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FRAILTY IN COMMUNITY-DWELLING SOUTHWEST OLD CHINESE: PREVALENCE AND RISK FACTOR ANALYSIS

机译:居住在西南古汉语中的脆弱性:患病率和风险因素分析

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摘要

Objective: As frailty is a predictor of variety poor outcomes in old populations, we conducted a survey from January through June 2014 to estimate the prevalence and risk factor of frailty in community-dwelling Chinese aged 65 and over.Methods: In this cross-sectional study, 20 communities were selected from total 60 communities which covered by Pinyi Community Health Service Center by cluster sampling method and residents aged 65 years and over participated this survey. Frailty was measured by “FRAIL”, demographic characteristics, medical history and drug using and ADL, IADL, MMSE, mood disorder, MNA, polypharmacy, pain scale, were also assessed.Results: Up to 1117 residents participated in this survey. Average age were 73.25 ± 6.51 (range 65 to103), and 436(39%) were male. The prevalence of frailty, pre-frailty and robust were 5.7% (64), 36.8% (411), 57.5% (642), respectively. Aging (OR 1.037 for every 1 year old), with pain (OR 2.089), vision decreasing (OR 2.567), MNA<12 (OR 1.657) and ≥4 medicine (OR 2.694) were associated with pre-frailty, While with pain (OR 1.946), MMSE<18 (OR 2.262), vision decreasing (OR 2.438) and MNA<12 (OR 6.164) were associated with frailty.Conclusion: Using “FRAIL” scale, the prevalence of frailty and pre-frailty in southwest China was lower than Australia, but was similar with the United States. Pain, cognitive impairment, vision decreasing and malnutrition were risk factors for the both pre- frailty and frailty.
机译:目的:由于体弱是老年人口多种多样的不良结局的预测因素,因此我们于2014年1月至2014年6月进行了一项调查,以估算65岁及65岁以上居住在社区的华人的体弱性患病率和危险因素。研究通过整群抽样的方法,从Pinyi社区卫生服务中心覆盖的60个社区中选择了20个社区,年龄在65岁以上的居民参加了该调查。通过“ FRAIL”对脆弱性进行测量,人口统计学特征,病史和吸毒情况,并评估ADL,IADL,MMSE,情绪障碍,MNA,多药房,疼痛量表。结果:多达1117名居民参加了该调查。平均年龄为73.25±6.51(范围65至103),男性436(39%)。身体虚弱,虚弱和健壮的患病率分别为5.7%(64),36.8%(411),57.5%(642)。衰老(每1岁儿童为OR 1.037),疼痛(OR 2.089),视力下降(OR 2.567),MNA <12(OR 1.657)和≥4药物(OR 2.694)与体弱相关,而伴有疼痛(OR 1.946),MMSE <18(OR 2.262),视力下降(OR 2.438)和MNA <12(OR 6.164)与体弱相关。中国低于澳大利亚,但与美国相似。疼痛,认知障碍,视力下降和营养不良都是脆弱和脆弱的危险因素。

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