老年糖尿病患者的衰弱与视听感官：一项横断面观察性研究。
Frailty and audiovisual senses in older patients with diabetes: a cross-sectional observational study.
作者信息
Sable-Morita Sayuri, Harasawa Yuko, Yamada Kiyomi, Sugiura Saiko, Fukuoka Hideki, Tokuda Haruhiko
机构信息
Department of Nursing, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
School of Healty Sciences, Toyohashi Sozo University, Toyohashi, Aichi, Japan.
出版信息
Fujita Med J. 2023 Nov;9(4):295-300. doi: 10.20407/fmj.2022-029. Epub 2023 Aug 28.
OBJECTIVE
This study aimed to analyze the relationship between frailty in older patients with diabetes and audiovisual senses.
METHODS
The survey included (1) basic attributes, (2) diabetes-related items, (3) frailty, evaluated according to the Obu Study of Health Promotion for the Elderly (OSHPE) standard, and (4) audiovisual function. Participants included 157 diabetes patients aged ≥65 years, divided into three groups: robust health (n=50), pre-frail (n=76), and frail (n=31). A simple regression analysis, in which the total OSHPE score was used as the dependent variable and the most relevant audiovisual items were used as independent variables, was performed to analyze the frailty factor. Next, a multiple regression analysis adjusted for age and sex was performed with total OSHPE score as the dependent variable and the items most relevant for audiovisual senses as independent variables.
RESULTS
For the robust health, pre-frail, and frail groups, frequencies of hearing loss were 18.4%, 42.1%, and 35.5%, respectively, and were associated with frailty; visual impairment frequencies were 38%, 63.2%, and 58.1%, respectively. In multiple regression analysis, economic difficulties (B=0.349, β=0.172, p<0.05), absence of dyslipidemia (B=-0.494, β=-0.171, p<0.05), lower MNA score (B=-0.169, β=-0.214, p<0.05), and worsening hearing in the poor hearing ear (B=0.015, β=0.176, p<0.05) were significantly associated with frailty.
CONCLUSIONS
Hearing but not vision was associated with frailty in older patients with diabetes.
目的
本研究旨在分析老年糖尿病患者的衰弱与视听功能之间的关系。
方法
该调查包括（1）基本属性，（2）糖尿病相关项目，（3）根据老年人健康促进奥布研究（OSHPE）标准评估的衰弱情况，以及（4）视听功能。参与者包括157名年龄≥65岁的糖尿病患者，分为三组：健康强壮组（n = 50）、衰弱前期组（n = 76）和衰弱组（n = 31）。进行简单回归分析，以OSHPE总分作为因变量，以最相关的视听项目作为自变量，分析衰弱因素。接下来，以OSHPE总分作为因变量，以与视听功能最相关的项目作为自变量，进行调整年龄和性别的多元回归分析。
结果
在健康强壮组、衰弱前期组和衰弱组中，听力损失的发生率分别为18.4%、42.1%和35.5%，且与衰弱相关；视力障碍的发生率分别为38%、63.2%和58.1%。在多元回归分析中，经济困难（B = 0.349，β = 0.172，p < 0.05）、无血脂异常（B = -0.494，β = -0.171，p < 0.05）、较低的微型营养评定法（MNA）得分（B = -0.169，β = -0.214，p < 0.05）以及听力较差耳朵的听力恶化（B = 0.015，β = 0.176，p < 0.05）与衰弱显著相关。
结论
老年糖尿病患者的衰弱与听力而非视力相关。
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