Department of Internal Medicine, Division of Geriatrics, Istanbul Medical School, Istanbul University, Capa, Istanbul, Turkey.
Aging Male. 2013 Jun;16(2):67-72. doi: 10.3109/13685538.2013.771329. Epub 2013 Mar 6.
Functionality, comorbidities, polypharmacy, nutritional status and sarcopenia affect the prognosis of elderly excessively. These parameters are influenced by the population, living settings and age. We aimed to study these parameters in Turkish community-dwelling male elderly. We studied 274 male elderly ≥60 years of age admitted to our Geriatrics outpatient clinics. Mean age was 74.4 ± 7.1 years; 47.4% of the subjects were ≥75 years, 24.1% were ≥80 years. Mean activities-of-daily-living (ADL) and instrumental ADL (IADL) scores were 9.4 and 11.1, respectively. Patients with at least one-dependence at ADL-IADL were 22.6%-47.2%, and more than half-dependence at ADL-IADL were 2.8%-17.9%, respectively. Mean number of comorbidities were 2.6. Most common diagnosis was hypertension with 65%; mean number of drugs were 4.5; 55.3% were using ≥4 chronic drugs. Prevalences of malnutrition were 3.7%-6.9%, malnutrition risk were 23.5%-26.7% by the mini nutritional assessment test-long form and short form, respectively. Calf circumference was measured <31 cm in 10.5%. Our findings suggest that Turkish community-dwelling male elderly may have greater prevalences of functional dependence, sarcopenia but lower rates of malnutrition and similar rates of polypharmacy compared with the western developing countries and developed countries. This study emphasized the geographical differences in and/or between the individual countries highlighting the need for studies both country- and world-wide.
功能、合并症、多种用药、营养状况和肌肉减少症极大地影响了老年人的预后。这些参数受人群、居住环境和年龄的影响。我们旨在研究土耳其社区居住的老年男性的这些参数。我们研究了 274 名≥60 岁的男性老年患者,他们在我们的老年病门诊就诊。平均年龄为 74.4±7.1 岁;47.4%的患者≥75 岁,24.1%的患者≥80 岁。平均日常生活活动(ADL)和工具性日常生活活动(IADL)评分分别为 9.4 和 11.1。至少在一项 ADL-IADL 中依赖的患者比例为 22.6%-47.2%,在 ADL-IADL 中依赖程度超过一半的患者比例为 2.8%-17.9%。平均合并症数量为 2.6。最常见的诊断是高血压,占 65%;平均用药数为 4.5;55.3%的患者使用≥4 种慢性药物。营养不良的患病率为 3.7%-6.9%,根据微型营养评估测试长表和短表,营养不良风险分别为 23.5%-26.7%。小腿围<31cm 的占 10.5%。我们的研究结果表明,与西方发展中国家和发达国家相比,土耳其社区居住的老年男性可能具有更高的功能依赖、肌肉减少症患病率,但营养不良率较低,多种用药率相似。这项研究强调了个体国家之间和/或国家内部的地理差异,突出了在国家和全球范围内开展研究的必要性。