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Cardiovascular risk factors associated with frailty syndrome among hospitalized elderly people: a cross-sectional study

机译:住院老年人与体弱综合症相关的心血管危险因素:一项横断面研究

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CONTEXT AND OBJECTIVE: Identification of frailty syndrome and its relationship with cardiovascular risk factors among hospitalized elderly people is important, since this may contribute towards broadening of knowledge regarding this association within tertiary-level services. This study aimed to evaluate the cardiovascular risk factors associated with frailty syndrome among hospitalized elderly people. DESIGN AND SETTING: Observational cross-sectional study in a public teaching hospital. METHODS: The participants were elderly patients admitted to clinical and surgical wards. The cardiovascular risk factors assessed were: body mass index (BMI), waist circumference, systemic arterial hypertension (SAH), blood glucose, total cholesterol, high-density lipoproteins (HDL), low-density lipoproteins (LDL) and triglycerides. To identify frailty syndrome, the method proposed by Fried was used. The data were analyzed through descriptive statistics, chi-square test (P < 0.10) and multinomial logistic regression (P < 0.05). RESULTS: A total of 205 individuals were evaluated. It was found that 26.3% (n = 54) of the elderly people were frail, 51.7% (n = 106) were pre-frail and 22% (n = 45) were non-frail. The preliminary bivariate analysis (P < 0.10) for the regression model showed that frailty was associated with BMI (P = 0.016), LDL cholesterol (P = 0.028) and triglycerides (P = 0.093). However, in the final multivariate model, only overweight remained associated with the pre-frail condition (odds ratio, OR = 0.44; 95% confidence interval, CI = 0.20-0.98; P = 0.045). CONCLUSION: States of frailty were highly present in the hospital environment. The pre-frail condition was inversely associated with overweight.
机译:内容与目的:在住院的老年人中识别虚弱综合症及其与心血管危险因素的关系很重要,因为这可能有助于拓宽三级服务中有关这种关联的知识。这项研究旨在评估住院老年人与体弱综合症相关的心血管危险因素。设计与环境:在一家公共教学医院进行的横断面观察研究。方法:参与者为老年患者,其均接受了临床和外科病房的治疗。评估的心血管危险因素为:体重指数(BMI),腰围,全身性动脉高压(SAH),血糖,总胆固醇,高密度脂蛋白(HDL),低密度脂蛋白(LDL)和甘油三酸酯。为了识别虚弱综合症,使用了Fried提出的方法。通过描述性统计,卡方检验(P <0.10)和多项式逻辑回归(P <0.05)对数据进行分析。结果:总共评估了205个人。结果发现,26.3%(n = 54)的老年人是虚弱的,51.7%(n = 106)的老年人是虚弱的,22%(n = 45)的老年人是虚弱的。回归模型的初步双变量分析(P <0.10)显示,体弱与BMI(P = 0.016),LDL胆固醇(P = 0.028)和甘油三酸酯(P = 0.093)有关。但是,在最终的多变量模型中,只有超重仍与体弱前条件相关(优势比,OR = 0.44; 95%置信区间,CI = 0.20-0.98; P = 0.045)。结论:脆弱状态在医院环境中高度存在。脆弱之前的状况与超重成反比。

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