Research Division, Institute of Mental Health, Singapore.
Ministry of Health, Singapore.
Geriatr Gerontol Int. 2017 Oct;17(10):1444-1454. doi: 10.1111/ggi.12891. Epub 2016 Aug 31.
AIM: The present study examined the prevalence of frailty and its association with sociodemographic, clinical and social characteristics, and service utilization in a representative general population sample of Singaporean older adults. METHODS: A single-phase, cross-sectional survey was carried out in a nationally representative sample of 2102 Singapore residents aged 60 years and older. Five frailty parameters (weakness, slowness, exhaustion, low physical activity and/or unintentional weight loss) were measured to assess Fried's frailty phenotype to identify frail (meeting 3/5 criteria), prefrail (meeting 1 or 2 criteria) and non-frail (absence of all 5) older adults. On testing independent associations, multiple backward stepwise logistic regression analyses were carried out to identify the strongest correlates of frail states. RESULTS: The prevalence of frailty among the older adult population was found to be 5.7%. Sociodemographic, clinical and social characteristics differed significantly at an independent level by frailty status. A higher proportion of frail older adults had care needs (54.5%) compared to pre-frail (13.5%) and non-frail (2.2%), and poor social networks (58.8% vs prefrail [36.6%] and non-frail [28.6%]). Frail older adults also had significantly higher service utilization. Significant correlates of frail state were older age, poor social networks, having any care need, and a history of dementia, diabetes, cancer, respiratory problems or paralysis. CONCLUSIONS: Frailty is common among older adults in Singapore, and it correlates with many components at the person, health and societal levels, thus highlighting the importance of individual- and population-level frailty detection and interventions in this population. Geriatr Gerontol Int 2017; 17: 1444-1454.
目的:本研究旨在调查衰弱的流行情况,并探讨其与新加坡老年人群代表性样本的社会人口学、临床和社会特征以及服务利用之间的关系。
方法:在一项全国代表性的 2102 名 60 岁及以上新加坡居民的单阶段横断面调查中进行了此项研究。使用五种衰弱参数(虚弱、缓慢、疲惫、低体力活动和/或非有意体重减轻)来评估 Fried 的衰弱表型,以确定衰弱(符合 3/5 项标准)、衰弱前期(符合 1 或 2 项标准)和非衰弱(无所有 5 项标准)的老年人。在测试独立相关性时,进行了多次向后逐步逻辑回归分析,以确定衰弱状态的最强相关因素。
结果:发现老年人群的衰弱患病率为 5.7%。衰弱状态在独立水平上与社会人口学、临床和社会特征存在显著差异。与衰弱前期(13.5%)和非衰弱(2.2%)相比,更多的衰弱老年人有护理需求(54.5%),且社交网络较差(58.8%比衰弱前期[36.6%]和非衰弱[28.6%])。衰弱的老年人服务利用率也明显更高。衰弱状态的显著相关因素是年龄较大、社交网络较差、有任何护理需求以及患有痴呆、糖尿病、癌症、呼吸系统问题或瘫痪。
结论:衰弱在新加坡的老年人中很常见,它与个体、健康和社会层面的许多因素相关,这突出了在该人群中进行个体和人群层面的衰弱检测和干预的重要性。老年医学与老年病学杂志 2017 年;17:1444-1454。
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