印度尼西亚养老院老年人的衰弱状况：患病率及相关因素
Frailty among Older Adults Living in Nursing Homes in Indonesia: Prevalence and Associated Factors.
作者信息
Rizka Aulia, Indrarespati Andika, Dwimartutie Noto, Muhadi Muhadi
机构信息
Division of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Hospital, Jakarta Indonesia.
Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Hospital, Jakarta, Indonesia.
出版信息
Ann Geriatr Med Res. 2021 Jun;25(2):93-97. doi: 10.4235/agmr.21.0033. Epub 2021 Jun 7.
BACKGROUND
Frailty syndrome is a predictor of all-cause mortality among older adults living in nursing homes. However, data on the prevalence of frailty among individuals living in nursing homes, particularly in middle-income countries, are limited. Thus, this study aimed to determine the prevalence of frailty and identify its associated factors among older adults living in nursing homes in Indonesia.
METHODS
This cross-sectional study of older adults living in six nursing homes in Indonesia was conducted between May and December 2019. Data on demographic characteristics, physical activity (Physical Activity Scale for the Elderly), cognitive status (Abbreviated Mental Test), nutritional status (Mini Nutritional Assessment Short-Form), depression (Geriatric Depression Scale), comorbidity, frailty state (Cardiovascular Health Study criteria), dietary pattern (24-hour food recall), handgrip strength, and gait speed were evaluated. Bivariate and multivariate analyses were performed to identify factors independently associated with frailty.
RESULTS
This study recruited a total of 214 participants with a mean age of 73.68±4.30 years. The prevalence rates of frailty and malnutrition were 46.5% and 58%, respectively. The results showed that physical frailty was associated with malnutrition (odds ratio=4.23; 95% confidence interval, 1.730-10.380).
CONCLUSION
Frailty was prevalent and strongly associated with malnutrition among older adults living in nursing homes in Indonesia.
背景
衰弱综合征是养老院老年人全因死亡率的一个预测指标。然而，关于养老院居住者中衰弱患病率的数据，尤其是在中等收入国家，是有限的。因此，本研究旨在确定印度尼西亚养老院老年人中衰弱的患病率，并识别其相关因素。
方法
这项对印度尼西亚六家养老院老年人的横断面研究于2019年5月至12月进行。评估了人口统计学特征、身体活动（老年人身体活动量表）、认知状态（简易精神测试）、营养状况（简易营养评估简表）、抑郁（老年抑郁量表）、合并症、衰弱状态（心血管健康研究标准）、饮食模式（24小时食物回顾）、握力和步速等数据。进行了双变量和多变量分析以识别与衰弱独立相关的因素。
结果
本研究共招募了214名参与者，平均年龄为73.68±4.30岁。衰弱和营养不良的患病率分别为46.5%和58%。结果显示，身体衰弱与营养不良相关（比值比=4.23；95%置信区间，1.730 - 10.380）。
结论
在印度尼西亚养老院的老年人中，衰弱普遍存在且与营养不良密切相关。
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