Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas 77555-0460, USA.
J Womens Health (Larchmt). 2009 Oct;18(10):1647-51. doi: 10.1089/jwh.2008.1083.
To examine the association between frailty and 10-year mortality among older men and women of Mexican American origin.
Data were collected from 1995-1996 through 2004-2005 among community-dwelling Mexican Americans aged >or=65 years as part of the Hispanic Established Population for the Epidemiologic Study of the Elderly (HEPESE). A standardized frailty measure based on weight loss, exhaustion, grip strength, walking speed, and physical activity was computed. Data were collected on sociodemographics and health characteristics, comorbidities, and performance-based functional measure.
The sample was 59% female, and mean baseline age was 74.5 years of (SD 6.06) at baseline. Hazard ratios (HR) indicated an increased mortality risk in frail men (HR = 3.04, 95% CI 2.16-4.28) compared with frail women (HR = 1.92, 95% CI 1.39-2.65).
Frailty is an independent predictor of mortality among older men and women of Mexican American origin. This association was found to be stronger among men after adjusting for age, marital status, education, body mass index (BMI), health behaviors, and medical conditions.
探讨墨西哥裔美国老年人衰弱与 10 年死亡率之间的关系。
数据收集于 1995-1996 年至 2004-2005 年期间，社区居住的年龄大于或等于 65 岁的墨西哥裔美国人作为西班牙裔老年人流行病学研究（HEPESE）的一部分。根据体重减轻、疲劳、握力、步行速度和身体活动计算了基于标准的衰弱衡量标准。收集了社会人口统计学和健康特征、合并症和基于表现的功能测量数据。
样本中 59%为女性，基线时的平均年龄为 74.5 岁（SD 为 6.06）。风险比（HR）表明，与虚弱的女性（HR=1.92，95%CI1.39-2.65）相比，虚弱的男性（HR=3.04，95%CI2.16-4.28）死亡风险增加。
衰弱是墨西哥裔美国老年人死亡的独立预测因素。在调整年龄、婚姻状况、教育程度、体重指数（BMI）、健康行为和医疗状况后，这种关联在男性中更为明显。
