Rangel Giselle A, Tratner Adam E, Oviedo Diana C, Villarreal Alcibiades E, Carreira Maria B, Rodriguez-Araña Sofia, Flores Millender Eugenia, Xavier Hall Casey, Wong Frank Y, O'Bryant Sid, Britton Gabrielle B
Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama.
Panama's Secretaría Nacional de Ciencia Tecnología e Innovación (SENACYT), Panama.
Gerontol Geriatr Med. 2024 Sep 27;10:23337214241283546. doi: 10.1177/23337214241283546. eCollection 2024 Jan-Dec.
The population of Hispanic older adults is growing along with the burden of chronic diseases. This cross-sectional study aims to assess the factors associated with frailty among community-dwelling Hispanic women aged ≥60 years ( = 357) enrolled in the Panama Aging Research Initiative-Health Disparities study of cognitive-functional health of older persons in Panama. Cognitive function was assessed with a neuropsychological test battery. Depression was measured with the Geriatric Depression Scale. Frailty was defined using the Fried criteria and participants were classified as non-frail, pre-frail or frail. A subsample ( = 281) provided fasting blood samples for quantification of protein biomarkers. Associations were examined using hierarchical multiple linear regressions. 59.4% and 9.0% of participants ( = 69.2 years, = 6.3) were pre-frail and frail, respectively. Having more depression (β = .28, < .001) was significantly associated with frailty, even after covariate adjustment. Cognitive function was not associated with frailty. Higher pTau181 levels were associated with increased frailty (β = .13, = .039), whereas higher α2M levels were associated with decreased frailty (β = -.16, = .004). These findings advance the search for health indicators and biomarkers of frailty and warrant further studies to decrease the burden of frailty among older Hispanic women.
西班牙裔老年人的数量随着慢性病负担的增加而增长。这项横断面研究旨在评估参与巴拿马衰老研究倡议——巴拿马老年人认知功能健康的健康差异研究的357名年龄≥60岁的社区居住西班牙裔女性中与衰弱相关的因素。使用一套神经心理学测试评估认知功能。用老年抑郁量表测量抑郁。采用弗里德标准定义衰弱,参与者被分为非衰弱、衰弱前期或衰弱。一个子样本(n = 281)提供空腹血样以定量蛋白质生物标志物。使用分层多元线性回归检验相关性。59.4%和9.0%的参与者(平均年龄 = 69.2岁,标准差 = 6.3)分别处于衰弱前期和衰弱状态。即使在进行协变量调整后,抑郁程度越高(β = 0.28,p < 0.001)与衰弱的相关性越显著。认知功能与衰弱无关。较高的pTau181水平与衰弱增加相关(β = 0.13,p = 0.039),而较高的α2M水平与衰弱减少相关(β = -0.16,p = 0.004)。这些发现推动了对衰弱的健康指标和生物标志物的探索,并有必要进一步开展研究以减轻老年西班牙裔女性的衰弱负担。