Filiz Tuna, MD. Department of Physical Therapy and Rehabilitation, Trakya University Faculty of Health Science, Edirne, Turkey,
J Nutr Health Aging. 2019;23(7):617-622. doi: 10.1007/s12603-019-1212-z.
(1) To evaluate geriatric syndromes using the Rapid Geriatric Assessment; (2) To investigate possible association of geriatric syndomes with physical activity and sleep quality in adults aged more than 65 years who applied to outpatients physical medicine and rehabilitation clinic.
A cross-sectional study.
Outpatient physical medicine and rehabilitation clinic in Edirne, Turkey.
A total of 56 adults (mean aged 69.7 ± 4.0 (range, 65-80) years, 33 women).
The Rapid Geriatric Assessment, which includes the FRAIL Questionnaire Screening Tool for frailty, Simplified Nutritional Assessment Questionnaire (SNAQ), SARC-F Screen for Sarcopenia, and Rapid Cognitive Screen (RCS), was used to assess geriatric syndromes. The International Physical Activity Questionnaire (IPAQ) was used to obtain data regarding health-related physical activity. The Pittsburgh Sleep Quality Index (PSQI) was used to measure sleep quality during the past month.
The mean age of the patients was 69.7 ± 4.0 years. Of the 56 patients, 12.5% were frail, 50.0% were pre-frail, 35.7% had sarcopenia, 44.6% had a risk of weight loss, 33.9% had dementia, 57.1% were physically inactive, and 53.6% had poor sleep quality. The total FRAIL and SARC-F scores were positively correlated with the global PSQI score (correlation coefficient (r) = 0.300, p < 0.05; r = 0,327, p < 0.05, respectively) and negatively correlated with the total RCS score (r= -0,267, p < 0.05; r = -0,314, p < 0.05, respectively)). The total FRAIL score was positively correlated with the SARC-F score (r = 0.695, p < 0.001), and the concurrence of frailty and sarcopenia in the same patients was 10.7%. The global PSQI score was negatively correlated with the SNAQ score (r = -0.273, p < 0.05).
Frailty and sarcopenia were positively correlated with poor sleep quality and negatively correlated with cognition and physical activity. In clinical practice, the Rapid Geriatric Assessment and determination of physical activity level could assist in disability prevention.
（1）使用快速老年评估评估老年综合征；（2）研究 65 岁以上到门诊物理医学和康复诊所就诊的成年人的老年综合征与身体活动和睡眠质量之间的可能关联。
横断面研究。
土耳其埃迪尔内的门诊物理医学和康复诊所。
共 56 名成年人（平均年龄 69.7 ± 4.0 岁（范围，65-80 岁），33 名女性）。
使用快速老年评估，包括虚弱的 FRAIL 问卷筛查工具、简化营养评估问卷（SNAQ）、SARC-F 筛查肌肉减少症和快速认知筛查（RCS），评估老年综合征。国际体力活动问卷（IPAQ）用于获取与健康相关的体力活动数据。匹兹堡睡眠质量指数（PSQI）用于测量过去一个月的睡眠质量。
患者的平均年龄为 69.7 ± 4.0 岁。在 56 名患者中，12.5%为虚弱，50.0%为虚弱前期，35.7%患有肌肉减少症，44.6%有体重减轻风险，33.9%患有痴呆，57.1%身体不活跃，53.6%睡眠质量差。总的 FRAIL 和 SARC-F 评分与全球 PSQI 评分呈正相关（相关系数（r）= 0.300，p < 0.05；r = 0.327，p < 0.05），与总 RCS 评分呈负相关（r = -0.267，p < 0.05；r = -0.314，p < 0.05））。总的 FRAIL 评分与 SARC-F 评分呈正相关（r = 0.695，p < 0.001），且同一患者中虚弱和肌肉减少症的并存率为 10.7%。全球 PSQI 评分与 SNAQ 评分呈负相关（r = -0.273，p < 0.05）。
虚弱和肌肉减少症与睡眠质量差呈正相关，与认知和身体活动呈负相关。在临床实践中，快速老年评估和体力活动水平的确定有助于预防残疾。
