Ohata Yuka, Godai Kayo, Kabayama Mai, Kido Michiko, Akagi Yuya, Tseng Winston, Maus Marlon, Akasaka Hiroshi, Takami Yoichi, Yamamoto Koichi, Gondo Yasuyuki, Yasumoto Saori, Ogawa Madoka, Kasuga Ayaka, Matsumoto Kiyoaki, Masui Yukie, Ikebe Kazunori, Arai Yasumichi, Ishizaki Tatsuro, Kamide Kei
Division of Health Science, Graduate School of Medicine, Osaka University, Osaka, Japan.
Department of Ethnic Studies, University of California, Berkeley, California, USA.
Geriatr Gerontol Int. 2024 Aug;24(8):797-805. doi: 10.1111/ggi.14924. Epub 2024 Jun 21.
This study aims to identify the key risk factors that lead to subtypes of physical frailty assessed by walking speed and grip strength among community-dwelling Japanese individuals, stratified by the presence of musculoskeletal diseases (MSDs) and age group.
We included 302 participants aged 70 or 80 years who did not exhibit subtypes of physical frailty at baseline through the Septuagenarians, Octogenarians, Nonagenarians, Investigation with Centenarians (SONIC) study. Our study was a longitudinal study. The outcome was the incidence of subtypes of physical frailty after 3 years. Subtypes of physical frailty were defined as a weak grip strength or slow walking speed, or both, based on the Japanese version of the Cardiovascular Health Study Index. The risk factors for subtypes of physical frailty incidence were examined by age group and MSD, using multivariate logistic regressions.
Of the 302 participants, 110 (36.4%) had MSD. Those with MSD were significantly more likely to have subtypes of physical frailty after 3 years compared with those without MSD. Among all participants, older age was a risk factor of subtypes of physical frailty (P < 0.05). Without MSD, older age and dissatisfied financial status were risk factors (P < 0.05). With MSD, older age was a risk factor (P < 0.05). By age group, in individuals aged 70 years old, a dissatisfied financial status was a risk factor for those without MSD (P < 0.05), and a higher BMI was one for those with MSD (P < 0.05).
Older age was a risk factor for subtypes of physical frailty, but other risk factors differed according to the presence of MSD and age. Geriatr Gerontol Int 2024; 24: 797-805.
本研究旨在确定导致日本社区居民中根据步行速度和握力评估的身体虚弱亚型的关键风险因素，并按肌肉骨骼疾病（MSD）的存在情况和年龄组进行分层。
我们通过七十、八十、九十、百岁老人调查研究（SONIC）纳入了302名70岁或80岁的参与者，他们在基线时未表现出身体虚弱亚型。我们的研究是一项纵向研究。结局是3年后身体虚弱亚型的发生率。根据日本版心血管健康研究指数，身体虚弱亚型定义为握力弱或步行速度慢，或两者兼有。使用多因素逻辑回归按年龄组和MSD检查身体虚弱亚型发生率的风险因素。
在302名参与者中，110名（36.4%）患有MSD。与没有MSD的参与者相比，患有MSD的参与者在3年后更有可能出现身体虚弱亚型。在所有参与者中，年龄较大是身体虚弱亚型的一个风险因素（P<0.05）。没有MSD时，年龄较大和财务状况不满意是风险因素（P<0.05）。有MSD时，年龄较大是风险因素（P<0.05）。按年龄组划分，在70岁的个体中，财务状况不满意是没有MSD者的风险因素（P<0.05），而较高的体重指数是有MSD者的风险因素（P<0.05）。
年龄较大是身体虚弱亚型的一个风险因素，但其他风险因素因MSD的存在情况和年龄而异。《老年医学与老年学国际杂志》2024年；24：797 - 805。
