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衰弱前期和衰弱状态下有无残疾者的预期寿命:使用马尔可夫链方法对 HEPESE 研究的 18 年随访数据的分析。

Life Expectancy in Pre-Frail and Frail States with and without Disability: 18-Years of Follow-Up Data from the HEPESE Study Using the Markov Chain Method.

机构信息

Soham Al Snih, MD, PhD. Professor, Department of Population Health and Health Disparities. 301 University Blvd Rt. 0177. Phone: 409-266-9691. Fax: 409-772-8931. Email:

出版信息

J Frailty Aging. 2023;12(4):311-315. doi: 10.14283/jfa.2023.37.

Abstract

We estimated the total life expectancy (TLE), frailty-free life expectancy (FFLE), frail life expectancy (FLE), pre-frail life expectancy (PFLE), and FLE with and without disability among 2,000 Mexican Americans aged ≥67 years over an 18-year period. Frailty was defined as the presence of ≥2 criteria (weight loss, weakness, self-reported exhaustion, slowness). We used the Markov chain method to estimate the TLE, FFLE, FLE, PFLE, and FLE with and without disability by age and gender. TLE at age 67 was 17.49 years (women) and 15.54 years (men); FFLE was 6.50 years (women) and 6.45 years (men); PFLE was 6.48 years (women) and 5.42 years (men); FLE was 4.51 years (women) and 3.67 years (men); and FLE with disability was 2.13 years (women) and 1.13 years (men). In conclusion, Mexican American older women had fewer years of non-frail LE, more pre-frail or frail years, and more years with disability than men.

摘要

我们估计了 2000 名年龄在 67 岁及以上的墨西哥裔美国人在 18 年内的总预期寿命(TLE)、无虚弱预期寿命(FFLE)、虚弱预期寿命(FLE)、虚弱前期预期寿命(PFLE)以及有和无残疾的 FLE。虚弱被定义为存在≥2 项标准(体重减轻、虚弱、自我报告的疲惫、缓慢)。我们使用马尔可夫链方法按年龄和性别估计 TLE、FFLE、FLE、PFLE 以及有和无残疾的 FLE。67 岁时的 TLE 为女性 17.49 年,男性 15.54 年;FFLE 为女性 6.50 年,男性 6.45 年;PFLE 为女性 6.48 年,男性 5.42 年;FLE 为女性 4.51 年,男性 3.67 年;有残疾的 FLE 为女性 2.13 年,男性 1.13 年。总之,与男性相比,墨西哥裔美国老年女性非虚弱 LE 的年限较少,虚弱前期或虚弱的年限较多,残疾的年限也较多。

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本文引用的文献

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United States Life Tables, 2020.美国生命表,2020 年。
Natl Vital Stat Rep. 2022 Aug;71(1):1-64.
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Hispanic health in the USA: a scoping review of the literature.美国西班牙裔健康状况:文献综述
Public Health Rev. 2016 Dec 7;37:31. doi: 10.1186/s40985-016-0043-2. eCollection 2016.

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