Nguyen Huan Thanh, Nguyen An Huu, Nguyen Giao Thi Xuan
Department of Geriatrics and Gerontology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Department of Cardiology, Thong Nhat Hospital, Ho Chi Minh City, Vietnam.
Australas J Ageing. 2022 Jun;41(2):e122-e130. doi: 10.1111/ajag.13016. Epub 2021 Nov 18.
To investigate the prevalence and factors associated with frailty in rural and urban older outpatients in Vietnam.
This cross-sectional study included 1084 outpatients (aged ≥60 years; mean age 71.7 ± 7.4 years; female 65%) from rural (n = 600) and urban (n = 484) geriatric clinics from December 2019 to July 2020. Frailty was assessed using Fried frailty phenotype. Factors associated with frailty were assessed using logistic regression.
Overall, frailty prevalence was 28% (rural, 26%; urban, 30%; p = 0.220). Factors associated with frailty were older age (odds ratio [OR] 1.16, 95% confidence interval [CI] 1.13-1.20, p < 0.001), being underweight (OR 1.88, 95% CI 1.10-3.27, p = 0.025) and limitations in activities of daily living (ADLs) (OR 6.04, 95% CI 1.63-22.41, p = 0.007) and instrumental ADLs (OR 5.83, 95% CI 3.74-9.08, p < 0.001). Higher education (OR 0.47, 95% CI 0.29-0.76, p = 0.002) and productive work (OR 0.39, 95% CI 0.21-0.71, p = 0.002) were protective factors against frailty.
In Vietnam, the prevalence of frailty in older outpatients was 28%, though not significantly different between urban and rural areas. Older age, being underweight and limitations in functional status can increase the odds of frailty, but higher education and productive work can reduce the odds of frailty.
调查越南城乡老年门诊患者中衰弱的患病率及其相关因素。
这项横断面研究纳入了2019年12月至2020年7月期间来自农村（n = 600）和城市（n = 484）老年诊所的1084名门诊患者（年龄≥60岁；平均年龄71.7±7.4岁；女性占65%）。采用弗里德衰弱表型评估衰弱情况。使用逻辑回归评估与衰弱相关的因素。
总体而言，衰弱患病率为28%（农村为26%，城市为30%；p = 0.220）。与衰弱相关的因素包括年龄较大（比值比[OR]为1.16，95%置信区间[CI]为1.13 - 1.20，p < 0.001）、体重过轻（OR为1.88，95% CI为1.10 - 3.27，p = 0.025）以及日常生活活动（ADL）受限（OR为6.04，95% CI为1.63 - 22.41，p = 0.007）和工具性ADL受限（OR为5.83，95% CI为3.74 - 9.08，p < 0.001）。高等教育（OR为0.47，95% CI为0.29 - 0.76，p = 0.002）和从事生产性工作（OR为0.39，95% CI为0.21 - 0.71，p = 0.002）是预防衰弱的保护因素。
在越南，老年门诊患者中衰弱的患病率为28%，城乡之间虽无显著差异。年龄较大、体重过轻和功能状态受限会增加衰弱的几率，但高等教育和从事生产性工作可降低衰弱的几率。
