Aging Investigation Center, Universidad de San Martin de Porres, Peru; Peruvian Naval Medical Center, Callao, Peru.
Arch Gerontol Geriatr. 2014 Jan-Feb;58(1):69-73. doi: 10.1016/j.archger.2013.07.005. Epub 2013 Aug 8.
The objective of this study is to examine the prevalence and factors associated with frailty in Peruvian Navy Veteran's older adults and family members. A total of 311 non-institutionalized men and women aged 60 years and older, from the Geriatrics Service of the Peruvian Navy Medical Center (Centro Médico Naval "Cirujano Mayor Santiago Távara") were assessed between May and October 2010. Frailty was defined as having two or more of the following components: (1) unintentional weight-loss, (2) weakness (lowest 20% in grip-strength), (3) self-reported exhaustion, and (4) slow walking speed (lowest 20% 8-m walk-time in seconds). Additionally, information on socio-demographic factors, medical conditions, depressive symptoms, disability, and cognitive function were obtained. Of the 311 participants, 78 (25.1%) were not frail, 147 (47.3%) were pre-frail, and 86 (27.8%) were frail. Using logistic regression analysis, we found that older age, being married, falls in the last year and disability were factors significantly associated with being frail. We conclude that prevalence of pre-frail and frail status in Peruvian Navy Veterans and family members is high. Our data reports risk factors for frailty that have been reported in the past in other population groups. A larger sample and longitudinal follow-up are needed to design and implement comprehensive geriatric interventions that can benefit Peruvian Navy Veteran's older adults at risk of becoming frail.
本研究旨在探讨秘鲁海军退伍军人及其家庭成员中衰弱的流行情况和相关因素。2010 年 5 月至 10 月期间，对秘鲁海军医疗中心老年病科（Cirujano Mayor Santiago Távara 海军医学中心）的 311 名非住院的 60 岁及以上男女进行了评估。衰弱的定义为具有以下两个或更多个特征：（1）非故意体重减轻；（2）虚弱（握力最低 20%）；（3）自我报告的疲惫；（4）步行速度慢（8 米步行时间最低 20%）。此外，还收集了社会人口统计学因素、医疗状况、抑郁症状、残疾和认知功能的信息。在 311 名参与者中，78 人（25.1%）不衰弱，147 人（47.3%）为衰弱前期，86 人（27.8%）为衰弱。使用逻辑回归分析，我们发现年龄较大、已婚、过去一年跌倒和残疾是与衰弱相关的显著因素。我们得出结论，秘鲁海军退伍军人及其家庭成员中衰弱前期和衰弱状态的流行率很高。我们的数据报告了过去在其他人群中报告的衰弱风险因素。需要更大的样本和纵向随访，以设计和实施全面的老年病干预措施，使有衰弱风险的秘鲁海军退伍军人老年人受益。
