Department of Therapy and Rehabilitation, Giresun University, Vocational School of Health Services, Giresun, Turkey.
Department of Health Care Services, Giresun University, Vocational School of Health Services, Giresun, Turkey.
Aging Clin Exp Res. 2022 Sep;34(9):2047-2056. doi: 10.1007/s40520-022-02164-2. Epub 2022 Jun 15.
The purpose of this study was to investigate the prevalence of frailty, sarcopenia and associated factors among community-dwelling older adults living in the Eastern Black Sea region of Turkey.
The study sample comprised 404 community-dwelling older adults living in the Eastern Black Sea region of Turkey. These subjects or proxies were contacted by mobile phone or the internet. The sociodemographic characteristics, falls and chronic pain were recorded. Frailty, sarcopenia, malnutrition, activities of daily living and instrumental activities of daily living were assessed using the FRAIL scale, SARC-F, Mini Nutrition Assessment-Short Form, Barthel Index and Lawton instrumental activities of daily living scale, respectively.
The 404 older adults comprised 62% females and 38% males with a mean age of 73.4 ± 7.4 years. The prevalence of positive frailty and sarcopenia screening were detected as 37.4% and 46.8%, respectively. The strongest associations with frailty were the presence of chronic lung disease [Odds ratio (OR) = 10.3; 95% confidence interval (CI) = 2.1, 49.8] and chronic pain [OR = 6.9; 95% CI = 3.2, 15.0]. The associations with sarcopenia were falls (OR = 7.4; 95% CI = 4.2, 12.9), dependence in instrumental activities of daily living (OR = 4.3; 95% CI = 2.2, 8.4), advancing age (OR = 2.6; 95% Cl = 1.4, 4.7), and dependence in daily living activities (OR = 2.2; 95% Cl = 1.3, 4.0). Female gender and falls were found to be co-related factors for frailty and sarcopenia.
Female gender and falls were independently associated with frailty and sarcopenia. In addition, chronic lung disease and chronic pain were major risk factors for frailty, while advancing age and dependence in daily living activities were major risk factors for sarcopenia. These factors should be considered to be able to identify individuals at high risk of frailty and sarcopenia and to prevent these geriatric syndromes.
本研究旨在调查土耳其黑海东部地区社区居住的老年人中衰弱、肌少症的流行情况及相关因素。
研究样本包括居住在土耳其黑海东部地区的 404 名社区居住的老年人。通过移动电话或互联网联系这些受试者或其代理人。记录社会人口统计学特征、跌倒和慢性疼痛。使用 FRAIL 量表、SARC-F、微型营养评估-简短表格、巴氏量表和洛顿工具性日常生活活动量表评估衰弱、肌少症、营养不良、日常生活活动和工具性日常生活活动。
404 名老年人中，女性占 62%，男性占 38%，平均年龄为 73.4±7.4 岁。衰弱和肌少症筛查阳性的患病率分别为 37.4%和 46.8%。与衰弱关系最密切的是慢性肺部疾病[优势比（OR）=10.3；95%置信区间（CI）=2.1，49.8]和慢性疼痛[OR=6.9；95%CI=3.2，15.0]。与肌少症相关的是跌倒（OR=7.4；95%CI=4.2，12.9）、工具性日常生活活动依赖（OR=4.3；95%CI=2.2，8.4）、年龄增长（OR=2.6；95%Cl=1.4，4.7）和日常生活活动依赖（OR=2.2；95%Cl=1.3，4.0）。女性和跌倒被发现是衰弱和肌少症的共同相关因素。
女性和跌倒与衰弱和肌少症独立相关。此外，慢性肺部疾病和慢性疼痛是衰弱的主要危险因素，而年龄增长和日常生活活动依赖是肌少症的主要危险因素。这些因素应被考虑以识别衰弱和肌少症风险较高的个体，并预防这些老年综合征。
