Rath Rama Shankar, Kumar Rakesh, Amarchand Ritvik, Gopal Giridara P, Purakayastha Debjani Ram, Chhokar Reshmi, Narayan Venkatesh V, Dey A B, Krishnan Anand
Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India.
Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Indian J Community Med. 2021 Jul-Sep;46(3):442-445. doi: 10.4103/ijcm.IJCM_616_20. Epub 2021 Oct 13.
With increasing proportion of the elderly in the world, detecting and preventing frailty assumes importance to improve the quality of life and health. The study aimed to estimate the prevalence of frailty, disability and its determinants and their relation with mortality among community dwelling elderly cohort.
The study was conducted in a cohort in rural Haryana, India, and was followed till October 2018. Frailty was assessed using the Edmonton Frailty Scale and disability was assessed using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) scale by trained physicians.
The prevalence of frailty was found to be 47.3% (95% confidence interval [CI]: 44.0-50.8). The median WHODAS-2 score was found to be 10.4 (2.1-29.2). Those who were older (odds ratio [OR] - 2.5; 95% CI: 1.8-3.4), women (OR - 3.3; 95% CI: 2.2-4.9) and those with chronic disease (OR 2.3; 95% CI: 1.7-3.1) had higher rates of frailty. The adjusted hazard ratio of death among frail people was 4.7 (2.3-9.7).
In this study we found the frailty is associated with the mortality among community dwelling elderly. Thus early identification of the frailty and its determinants may help us to reduce the mortality related to this.
随着世界上老年人比例的增加，检测和预防衰弱对于提高生活质量和健康状况至关重要。本研究旨在估计社区居住老年人群体中衰弱、残疾的患病率及其决定因素，以及它们与死亡率的关系。
该研究在印度哈里亚纳邦农村的一个队列中进行，随访至2018年10月。由经过培训的医生使用埃德蒙顿衰弱量表评估衰弱情况，使用世界卫生组织残疾评估量表2.0（WHODAS 2.0）评估残疾情况。
发现衰弱的患病率为47.3%（95%置信区间[CI]：44.0 - 50.8）。发现WHODAS - 2评分中位数为10.4（2.1 - 29.2）。年龄较大者（优势比[OR] - 2.5；95% CI：1.8 - 3.4）、女性（OR - 3.3；95% CI：2.2 - 4.9）和患有慢性病者（OR 2.3；95% CI：1.7 - 3.1）的衰弱发生率较高。衰弱人群的校正死亡风险比为4.7（2.3 - 9.7）。
在本研究中，我们发现衰弱与社区居住老年人的死亡率相关。因此，早期识别衰弱及其决定因素可能有助于我们降低与此相关的死亡率。
