Department of Family Medicine, Asia University Hospital, No. 222, FuSin Rd., Wufeng, Taichung 41354, Taiwan.
Department of Medical Technology, Jenteh Junior College of Medicine, Nursing and Management, No. 79-9 Sha-Luen Hu, Xi-Zhou Li, Hou-Loung Town, Miaoli County 35664, Taiwan.
Medicina (Kaunas). 2024 Jul 29;60(8):1231. doi: 10.3390/medicina60081231.
: Frailty in older adults is associated with adverse health outcomes. This study aimed to analyze the frailty status of community-dwelling older adults in Taiwan using the Kihon Checklist (KCL) and explore associations with demographic, physiological, and functional factors. : In this cross-sectional study, 278 community-dwelling older adults were classified as robust, prefrail, or frail based on their KCL scores. Participants underwent physical fitness assessments including muscle strength and endurance tests, walking speed tests, and flexibility tests. One-way ANOVA and logistic regression analyses were used to examine differences and associations between frailty status and physical fitness indicators. : 36% of participants were robust, 47.1% prefrail, and 16.9% frail. The robust group significantly outperformed the prefrail and frail groups in the 30 s sit-to-stand test, 2.44 m sit-to-walk test, and walking speed ( < 0.001). The 2.44 m sit-to-walk test was a significant predictor of prefrailty (OR = 1.18, 95% CI = 1.02-1.36) after adjusting for other physical fitness indicators. : Lower limb functional capacity, particularly in the 2.44 m sit-to-walk test, was significantly associated with pre-frailty among community-dwelling older adults in Taiwan. Early screening, the classification of frailty by the Kihon Checklist, and targeted interventions focusing on lower limb strength, endurance, and mobility are crucial for preventing and delaying frailty progression in older populations.
: 老年人的虚弱与不良健康结果有关。本研究旨在使用 Kihon 清单（KCL）分析台湾社区居住的老年人的虚弱状况，并探讨与人口统计学、生理学和功能因素的关联。: 在这项横断面研究中，根据 KCL 评分将 278 名社区居住的老年人分为强壮、虚弱前期或虚弱。参与者接受了体能评估，包括肌肉力量和耐力测试、步行速度测试和柔韧性测试。使用单因素方差分析和逻辑回归分析来检查虚弱状态和体能指标之间的差异和关联。: 36%的参与者表现出强壮，47.1%的参与者表现出虚弱前期，16.9%的参与者表现出虚弱。在 30 秒坐立测试、2.44 米坐走测试和步行速度方面，强壮组明显优于虚弱前期和虚弱组（<0.001）。在调整了其他体能指标后，2.44 米坐走测试是虚弱前期的显著预测因素（OR=1.18，95%CI=1.02-1.36）。: 下肢功能能力，特别是在 2.44 米坐走测试中，与台湾社区居住的老年人虚弱前期显著相关。早期筛查、使用 Kihon 清单对虚弱进行分类以及针对下肢力量、耐力和活动能力的靶向干预对于预防和延缓老年人群的虚弱进展至关重要。
