Department of Physical Therapy, Faculty of Health Care, Takasaki University of Health and Welfare, 501 Naka Orui-machi, Takasaki-shi, Gunma 370-0033, Japan.
Department of Physical Therapy, Faculty of Health Care, Takasaki University of Health and Welfare, 501 Naka Orui-machi, Takasaki-shi, Gunma 370-0033, Japan.
Geriatr Nurs. 2022 Nov-Dec;48:111-117. doi: 10.1016/j.gerinurse.2022.08.014. Epub 2022 Sep 2.
We aimed to verify the frailty status and the factors associated with the change in frailty status during the COVID-19 pandemic. A three-wave cohort study was conducted every six months, from May to July 2020, November 2020 to January 2021, and again from May to July 2021. The frailty status was assessed using the frailty screening index. Multivariate generalized linear mixed-effects models were used to determine whether changes in frailty status were associated with health conditions and lifestyle. The 404 survey forms were analyzed. Decline in chewing function (beta = 0.552) and leg muscle strength weakness (beta = 0.515) were significantly associated with the change in frailty status over six months, and leg muscle strength weakness (beta = 0.512) was significantly associated over 12 months. Risk factors associated with worsening health should be assessed for appropriate support. It is especially important to assess subjective leg muscle weakness in older adults.
我们旨在验证 COVID-19 大流行期间的虚弱状态以及与虚弱状态变化相关的因素。这项三波队列研究每六个月进行一次，时间为 2020 年 5 月至 7 月、2020 年 11 月至 2021 年 1 月以及 2021 年 5 月至 7 月。使用虚弱筛查指数评估虚弱状态。使用多变量广义线性混合效应模型来确定虚弱状态的变化是否与健康状况和生活方式有关。共分析了 404 份调查问卷。咀嚼功能下降（beta = 0.552）和腿部肌肉力量减弱（beta = 0.515）与六个月内的虚弱状态变化显著相关，而腿部肌肉力量减弱（beta = 0.512）与 12 个月内的变化显著相关。应评估与健康状况恶化相关的风险因素，以提供适当的支持。评估老年人的主观腿部肌肉无力尤为重要。
