Dasgupta Aparajita, Bandyopadhyay Sayanti, Bandyopadhyay Lina, Roy Soumit, Paul Bobby, Mandal Shamita
Department of Preventive and Social Medicine, All India Institute of Hygiene and Public Health, Kolkata, West Bengal, India.
J Family Med Prim Care. 2019 Jul;8(7):2242-2248. doi: 10.4103/jfmpc.jfmpc_445_19.
"Frailty" is a multidimensional geriatric syndrome that increases the risk for adverse health outcomes, such as falls, hospitalization, increased morbidity, and mortality, among elderly persons.
The objective of this study is to find out the proportion of frailty and its associates among elderly (aged ≥60 years) in a rural area of West Bengal.
It is a community-based cross-sectional observational study done during May-August 2018 among 165 elderly persons selected by systematic random sampling by probability proportionate to size method from three villages at the rural field practice area of our institute.
Tilburg frailty indicator is used to measure frailty. An elderly is considered as frail if s/he scores ≥6 in this scale.
Data analysis is done by SPSS Version 16. The logistic regression is done to find out the associates of frailty.
Proportion of frailty is 38.8% (mean age ± SD: 67.03 ± 3.43 years) among the study subjects. Age, female gender, loss of spouse, illiteracy, economic dependency, no job/at home status, ≥2 chronic diseases are significantly associated with frailty in univariate logistic regression. In multivariable logistic regression, ≥2 chronic diseases [AOR: 8.4, CI: 4.6, 11.33] and illiteracy [AOR: 3.3, CI: 1.05, 9.8] retain their significance.
Frailty should be recognized as a public health priority and awareness generation among elderly population for healthy ageing including self-motivation for proper management of their ailments should be emphasized for reduction of morbidity as well as for augmenting their quality of life.
“衰弱”是一种多维度的老年综合征，会增加老年人出现不良健康结局的风险，如跌倒、住院、发病率增加和死亡率上升。
本研究的目的是查明西孟加拉邦农村地区60岁及以上老年人中衰弱及其相关因素的比例。
这是一项基于社区的横断面观察性研究，于2018年5月至8月期间，在我们研究所农村实地实践区域的三个村庄，采用按规模比例概率抽样的系统随机抽样方法，对165名老年人进行了研究。
使用蒂尔堡衰弱指标来衡量衰弱。如果老年人在该量表上的得分≥6分，则被视为衰弱。
采用SPSS 16版进行数据分析。进行逻辑回归以找出衰弱的相关因素。
研究对象中衰弱的比例为38.8%（平均年龄±标准差：67.03±3.43岁）。在单因素逻辑回归中，年龄、女性、配偶去世、文盲、经济依赖、无工作/在家状态、≥2种慢性病与衰弱显著相关。在多变量逻辑回归中，≥2种慢性病[AOR：8.4，CI：4.6，11.33]和文盲[AOR：3.3，CI：1.05，9.8]仍具有显著性。
应将衰弱视为公共卫生重点，应强调提高老年人群对健康老龄化的认识，包括自我激励以妥善管理自身疾病，以降低发病率并提高他们的生活质量。
