Bhattarai Urza, Gautam Arun, Shrestha Manisha, Rayamajhi Anusha, Basnet Rohan, Saravanan Manicka, Dey Aparajit Ballav, Chatterjee Prasun
Department of Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
J Frailty Sarcopenia Falls. 2024 Jun 1;9(2):122-130. doi: 10.22540/JFSF-09-122. eCollection 2024 Jun.
The objective of the study was to investigate factors associated with subjective aging among older patients visiting a geriatric medicine outpatient department in Northern-India.
The study is a cross-sectional study. Patients were categorized into three groups: whether they felt younger, equal, or older than their peers of same age. Factors such as fall, incontinence, anorexia, hand grip strength, cognition, depression, vision, hearing, cardiopulmonary function and immunization were assessed. Multinominal logistic regression was used to investigate the associated factors of subjective aging.
We assessed 184 older patients with a median age of 66.5 years (IQR 63.0 -78.8). Chronological age and hand grip strength were the significant factors associated with subjective aging. With one year increase in age, odds of feeling older than peers of same age decreased by 8.9% (OR, 0.911; 95% CI, 0.831-0.999, p = 0.047). With one kilogram increase in hand grip strength, odds of feeling younger than peers of same age increased by 7.3% (OR, 1.073; 95% CI, 1.01-1.14, p = 0.032).
Chronological age and hand grip strength are the factors associated with subjective aging in Northern-Indian older adults. Further longitudinal multi-center studies are needed to confirm our findings.
本研究的目的是调查印度北部老年医学门诊部就诊的老年患者主观衰老的相关因素。
本研究为横断面研究。患者被分为三组：他们感觉自己比同龄人年轻、相同或年长。评估了跌倒、失禁、厌食、握力、认知、抑郁、视力、听力、心肺功能和免疫等因素。采用多项逻辑回归分析主观衰老的相关因素。
我们评估了184名老年患者，中位年龄为66.5岁（四分位间距63.0 - 78.8）。实际年龄和握力是与主观衰老相关的重要因素。年龄每增加一岁，感觉比同龄人年长的几率降低8.9%（比值比，0.911；95%置信区间，0.831 - 0.999，p = 0.047）。握力每增加一公斤，感觉比同龄人年轻的几率增加7.3%（比值比，1.073；9%置信区间，1.01 - 1.14，p = 0.032）。
实际年龄和握力是印度北部老年人主观衰老的相关因素。需要进一步的纵向多中心研究来证实我们的发现。
