Eliasen Eina H, Weihe Pál, Debes Fróði, Tróndarson Marjun, Petersen Maria Skaalum
The Faroese Hospital System, Tórshavn, Faroe Islands.
University of the Faroe Islands, Tórshavn, Faroe Islands.
Gerontol Geriatr Med. 2023 Apr 13;9:23337214231167980. doi: 10.1177/23337214231167980. eCollection 2023 Jan-Dec.
Little is known about the health status of Faroese people reaching high age. The purpose of this study was to elucidate the health status of older adults in a small-scale society with emphasis on frailty and all-cause mortality. In this 10-year follow-up study, 347 Faroese citizens aged 80 to 84 from the Faroese Septuagenarian cohort participated. A detailed health examination was conducted, in addition to self-reported questionnaire. We constructed a 40-item Frailty Index (FI) to assess frailty. Survival and mortality risks were analyzed using Kaplan-Meier curves and Cox proportional hazard model. Median FI score was 0.28 ranging from 0.09 to 0.7; 71 (21%) individuals were least frail, 244 (67%) moderately frail, and 41 (12%) were most frail. Frailty and sex were statistically significantly associated with mortality; being male was associated with hazard ratio (HR) of 4.05 [CI 1.73, 9.48], and being most frail with HR of 6.2 [CI 1.84, 21.3]. Classification of octogenarians as least/moderately frail may be an opportunity to initiate interventions to prevent or delay frailty in this population stratum.
关于法罗群岛高龄人群的健康状况,我们了解甚少。本研究的目的是阐明一个小规模社会中老年人的健康状况,重点关注衰弱和全因死亡率。在这项为期10年的随访研究中,法罗群岛七十多岁队列中的347名80至84岁的法罗群岛公民参与其中。除了自我报告问卷外,还进行了详细的健康检查。我们构建了一个包含40个条目的衰弱指数(FI)来评估衰弱情况。使用Kaplan-Meier曲线和Cox比例风险模型分析生存和死亡风险。FI得分中位数为0.28,范围从0.09到0.7;71名(21%)个体衰弱程度最低,244名(67%)个体中度衰弱,41名(12%)个体衰弱程度最高。衰弱和性别与死亡率在统计学上显著相关;男性的风险比(HR)为4.05 [置信区间1.73, 9.48],衰弱程度最高的个体的HR为6.2 [置信区间1.84, 21.3]。将八十多岁的老人分类为衰弱程度最低/中度衰弱,可能是在这一人群中启动预防或延缓衰弱干预措施的一个契机。