Construction of a risk profile and nursing recommendations for the community-dwelling elderly at high risk of osteosarcopenia
10.3761/j.issn.0254-1769.2025.14.015
- VernacularTitle:社区老年肌少-骨质疏松症高危人群的画像构建及护理建议
- Author:
Jiaying YU
1
;
Chuyun XU
1
;
Yu LI
1
;
Dongchi MA
1
;
Lili YANG
1
Author Information
1. 310053 杭州市 浙江中医药大学护理学院
- Publication Type:Journal Article
- Keywords:
Aged;
Sarcopenia;
Osteoporosis;
Community Nursing;
User Portraits
- From:
Chinese Journal of Nursing
2025;60(14):1757-1763
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the current status and influencing factors of high-risk populations for osteosarcopenia in elderly community residents,and to construct a health portrait for this group,revealing population characteristics and differences.Methods A convenience sampling method was employed to recruit 800 community-dwelling older adults in Hangzhou,China,between August and December 2024.Data were collected using the following validated instruments,namely the General Information Questionnaire,Age-adjusted Charlson Comorbidity Index,Chinese version of the Nutritional Form for the Elderly,Osteoporosis Self-Efficacy Scale,Social Frailty Screening Tool,Osteoporosis Risk One-Minute Test,and Osteoporosis Self-Assessment Tool for Asians.Additionally,objective physical measurements were obtained,including calf circumference,handgrip strength,and five-times sit-to-stand test time.The influencing factors were analyzed using univariate analysis and binary logistic regression,and two-step cluster analysis was employed for clustering to construct group profiles.Results 770 valid questionnaires were collected.The detection rate of high-risk osteosarcopenia in the elderly community is 27.53％.Older age,low BMI,prolonged sitting,chronic pain,low intake of soy products,low osteoporosis self-efficacy,and high social frailty are associated with a higher risk of osteosarcopenia.Totally 3 population portraits were constructed through clustering,including health-maintenance type,risk-ignoring type,and active management type.Conclusion The detection rate of high-risk elderly individuals with osteosarcopenia in communities is relatively high,with significant differences across groups.Intervention strategies can be proposed based on different group characteristics,providing a reference for precise interventions.
