连贯感与衰弱之间的关联：一项中国的横断面研究。
Association Between Sense of Coherence and Frailty: A Cross-Sectional Study in China.
作者信息
Chen Hao, Fu Hua, Ye Bo, Wang Yi, Yan Huihui, Chen Yingwei, Xu Jixiang, Nie Xin, Gao Junling
机构信息
Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China.
Department of Geriatric Medicine, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
出版信息
Front Psychiatry. 2022 Apr 5;13:844439. doi: 10.3389/fpsyt.2022.844439. eCollection 2022.
PURPOSE
Frailty is an emerging global public health burden. Most existing studies have focused on risk factors for frailty, focusing less on protective factors against frailty. This study aims to examine the association between the sense of coherence (SOC), the most common construct of salutogenesis and frailty status among community-dwelling old adults.
METHOD
A cross-sectional study was conducted among 7,970 old adults aged ≥65 years in three cities in China from June 2019 to October 2020. Frailty was operationalised as the sum of self-reported fatigue, resistance, ambulation, illness, and loss of weight (FRAIL scale). The χ test was used to analyse the distribution difference of frailty in demographic, behavioural, and SOC levels. Confounder-adjusted multinomial logistic regression was used to examine the association between SOC and frailty.
RESULTS
The prevalence of pre-frailty and frailty was 43.1 and 8.0%, respectively. The results of the confounder-adjusted regression showed that older adults with moderate-level SOC (odds ratio, OR: 0.61, 95% CI: 0.54-0.69) and strong-level SOC (OR: 0.55, 0.48-0.64) had lower odds of being pre-frail compared to those with weak SOC. It also showed that older adults with moderate-level SOC (OR: 0.32, 95% CI: 0.27-0.40) and strong-level SOC (OR: 0.22, 95% CI: 0.16-0.29) had lower odds of being frail compared to those with weak SOC.
CONCLUSION
SOC may be a protective factor against frailty. Improving SOC may be a strategy to prevent frailty among Chinese community-dwelling older adults.
目的
衰弱是一个新出现的全球公共卫生负担。大多数现有研究都集中在衰弱的风险因素上，而较少关注预防衰弱的保护因素。本研究旨在探讨连贯感（SOC）这一健康生成最常见的概念与社区居住老年人衰弱状态之间的关联。
方法
2019年6月至2020年10月，在中国三个城市对7970名年龄≥65岁的老年人进行了一项横断面研究。衰弱通过自我报告的疲劳、抵抗力、活动能力、疾病和体重减轻（衰弱量表）的总和来衡量。采用χ检验分析衰弱在人口统计学、行为学和SOC水平上的分布差异。使用调整混杂因素后的多项逻辑回归分析来检验SOC与衰弱之间的关联。
结果
衰弱前期和衰弱的患病率分别为43.1%和8.0%。调整混杂因素后的回归结果显示，与SOC较弱的老年人相比，SOC处于中等水平（优势比，OR：0.61，95%置信区间：0.54 - 0.69）和高水平（OR：0.55，0.48 - 0.64）的老年人衰弱前期的可能性较低。结果还显示，与SOC较弱的老年人相比，SOC处于中等水平（OR：0.32，95%置信区间：0.27 - 0.40）和高水平（OR：0.22，95%置信区间：0.16 - 0.29）的老年人衰弱的可能性较低。
结论
SOC可能是预防衰弱的保护因素。提高SOC可能是预防中国社区居住老年人衰弱的一种策略。
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