Rouis Hala, Ben Abdelaziz Asma, Zanina Youssef, Ben Yahia Faten, Khelil Mohamed, Zoghlami Chokri, Ben Rejeb Nabila, Omezzine Asma, Bouslama Ali, Ben Abdelaziz Ahmed
Tunis Med. 2022;100(12):847-862.
Measure the functional autonomy of elderly people and identify its components and determinants in the HSHS (Hammam-Sousse Sahloul Heart Study) population (phase 2009, Tunisia).
This study was concerned with the quality of life of elderly people aged 65 years or more, living at home from the HSHS cohort divided into two groups: young-old (65-74 years old) and old-old (≥75 years old). The autonomy was assessed using the "Activities of Daily Living" (ADL) scale ranging from 0 to 6, the "Instrumental Activities of Daily Living" (IADL) scale ranging from 0 to 8 and, the combined scale ranging from zero to 14, iso-weighted at one point per activity. Autonomy in daily activities was retained for an ADL score=6, and an IADL score (F=8; H=5). Subjects with an overall score (sum of ADL and IADL) of 10-14 points were considered globally autonomous.
The population study was predominantly female (sex-ratio=0,6) with an important proportion of old-old (M=43%, F=37%). Autonomy rates were by ADL (M=57.4%, F=36.1%, p < 10-2), IADL (M=16%, F=23.9%), and by combined score (M=60.6%, F=69%, p=NS). The typology of dependency was dominated by transferring (M=35%, F=61%) and bathing (M=14%, F=19%) for ADL activities, and shopping (M=36%, F=49%) and the use of means of transport (M=22%, F=43%) for IADL activities. After adjustment, autonomy in daily activities was attributed to two independent factors: male sex (ORa=3.98, CI95% [1.328-11.971]) and age group 65-75 (ORa=4.04, CI95% [2.039- 8.025]). Autonomy in instrumental activities was associated with age group (ORa=31.5, CI95% [4.087-233.514]). Finally, overall autonomy (current and instrumental) was associated independently after logistic regression, with four independent factors, two of which were not modifiable: being female (ORa=3.1, CI95% [1.2-8.1]) and 65 to 75 years (ORa=6.2, CI95% [3.1-12.3]) and two modifiable factors: no recent hospitalization (ORa=3.8, CI95% [1.4-10.4]) and a sufficient level of physical activity (ORa=2.6, CI95% [1.3-5.3]).
The physical dependency rate of the elderly is very high in Tunisia. The promotion of physical activity, the extension of similar studies and the development of could improve the support of these people.
在哈马姆-苏塞-萨尔胡勒心脏研究（HSHS，2009年阶段，突尼斯）人群中测量老年人的功能自主性，并确定其组成部分和决定因素。
本研究关注年龄在65岁及以上、居住在家中的HSHS队列老年人的生活质量，该队列分为两组：年轻老年人（65-74岁）和高龄老年人（≥75岁）。使用“日常生活活动”（ADL）量表（范围从0到6）、“工具性日常生活活动”（IADL）量表（范围从0到8）以及综合量表（范围从零到14，每项活动等权重为1分）评估自主性。日常生活活动自主性保留ADL评分为6分，IADL评分为（F=8；H=5）。总评分（ADL和IADL之和）为10-14分的受试者被视为总体自主。
人群研究中女性占主导（性别比=0.6），高龄老年人比例较高（男性=43%，女性=37%）。ADL自主性率（男性=57.4%，女性=36.1%，p<0.01）、IADL自主性率（男性=16%，女性=23.9%）以及综合评分自主性率（男性=60.6%，女性=69%，p无统计学意义）。ADL活动的依赖类型主要是转移（男性=35%，女性=61%）和洗澡（男性=14%，女性=19%），IADL活动的依赖类型主要是购物（男性=36%，女性=49%）和使用交通工具（男性=22%，女性=43%）。调整后，日常生活活动自主性归因于两个独立因素：男性（优势比=3.98，95%置信区间[1.328-11.971]）和65-75岁年龄组（优势比=4.04，95%置信区间[2.039-8.025]）。工具性活动自主性与年龄组相关（优势比=31.5，95%置信区间[4.087-233.514]）。最后，经过逻辑回归，总体自主性（当前和工具性）与四个独立因素独立相关，其中两个因素不可改变：女性（优势比=3.1，95%置信区间[1.2-8.1]）和65至75岁（优势比=6.2，95%置信区间[3.1-12.3]），另外两个因素可改变：近期未住院（优势比=3.8，95%置信区间[1.4-10.4]）和足够的身体活动水平（优势比=2.6，95%置信区间[1.3-5.3]）。
突尼斯老年人的身体依赖率非常高。促进身体活动、扩展类似研究以及发展[此处原文缺失部分内容]可以改善对这些人的支持。
