Furtado G E, Letieri R, Caldo A, Patricio M, Loureiro M, Hogervorst E, Ferreira J P, Teixeira A M
Research Unit of Physical activity and Sport at Faculty of Sport Sciences and Physical Education (CIDAF; UID/PDT/04213/2019) - University of Coimbra, Portugal.
Laboratory of Biostatistics and Medical Informatics and IBILI, Faculty of Medicine of the University of Coimbra.
Transl Med UniSa. 2019 Jan 6;19:17-26. eCollection 2019 Jan-Jun.
The purpose of this study was to identify the independent components of physical frailty that most influence disability indicators in institutionalized older women. A cross-sectional study with 319 participants (81.96±7.89 years old) was performed. Disability was assessed through dynamic and static balance tests, activities of daily life and falls risk screen. Fried physical frailty protocol was used to access physical frailty. The frail subgroup displayed the weakest results for all disability indicators (p < 0.05). Regression analysis showed that in the two models tested, low physical activity levels and slowness were the physical frailty independent components that better associated with the disability indicators. More studies with larger samples will help to better understand the independent relationship of each physical frailty component with disability outcomes and assist to design a co-adjuvant treatment to reverse physical frailty.
本研究的目的是确定在机构养老的老年女性中，对残疾指标影响最大的身体衰弱的独立组成部分。对319名参与者（年龄81.96±7.89岁）进行了一项横断面研究。通过动态和静态平衡测试、日常生活活动以及跌倒风险筛查来评估残疾情况。采用弗里德身体衰弱评估方案来评估身体衰弱状况。虚弱亚组在所有残疾指标上的结果最差（p<0.05）。回归分析表明，在测试的两个模型中，低身体活动水平和行动迟缓是与残疾指标关联度更高的身体衰弱独立组成部分。更多样本量更大的研究将有助于更好地理解身体衰弱各组成部分与残疾结果之间的独立关系，并有助于设计辅助治疗方案以逆转身体衰弱。
