Gobbens R J J, van Assen M A L M, Luijkx K G, Wijnen-Sponselee M T, Schols J M G A
Instituut voor Gezondheidszorg, Hogeschool Rotterdam, Rotterdam, The Netherlands.
Tijdschr Gerontol Geriatr. 2012 Dec;43(6):296-307. doi: 10.1007/s12439-012-0043-8.
Frail elderly have a higher risk of adverse outcomes, e.g., hospitalization,institutionalization, or premature death. The Tilburg Frailty Indicator (TFI) is a validated questionnaire for measuring frailty in independently living older people aged 70 years and over.
Determining the prevalence of frailty among independently living young elderly, and examining which factors predict frailty among this target group.
308 young elderly (58 to 64 years) completed the TFI before they visited the ambulatory health screening centre in Roosendaal. The TFI includes questions concerning physical, psychological and social frailty, and questions on possible determinants of frailty.
18-4% of the sample of young elderly was frail. Women scored significantly higher on psychological and social frailty. The determinants explained 37% of the frailty score. As expected,low income, an unhealthy lifestyle, multimorbidity, experiencing life events, and dissatisfaction with the living environment predicted frailty. The three frailty domains(physical, psychological, social) were affected by different determinants.
A substantial part of the young elderly in the sample turned out to be frail. The finding that the three domains of frailty are predicted by different determinants underlines the importance the importance of a broad perspective regarding the functioning of the individual older person.
体弱的老年人出现不良后果的风险更高，例如住院、入住养老院或过早死亡。蒂尔堡衰弱指标（TFI）是一份经过验证的问卷，用于测量70岁及以上独立生活的老年人的衰弱情况。
确定独立生活的年轻老年人中衰弱的患病率，并研究哪些因素可预测该目标群体中的衰弱情况。
308名年轻老年人（58至64岁）在前往鲁森达尔的门诊健康筛查中心之前完成了TFI问卷。TFI包括有关身体、心理和社会衰弱的问题，以及关于衰弱可能的决定因素的问题。
年轻老年人样本中有18.4%的人衰弱。女性在心理和社会衰弱方面的得分显著更高。这些决定因素解释了37%的衰弱得分。正如预期的那样，低收入、不健康的生活方式、多种疾病、经历生活事件以及对生活环境的不满可预测衰弱。衰弱的三个领域（身体、心理、社会）受不同决定因素的影响。
样本中的很大一部分年轻老年人被证明是衰弱的。衰弱的三个领域由不同决定因素预测这一发现强调了从广泛角度看待个体老年人功能的重要性。
