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丹麦农村低社会经济地区与衰弱相关的流行率和人口特征:洛兰-法尔斯特健康研究。

Prevalence and population characteristics associated with frailty in a rural low socioeconomic area in Denmark: the Lolland-Falster Health Study.

机构信息

Geriatric Medicine, Zealand University Hospital Koge, Koge, Denmark

Department of Technology, Faculty of Health and Technology, University College Copenhagen, Copenhagen, Denmark.

出版信息

BMJ Open. 2024 Mar 7;14(3):e073754. doi: 10.1136/bmjopen-2023-073754.

Abstract

BACKGROUND

Frailty is a major geriatric syndrome that predicts increased vulnerability to minor stressor events and adverse outcomes such as falls, fractures, disability and death. The prevalence of frailty among individuals above the age of 65 varies widely with an overall weighted prevalence of 10.7%.

OBJECTIVES

The purpose of this study was to examine the prevalence of prefrailty and frailty in community-dwelling older adults from the regions of Lolland-Falster, which is one of the most socioeconomically disadvantaged areas of Denmark with lower income and lower life expectancy compared with the general Danish population. Moreover, the objective was to find selected individual characteristics associated with frailty.

DESIGN

An observational, cross-sectional registry-based population study with data from the regions of Lolland-Falster collected between February 2016 and February 2020.

RESULTS

The study included 19 000 individuals. There were 10 154 above the age of 50 included for analysis. Prevalence of frailty in the age group of 50-64 years was 4.7% and 8.7% in the age group of 65 years and above.The study demonstrates associations between frailty and high age, female gender, low education level, low income, smoking, living alone, frequency of seeing one's children and getting help when needed. These associations are comparable with findings from other studies.

CONCLUSION

The syndrome of frailty consists of not only physiological and medical issues but also education, life conditions such as living alone and living in poverty and how you evaluate your own health.

摘要

背景

衰弱是一种主要的老年综合征,它预示着对较小应激源事件和不良后果(如跌倒、骨折、残疾和死亡)的易感性增加。65 岁以上人群的衰弱患病率差异很大,总体加权患病率为 10.7%。

目的

本研究旨在检查来自洛兰-法尔斯特(丹麦)地区的社区居住的老年人中衰弱前期和衰弱的患病率,该地区是丹麦社会经济最不利的地区之一,与丹麦一般人群相比,收入较低,预期寿命较短。此外,目的是发现与衰弱相关的某些个体特征。

设计

一项观察性、横断面基于登记的人群研究,数据来自 2016 年 2 月至 2020 年 2 月洛兰-法尔斯特地区。

结果

该研究纳入了 19000 人。其中有 10154 人年龄在 50 岁以上纳入分析。50-64 岁年龄组的衰弱患病率为 4.7%,65 岁及以上年龄组的衰弱患病率为 8.7%。研究表明,衰弱与高年龄、女性、低教育程度、低收入、吸烟、独居、与子女见面的频率以及在需要时获得帮助有关。这些关联与其他研究的发现相似。

结论

衰弱综合征不仅包括生理和医学问题,还包括教育、生活条件(如独居和贫困)以及您如何评估自己的健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4644/10921517/8aafcb158bb3/bmjopen-2023-073754f01.jpg

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