Frailty progress and related factors in the elderly living in community: a prospective study.
10.3760/cma.j.issn.0254-6450.2019.02.012
- VernacularTitle:社区老年人衰弱状态的过渡及其恶化影响因素分析的前瞻性研究
- Author:
F YANG
1
;
S WANG
1
;
H QIN
2
;
K TAN
1
;
Q Q SUN
1
;
L X WANG
3
;
S S NIE
4
;
J N LIU
1
;
Y CHEN
5
;
M ZHANG
6
;
Y Y CHEN
1
Author Information
1. Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China.
2. Internal Medicine Department, Pingyi Community Health Service Center in Dujiangyan, Dujiangyan 610000, China.
3. Geriatric Department, the Fifth People's Hospital of Chengdu, Chengdu 611130, China.
4. General Medicine Department, the Affiliated Central Hospital of Qingdao University, Qingdao 266071, China.
5. Department of Palliative Medicine, the Fourth West China Teaching Hospital, Sichuan University, Chengdu 610041, China.
6. Department of Elderly Endocrinology, Sichuan Provincial People's Hospital, Chengdu 610072, China.
- Publication Type:Journal Article
- Keywords:
Community;
Frailty;
Progress;
Risk factor
- MeSH:
Aged;
Aged, 80 and over;
China/epidemiology*;
Frail Elderly/statistics & numerical data*;
Frailty;
Geriatric Assessment/statistics & numerical data*;
Humans;
Prospective Studies;
Quality of Life/psychology*;
Surveys and Questionnaires
- From:
Chinese Journal of Epidemiology
2019;40(2):186-190
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate frailty progress status and related factors in the elderly living in communities. Methods: A cohort of elderly people aged 65 and over in Pingyi community of Dujiangyan, Sichuan province, was established. Face-to-face questionnaire survey was conducted by trained interviewers. The frailty status, cognitive function, nutrition status and other functions of the subjects surveyed were evaluated at baseline survey and during follow-up. The socio-demographic and clinical characteristics of the subjects surveyed were assessed at baseline survey. Binary logistic regressions were used to identify factors associated with frailty progress. Results: A total of 653 elderly people were surveyed in January 2014, and 507 elderly people were followed up while 146 elderly people terminated further follow-up in January 2017. The prevalence rates of frailty and pre-frailty at baseline survey were 11.2% (n=57) and 26.2% (n=133), respectively. After 3 years, 205 subjects (40.4%) surveyed experienced frailty progress, 276 (54.5%) remained to be in frailty state at baseline survey, and 26 (5.1%) had improvement. Disability (OR=8.27, 95%CI: 1.62-42.26), visual problem (OR=2.02, 95%CI: 1.27-3.22), cognitive impairment (OR=1.94, 95%CI: 1.08-3.48), poor self-rated health (OR=1.89, 95%CI: 1.07-3.31), chronic pain (OR=1.57, 95%CI: 1.03-2.40) and older age (OR=1.12, 95%CI: 1.08-1.17) were independently associated with the progress of frailty. In contract, overweight was a protective factor (OR=0.54, 95%CI: 0.34-0.85). Conclusions: Frailty is a dynamic syndrome affected by several socio-demographic factors and geriatric factors. The results of the study can be used in the prevention of frailty progress in the elderly in communities.
