Sealy Martine J, van der Lucht Fons, van Munster Barbara C, Krijnen Wim P, Hobbelen Hans, Barf Hans A, Finnema Evelyn J, Jager-Wittenaar Harriët
Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, 9714 CA Groningen, The Netherlands.
FAITH Research, Petrus Driessenstraat 3, 9714 CA Groningen, The Netherlands.
Int J Environ Res Public Health. 2022 Mar 19;19(6):3669. doi: 10.3390/ijerph19063669.
Restrictive measures due to the COVID-19 pandemic may cause problems in the physical, social, and psychological functioning of older people, resulting in increased frailty. In this cross-sectional study, we aimed to assess the prevalence and characteristics of frailty, to examine differences in perceived COVID-19-related concerns and threats between frail and non-frail people and to identify variables associated with frailty in the first wave of the COVID-19 pandemic, in Dutch older people aged ≥ 65 years. We used data from the Lifelines COVID-19 Cohort Study. The Groningen Frailty Indicator (GFI) was used, with a score ≥ 4 indicating frailty. Frailty was described per domain (i.e., physical, cognitive, social, and psychological). The association between demographic, health and lifestyle variables and frailty was determined with logistic regression analyses. Frailty was present in 13% of the 11,145 participants that completed the GFI. Most items contributing to a positive frailty score were found within the social domain, in the frail (51%) and the non-frail (59%) persons. For items related to concerns and threats, a significantly higher proportion of frail people reported being worried or feeling threatened. In conclusion, during Corona restrictions, prevalence of frailty was considerable in older people from the Northern Netherlands, with one in eight being frail. Frailty was characterized by social problems and frail people were more often worried and felt threatened by the COVID-19 pandemic.
由于新冠疫情实施的限制措施可能会给老年人的身体、社交和心理功能带来问题，导致身体虚弱加剧。在这项横断面研究中，我们旨在评估身体虚弱的患病率和特征，研究身体虚弱和非虚弱人群在感知到的与新冠相关的担忧和威胁方面的差异，并确定在新冠疫情第一波期间，荷兰65岁及以上老年人中与身体虚弱相关的变量。我们使用了生命线新冠队列研究的数据。采用格罗宁根虚弱指标（GFI），得分≥4表明身体虚弱。从身体、认知、社交和心理等方面描述了身体虚弱情况。通过逻辑回归分析确定人口统计学、健康和生活方式变量与身体虚弱之间的关联。在完成GFI的11145名参与者中，13%存在身体虚弱。导致虚弱得分呈阳性的大多数项目出现在社交领域，虚弱人群（51%）和非虚弱人群（59%）中均是如此。对于与担忧和威胁相关的项目，明显更高比例的虚弱人群报告感到担忧或受到威胁。总之，在新冠疫情限制措施期间，荷兰北部老年人中身体虚弱的患病率相当高，八分之一的人身体虚弱。身体虚弱的特征是存在社交问题，而且身体虚弱的人更常感到担忧，并受到新冠疫情的威胁。
