,MATOS A P,et al.Short physical performance battery as a measure of physical performance and mortality predictor in older adults:a comprehensive literature review[J].Int J Environ Res Public Health,2021,18(20):1-15. [12] VAN KAN G A,ROLLAND Y,BERGMAN H,et al.The I.A.N.A.Task Force on frailty assessment of older people in clinical practice[J].J Nutr Heal Aging,2008,129(1):29-37. [13] 朱鸣雷,刘晓红,董碧蓉,等.老年共病管理中国专家共识(2023)[J].中国临床保健杂志,2023,26(5):577-584. [14] 朱晓,范文婷.中国老年人收入贫困状况及其影响因素研究——基于2014年中国老年社会追踪调查[J].北京社会科学,2017(1):90-99. [15] HE B,MA Y,WANG C,et al.Prevalence and risk factors for frailty among community-dwelling older people in China:a systematic review and meta-analysis[J].J Nutr Health Aging,2019,23(5):442-450. [16] 秦丽,梁珍珍,葛立宾,等.社区老年衰弱综合征的影响因素研究[J].中国全科医学,2020,23(5):598-603. [17] 奚兴,郭桂芳.社区老年人衰弱现状及其影响因素研究[J].中国护理管理,2014,14(12):1315-1319. [18] 李惊鸿,黄欢欢,谢颖,等.369例重庆社区高血压老年患者衰弱与营养不良共病现状及影响因素分析[J].护理学报,2021,28(22):70-74. [19] KOJIMA G,ILIFFE S,TANIGUCHI Y,et al.Prevalence of frailty in Japan:a systematic review and meta-analysis[J].J Epidemiol,2017,27(8):347-353. [20] MA L N,TANG Z,ZHANG L,et al.Prevalence of frailty and associated factors in the community-dwelling population of China[J].J Am Geriatr Soc,2018,66(3):559-564. [21] 林洋,王芳,王寒,等.老年共病患者衰弱患病率的Meta分析[J].中国全科医学,2023,26(25):3185-3193. [22] SAUM K U,SCHOETTKE B,MEID A D,et al.Is polypharmacy associated with frailty in older people? Results from the ESTHER cohort study[J].J Am Geriatr Soc,2017,65(2):27-32. [23] ZHENG Z,GUAN S C,DING H,et al.Prevalence and incidence of frailty in community-dwelling older people:Beijing Longitudinal Study of AgingⅡ[J].J Am Geriatr Soc,2016,64(6):1281-1286. [24] 刘欣艺,乔晓霞,金雅茹,等. 营养不良在社区老年人抑郁和衰弱之间的中介作用[J].中国老年学杂志,2019,29(18):4592-4595. [25] 王艳红,李雯艳,任晶晶,等.社区老年人衰弱与营养状况关系的研究[J].中华临床营养杂志,2021,29(1):8-13. [26] 武静,王春艳,魏周霞,等.营养干预与老年衰弱相关性的研究进展[J].国际老年医学杂志,2022,43(4):483-486. [27] 郁阿翠,陈喜,杨萌娜,等.老年人营养不良状况及影响因素分析[J].实用老年医学,2022,36(8):822-826,832.