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| Influencing factors for frailty among the elderly |
| JIN Lingling1, ZHANG Mingqing2, HUANG Chunyan1, FAN Wei1, WEI Xiaolin1, LU Yan1
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1. Department of Chronic Disease Control and Prevention, Suzhou Center for Disease Control and Prevention, Suzhou, Jiangsu 215000, China;
2. Nanjing Medical University, Nanjing, Jiangsu 211166, China |
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Abstract Objective To investigate the prevalence of frailty and its influencing factors among the elderly, so as to provide the evidence for prevention and control of frailty. Methods The elderly population at ages of 65 years and older were selected from 14 administrative villages or communities in Wuzhong District, Suzhou City, Jiangsu Province, using the random cluster sample method from July to November, 2022. Demographic information, smoking and alcohol consumption were collected through questionnaire surveys. Physical activity, sleep quality and frailty were evaluated using the International Physical Activity Questionnaire-Short, Pittsburgh Sleep Quality Index and the FRAIL Scale, respectively. Factors affecting frailty among the elderly were evaluated using a multinomial logistic regression model. Results A total of 8 782 elderly peolple were surveyed, including 4 259 males (48.50%) and 4 523 females (51.50%). The median age was 71.00 (interquartile range, 8.00) years. There were 2 145 cases with pre-frailty (24.42%) and 189 cases with frailty (2.15%). Multinomial logistic regression analysis showed that age (75-<85 years, OR=1.330, 95%CI: 1.186-1.492; ≥85 years, OR=2.452, 95%CI: 1.882-3.195), smoking (current smoking, OR=0.838, 95%CI: 0.714-0.983), physical activity level (low, OR=1.161, 95%CI: 1.010-1.333) and sleep quality (poor, OR=2.248, 95%CI: 1.822-2.774) were associated with pre-frailty; age (75-<85 years,OR=2.629, 95%CI: 1.921-3.596; ≥85 years, OR=3.067, 95%CI: 1.621-5.801), educational level (junior high school and above, OR=0.488, 95%CI: 0.298-0.798), body mass index (underweight, OR=1.848, 95%CI: 1.023-3.337; obesity, OR=1.798, 95%CI: 1.180-2.740), smoking (quit smoking, OR=1.787, 95%CI: 1.007-3.171; current smoking, OR=0.448, 95%CI: 0.242-0.830), alcohol consumption (yes, OR=0.532, 95%CI: 0.291-0.972), physical activity level (low, OR=2.757, 95%CI: 1.646-4.616) and sleep quality (poor, OR=3.911, 95%CI: 2.438-6.273) were associated with frailty. Conclusion Older, low physical activity level, poor sleep quality, underweight and obesity are associated with frailty of the elderly.
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Received: 21 June 2024
Revised: 08 October 2024
Published: 14 November 2024
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[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] 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.
[3] CHAGAS J M,SANTOS E H R,RONCHI C F,et al.Sleep and life quality in frail elderly:a narrative review[J].Sleep Sci,2023,16(1):102-116.
[4] ALQAHTANI B A.Association between physical frailty and sleep quality among Saudi older adults:a community-based,cross-sectional study[J/OL].Int J Environ Res Public Health,2021,18(23)[2024-10-08].https://doi.org/10.3390/ijerph182312741.
[5] MISHRA M,WU J,KANE A E,et al.The intersection of frailty and metabolism[J].Cell Metab,2024,36(5):893-911.
[6] 中华人民共和国卫生部.中国成人超重和肥胖症预防控制指南[M].北京:人民卫生出版社,2006.
[7] 樊萌语,吕筠,何平平.国际体力活动问卷中体力活动水平的计算方法[J].中华流行病学杂志,2014,35(8):961-964.
[8] 刘贤臣,唐茂芹,胡蕾,等.匹兹堡睡眠质量指数的信度和效度研究[J].中华精神科杂志,1996,29(2):103-107.
[9] 卫尹,曹艳佩,杨晓莉,等.老年住院患者衰弱综合征现状及影响因素[J].复旦学报(医学版),2018,45(4):496-502.
[10] 张月. 社区老年人衰弱的影响因素研究[D].长春:吉林大学,2023.
[11] 薛梦婷,姜荣荣,徐桂华,等.老年人衰弱的研究进展[J].中国老年学杂志,2021,41(8):1761-1765.
[12] 陈潇婷,卜小宁.吸烟与老年人衰弱的研究进展[J].中华全科医师杂志,2023,22(9):983-986.
[13] 王世强,郭凯林,吕万刚.体力活动对中国老年人衰弱的影响——基于中国健康与养老追踪调查的实证分析[J].成都体育学院学报,2023,49(5):114-122.
[14] LI Y,GAO Y,HU S,et al.Effects of multicomponent exercise on the muscle strength,muscle endurance and balance of frail older adults:a meta-analysis of randomised controlled trials[J].J Clin Nurs,2023,32(9/10):1795-1805.
[15] SUN X H,MA T,YAO S,et al.Associations of sleep quality and sleep duration with frailty and pre-frailty in an elderly population Rugao longevity and ageing study[J/OL].BMC Geriatr,2020[2024-10-08].https://doi.org/10.1186/s12877-019-1407-5.
[16] 刘文艳,吴炜炜.老年睡眠障碍与衰弱的相关性研究进展[J].中国康复理论与实践,2020,26(12):1435-1438.
[17] POURMOTABBED A,BOOZARI B,BABAEI A,et al.Sleep and frailty risk:a systematic review and meta-analysis[J].Sleep Breath,2020,24(3):1187-1197.
[18] 郭银宁,缪雪怡,蒋小曼,等.肿瘤患者衰弱影响因素的Meta分析[J].中国全科医学,2023,26(8):989-996.
[19] YUAN L L,CHANG M L,WANG J.Abdominal obesity,body mass index and the risk of frailty in community-dwelling older adults:a systematic review and meta-analysis[J].Age Ageing,2021,50(4):1118-1128.
[20] 何绍前,林先燕,周小艳,等.铜仁农村老年高血压患者的衰弱检出率及影响因素分析[J].黔南民族医专学报,2022,35(2):114-117. |
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