Rodrigues Filipe, Monteiro Diogo, Jacinto Miguel, Matos Rui, Amaro Nuno, Pocinho Ricardo, Gordo Sara, Silva Sílvia, Antunes Raul
ESECS, Polytechnique of Leiria, 2411-901 Leiria, Portugal.
Research Center in Sport, Health, and Human Development (CIDESD), 5000-558 Vila Real, Portugal.
Healthcare (Basel). 2025 Jul 23;13(15):1791. doi: 10.3390/healthcare13151791.
The aim of this study was to analyze levels of frailty, across physical, psychological, social, and overall dimensions, according to marital status, age, number of diagnosed illnesses, and number of medications taken in community-dwelling older women. The study included a total of 94 older women, aged between 60 and 89 years. All participants completed a sociodemographic and clinical questionnaire, as well as an instrument to measure physical, psychological, and social frailty, along with the total frailty score in the study participants. Group comparison test, such as the Kruskal-Wallis test, was applied. Statistically significant differences ( < 0.05) in frailty were associated with marital status, clinical burden, and polypharmacy, with widowed/divorced individuals, those with more diagnosed diseases, and those taking more medications exhibiting higher physical and total frailty levels, while psychological frailty was notably higher in the oldest age group. The results indicate that physical and social interventions should be more relevant for older women with greater social isolation, as they may increase frailty indices and consequently the risk of hospitalization, institutionalization, and mortality.
本研究的目的是根据婚姻状况、年龄、确诊疾病数量以及社区居住老年女性服用的药物数量，分析身体、心理、社会和整体维度的衰弱水平。该研究共纳入了94名年龄在60至89岁之间的老年女性。所有参与者均完成了一份社会人口统计学和临床调查问卷，以及一份用于测量身体、心理和社会衰弱程度的量表，同时还得出了研究参与者的总衰弱得分。采用了组间比较检验，如Kruskal-Wallis检验。衰弱方面具有统计学意义的差异（<0.05）与婚姻状况、临床负担和多重用药有关，丧偶/离异者、确诊疾病较多者以及用药较多者的身体和总衰弱水平较高，而心理衰弱在年龄最大的组中尤为明显。结果表明，对于社会隔离程度较高的老年女性，身体和社会干预可能更为重要，因为这可能会增加衰弱指数，进而增加住院、入住机构和死亡的风险。
