Gale Catharine R, Cooper Cyrus, Sayer Avan Aihie
MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK Centre for Cognitive Ageing and Cognitive Epidemiology, Department of Psychology, University of Edinburgh, Edinburgh, EH8 9JZ, UK.
MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK.
Age Ageing. 2015 Jan;44(1):162-5. doi: 10.1093/ageing/afu148. Epub 2014 Oct 12.
to examine the prevalence of frailty and disability in people aged 60 and over and the proportion of those with disabilities who receive help or use assistive devices.
participants were 5,450 people aged 60 and over from the English Longitudinal Study of Ageing. Frailty was defined according to the Fried criteria. Participants were asked about difficulties with mobility or other everyday activities. Those with difficulties were asked whether they received help or used assistive devices.
the overall weighted prevalence of frailty was 14%. Prevalence rose with increasing age, from 6.5% in those aged 60-69 years to 65% in those aged 90 or over. Frailty occurred more frequently in women than in men (16 versus 12%). Mobility difficulties were very common: 93% of frail individuals had such difficulties versus 58% of the non-frail individuals. Among frail individuals, difficulties in performing activities or instrumental activities of daily living were reported by 57 or 64%, respectively, versus 13 or 15%, respectively, among the non-frail individuals. Among those with difficulties with mobility or other daily activities, 71% of frail individuals and 31% of non-frail individuals said that they received help. Of those with difficulties, 63% of frail individuals and 20% of non-frail individuals used a walking stick, but the use of other assistive devices was uncommon.
frailty becomes increasingly common in older age groups and is associated with a sizeable burden as regards difficulties with mobility and other everyday activities.
研究60岁及以上人群中虚弱和残疾的患病率，以及残疾人群中接受帮助或使用辅助器械的比例。
研究对象为来自英国老龄化纵向研究的5450名60岁及以上人群。根据弗里德标准定义虚弱。询问参与者在行动或其他日常活动方面是否存在困难。对有困难的参与者询问他们是否接受帮助或使用辅助器械。
虚弱的总体加权患病率为14%。患病率随年龄增长而上升，从60 - 69岁人群中的6.5%升至90岁及以上人群中的65%。女性比男性更易出现虚弱（分别为16%和12%）。行动困难非常普遍：93%的虚弱个体有此类困难，而非虚弱个体中这一比例为58%。在虚弱个体中，分别有57%或64%报告在进行日常活动或工具性日常生活活动时有困难，而非虚弱个体中这一比例分别为13%或15%。在行动或其他日常活动有困难的人群中，71%的虚弱个体和31%的非虚弱个体表示他们接受了帮助。在有困难的人群中，63%的虚弱个体和20%的非虚弱个体使用了拐杖，但其他辅助器械的使用并不常见。
虚弱在老年人群中越来越普遍，并且在行动和其他日常活动困难方面带来了相当大的负担。
