Predictive value of gait and balance on frailty in community-dwelling older adults in Shanghai,China
10.3969/j.issn.1006-9771.2024.06.014
- VernacularTitle:步态和平衡功能对上海社区老年人衰弱的预测效能
- Author:
Nana WEN
1
,
2
;
Xinhui ZHANG
;
Qing LONG
;
Yuhao WANG
;
Qunping YU
;
Hanchun ZHANG
;
Guohua ZHENG
Author Information
1. 上海中医药大学,上海市 201203
2. 上海健康医学院护理与健康管理学院,上海市 201318
- Keywords:
gait;
balance;
frailty;
community-dwelling;
older adults;
risk
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(6):731-736
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the predictive value of gait and balance on the frailty in community-dwelling older adults aged 65 years and older in Shanghai. Methods A total of 414 community-dwelling older adults aged 65 years or older were recruited from Shanghai,from De-cember,2022 to April,2023.They were investigated with Fried's Frailty Phenotype Scale,Timed Up and Go Test(TUGT),one leg standing test(OLST)and self-designed questionnaire.The factors related to frailty were ana-lyzed using multivariate Logistic regression. Results The prevalence of pre-frailty and frailty were 62.8%and 10.9%,respectively.Living in rural residence,older age,low income,smoking,sedentary lifestyle and no regular exercise were the risk factors for frailty among com-munity-dwelling older adults.Time of TUGT increased,and time of closed eyes OLST descreased respectively in the frail older adults(P<0.05).The area under curve was 0.846(95%CI 0.808 to 0.884,P<0.001)as prediction for frailty using the combination of TUGT and closed eye OLST,with a sensitivity of 0.726 and a specificity of 0.817 at the optimal threshold. Conclusion Gait and balance may be a valuable predictor of frailty in community-dwelling older adults in Shanghai.
