Centre for Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University, Hong Kong.
Centre for Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University, Hong Kong.
Geriatr Nurs. 2019 May-Jun;40(3):320-326. doi: 10.1016/j.gerinurse.2018.12.011. Epub 2019 Feb 15.
Frailty is a common and vulnerable state in older people, which leads to a higher risk of adverse health outcomes. This cross-sectional study examined the association between frailty and its phenotypic components with the Mediterranean diet, life-space, and social participation in community-dwelling older people. 263 community-dwelling older people recruited from three community centers in Hong Kong completed the study (robust = 85, pre-frail = 120, frail = 58). The results showed that the Mediterranean diet (OR = 0.29), life-space (OR = 0.32), and social participation (OR = 0.31) were associated with frailty. All factors were preferentially associated with slowness. The Mediterranean diet and social participation were additionally associated with weakness and low activity, respectively. To reduce the risk of frailty among diverse populations of older people in community settings, eliminating foods considered detrimental in the Mediterranean diet is advocated. Older people's satisfaction with social participation should be taken into consideration. Environmental designs should accommodate slow-walking older people to maximize their life-space.
衰弱是老年人中常见且脆弱的状态，会导致健康不良后果的风险增加。这项横断面研究探讨了衰弱及其表型成分与社区居住老年人的地中海饮食、生活空间和社会参与之间的关系。从香港的三个社区中心招募了 263 名社区居住的老年人完成了这项研究（稳健型=85 人，虚弱前期型=120 人，虚弱型=58 人）。结果表明，地中海饮食（OR=0.29）、生活空间（OR=0.32）和社会参与（OR=0.31）与衰弱有关。所有因素都与缓慢优先相关。地中海饮食和社会参与还分别与虚弱和低活动度相关。为了降低社区环境中不同人群老年人衰弱的风险，提倡消除地中海饮食中被认为有害的食物。应该考虑老年人对社会参与的满意度。环境设计应适应缓慢行走的老年人，以最大限度地扩大他们的生活空间。
