Section of Geriatric Medicine, Department of Medicine, and the Centre on Aging, University of Manitoba, Winnipeg, Manitoba, Canada.
Int Psychogeriatr. 2013 Oct;25(10):1709-16. doi: 10.1017/S1041610213000902. Epub 2013 Jul 8.
Frailty may be associated with reduced life satisfaction (LS). The objectives of this paper are to determine if (1) frailty is associated with LS in community-dwelling older adults in cross-sectional analyses; (2) frailty predicts LS five years later; and (3) specific domains of LS are preferentially associated with frailty.
This paper presents analysis of an existing population-based cohort study of 1,751 persons aged 65+ who were assessed in 1991, with follow-up five years later. LS was measured using the terrible-delightful scale, which measures overall LS and LS in specific domains. Frailty was measured using the Brief Frailty Instrument. Analyses were adjusted for age, gender, education, and marital status.
Frailty was associated with overall LS at time 1 and predicted overall LS at time 2. This was seen in unadjusted analyses and after adjusting for confounding factors. Frailty was associated with all domains of LS at time 1, and predicted LS at time 2 in all domains except housing and self-esteem. However, the effect was stronger for LS with health than with other domains for both times 1 and 2.
Frailty is associated with LS, and the effect is strongest for LS with health.
虚弱可能与生活满意度降低有关。本文的目的是确定：（1）在横断面分析中，虚弱是否与社区居住的老年人的生活满意度相关；（2）虚弱是否能预测五年后的生活满意度；（3）生活满意度的特定领域是否与虚弱更相关。
本文对一项现有的基于人群的队列研究进行了分析，该研究共纳入了 1751 名年龄在 65 岁及以上的参与者，他们在 1991 年进行了评估，随访五年。生活满意度使用可怕-愉快量表进行测量，该量表测量总体生活满意度和特定领域的生活满意度。虚弱使用简短虚弱量表进行测量。分析调整了年龄、性别、教育和婚姻状况等因素。
虚弱与第 1 次的总体生活满意度相关，并预测了第 2 次的总体生活满意度。这在未经调整的分析和调整了混杂因素后均得到了证实。虚弱与第 1 次的所有生活满意度领域相关，并预测了除住房和自尊外的所有领域的第 2 次生活满意度。然而，在第 1 次和第 2 次时，健康相关的生活满意度与其他领域相比，与虚弱的相关性更强。
虚弱与生活满意度相关，与健康相关的生活满意度相关性最强。
