Arnau Anna, Espaulella Joan, Serrarols Marta, Canudas Judit, Formiga Francesc, Ferrer Montserrat
Unitat de Innovació i Recerca, Althaia, Xarxa Assistencial de Manresa, Manresa, Barcelona, España.
Gac Sanit. 2012 Sep-Oct;26(5):405-13. doi: 10.1016/j.gaceta.2011.09.035. Epub 2012 Feb 18.
To identify the factors associated with functional status in a population aged ≥ 75 years without severe dependence.
A cross-sectional study of a random sample (n = 315) of elderly persons in a primary care setting (El Remei Primary Care Center, Vic, Barcelona, Spain) was carried out. Functional status was evaluated by three physical performance tests: the Guralnik chair stand test of lower limb function, Lawton-Brody's index of instrumental activities of daily living (IADL), and the Barthel index of basic activities of daily living (BADL). A backward multiple linear regression model was used to analyze the association of sociodemographic and clinical variables with functional status.
The mean age was 81.9 years and 60.6% were female. Around 50% of elderly patients without total dependence showed disability for IADL and a third showed lower limb functional limitation. The variables associated with lower limb functional status were marital status, body mass index, number of drugs, and vision and hearing impairment (R(2) = 0.208). The variables associated with IADL were age, cognitive impairment, vision and hearing impairment, and lower limb functional limitation (R(2) = 0.434). The variables associated with the Barthel index were age, sex, poor self-perceived health, and lower limb functional limitation (R(2) = 0.389).
The risk factors associated with functional status in our population ≥ 75 years of age without severe dependence were the number of drugs and sensory impairment.
确定在年龄≥75岁且无严重依赖的人群中与功能状态相关的因素。
对西班牙巴塞罗那维克市埃尔雷梅伊初级保健中心的老年人随机样本(n = 315)进行了一项横断面研究。通过三项身体机能测试评估功能状态:下肢功能的古拉尔尼克椅子站立测试、日常生活工具性活动的劳顿 - 布罗迪指数(IADL)以及日常生活基本活动的巴氏指数(BADL)。采用向后多元线性回归模型分析社会人口统计学和临床变量与功能状态之间的关联。
平均年龄为81.9岁,女性占60.6%。在没有完全依赖的老年患者中,约50%的人在IADL方面存在残疾,三分之一的人存在下肢功能受限。与下肢功能状态相关的变量包括婚姻状况、体重指数、药物数量以及视力和听力障碍(R² = 0.208)。与IADL相关的变量包括年龄、认知障碍、视力和听力障碍以及下肢功能受限(R² = 0.434)。与巴氏指数相关的变量包括年龄、性别、自我感觉健康状况差以及下肢功能受限(R² = 0.389)。
在我们年龄≥75岁且无严重依赖的人群中,与功能状态相关的危险因素是药物数量和感觉障碍。