Buch Assaf, Keinan-Boker Lital, Berner Yitshal, Carmeli Eli, Goldsmith Rebecca, Stern Naftali
Institute of Endocrinology, Metabolism and Hypertension, Tel Aviv Sourasky Medical Center, Tel-Aviv, Israel.
The Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Isr J Health Policy Res. 2018 Apr 12;7(1):18. doi: 10.1186/s13584-018-0212-5.
Increasing longevity presents new social and medical challenges in developed countries. The prevalence of frailty is of interest because of its association with health prognosis and outcomes, but so far there is no single best diagnostic tool for this entity. Therefore, estimated prevalence of frailty in countries varies considerably and ranges between 5% and 58%. In Israel, the nation-wide prevalence of frailty in the elderly population is presently unknown. The objective of our study was to assess the rate of the frailty in elderly Israelis.
A post-hoc analysis based on the results of a national Health and Nutrition Survey in Israeli elderly (MABAT Zahav). A non-direct model to estimate frailty was based on five components that were most similar to the common frailty assessment suggested by Morley et al. The frailty state was then reclassified according to different explanatory variables.
Data collected from 1619 subjects (F/M = 52.9/47.1%) with an average age of 74.6 years were analyzed. Estimated frailty prevalence in the elderly population was 4.9%. Frail people were more likely to have a lower income, be unemployed and have a lower education level. Frailty rates were higher in women, in Jews and in subjects more prone to low physical function.
The estimated frailty prevalence in the Israeli elderly population, while relatively low, is comparable to some of the rates suggested in the literature. The factors associated with frailty in the Israeli population are in accordance with the existing literature. The suggested model may be helpful in identifying frailty in Israeli elderly.
在发达国家，预期寿命的延长带来了新的社会和医学挑战。衰弱的患病率因其与健康预后和结局的关联而受到关注，但迄今为止，尚无针对该病症的单一最佳诊断工具。因此，各国衰弱的估计患病率差异很大，在5%至58%之间。在以色列，老年人群体中衰弱的全国患病率目前尚不清楚。我们研究的目的是评估以色列老年人的衰弱率。
基于以色列老年人全国健康与营养调查（MABAT Zahav）的结果进行事后分析。一种用于估计衰弱的非直接模型基于与莫利等人提出的常见衰弱评估最相似的五个组成部分。然后根据不同的解释变量对衰弱状态进行重新分类。
分析了从1619名受试者（女性/男性=52.9/47.1%）收集的数据，平均年龄为74.6岁。老年人群体中估计的衰弱患病率为4.9%。衰弱的人更有可能收入较低、失业且教育水平较低。女性中、犹太人群体中以及身体功能较低倾向的受试者中衰弱率更高。
以色列老年人群体中估计的衰弱患病率虽然相对较低，但与文献中提出的一些患病率相当。以色列人群中与衰弱相关的因素与现有文献一致。所建议的模型可能有助于识别以色列老年人中的衰弱情况。
