Faculty of Physical Education and Physiotherapy, Federal University of Amazonas, Manaus, Brazil.
Faculty of Medicine, Federal University of Amazonas, Manaus, Brazil.
Arch Gerontol Geriatr. 2021 Mar-Apr;93:104162. doi: 10.1016/j.archger.2020.104162. Epub 2020 Jun 23.
The study aimed to identify the prevalence of frailty syndrome and its associated factors in older adults residents in an urban area in the interior of Amazonas, Brazil. This is a population-based cross-sectional study with a sample of 265 older adults (60 years or older), representative of the urban area of Coari-AM. Using the adapted Fried phenotype, those with 3 criteria or more were considered frail. Socio-demographic, health, and functionality information was collected. Multivariate analysis was used through Poisson regression with robust variance, using a hierarchical method for the dichotomous outcome of frailty. The prevalence of frailty was 9.4 % and in the final multivariate analysis model the factors associated with frailty were: advanced age (PR: 4.1; 95 % CI: 1.8-9.3), income less than one minimum wage (PR: 3.4; 1.7-6.9), masonry housing (PR: 3.3; 1.3-8.2), never having lived in a riverside community (PR: 2.7; 1.4-5.4), use of 3 medications or more (PR: 3.1; 1,4-6.9), history of falling (PR: 2.3; 1.1-4.9), and fear of falling (PR: 4.1; 1.3-13.0). The study concluded that the prevalence of frailty in Coari-AM was lower than other Brazilian cities with a similar HDI. In addition to factors associated with frailty already well described in the literature, the influence of the Amazonian culture and environment during the course of life was shown to have a possible protective effect on health outcomes in later life.
这项研究旨在确定巴西亚马逊内陆地区一个城市老年人中衰弱综合征的患病率及其相关因素。这是一项基于人群的横断面研究，样本为 265 名（60 岁及以上）老年人，代表了科阿里-AM 的城市地区。使用适应性的弗里德表型，有 3 项标准或更多标准的人被认为是衰弱的。收集了社会人口统计学、健康和功能信息。使用泊松回归进行多变量分析，使用分层方法对衰弱的二分结局进行分析。衰弱的患病率为 9.4%，在最终的多变量分析模型中，与衰弱相关的因素包括：高龄（PR：4.1；95%CI：1.8-9.3）、收入低于最低工资（PR：3.4；1.7-6.9）、砖石房屋（PR：3.3；1.3-8.2）、从未居住在河边社区（PR：2.7；1.4-5.4）、使用 3 种或更多药物（PR：3.1；1.4-6.9）、有跌倒史（PR：2.3；1.1-4.9）和害怕跌倒（PR：4.1；1.3-13.0）。该研究得出结论，科阿里-AM 的衰弱患病率低于其他具有相似人类发展指数的巴西城市。除了文献中已经描述的与衰弱相关的因素外，亚马逊文化和环境在生命过程中的影响可能对晚年的健康结果产生保护作用。
