越南 80 岁及以上社区居民衰弱状况与功能障碍的关联。
Association of Frailty Status and Functional Disability among Community-Dwelling People Aged 80 and Older in Vietnam.
机构信息
Hanoi Medical University, Hanoi 100000, Vietnam.
National Geriatric Hospital, Hanoi 100000, Vietnam.
出版信息
Biomed Res Int. 2021 Jul 19;2021:7109452. doi: 10.1155/2021/7109452. eCollection 2021.
OBJECTIVES
This study investigated associations between frailty and functional disability in elder suburban Vietnamese.
METHOD
Cross-sectional analysis was carried out on 251 participants aged 80 and over in Soc Son district. We used the Instrumental Activities of Daily Living (IADL) scale including 8 items, and functional disability was defined as ≥3 IADL impairment. We defined frail as ≥3 out of 5 frailty components including weight loss > 5%, weak grip, exhaustion, low walking speed, and low physical activity.
RESULTS
Of 251 participants with a mean age of 84.6, 11.2% was classified as frail and 64.5% had ≥3 IADLs. Among the frailty components, low walking speed and low physical activity were significantly associated with increased odds of having ≥3 IADLs: ORs (95% CI) were 4.2 (2.3-7.9) and 3.7 (1.7-8.2).
CONCLUSION
Frailty is associated with the higher likelihood of having functional disability. Further longitudinal studies are needed to examine the causal this relationship.
目的
本研究旨在调查越南北部郊区老年人虚弱与功能障碍之间的关联。
方法
在朔山县对 251 名 80 岁及以上的参与者进行了横断面分析。我们使用包括 8 项内容的日常生活活动工具（IADL）量表，将功能障碍定义为≥3 项 IADL 受损。我们将虚弱定义为≥5 项虚弱指标中的 3 项，包括体重减轻>5%、握力弱、疲惫、行走速度慢和体力活动少。
结果
在 251 名平均年龄为 84.6 岁的参与者中，11.2%被归类为虚弱，64.5%有≥3 项 IADL。在虚弱指标中，行走速度慢和体力活动少与≥3 项 IADL 的发生几率增加显著相关：比值比（95%可信区间）分别为 4.2（2.3-7.9）和 3.7（1.7-8.2）。
结论
虚弱与功能障碍的可能性增加有关。需要进一步的纵向研究来检验这种关系的因果关系。
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