Functional Status in Relation to Common Geriatric Syndromes and Sociodemographic Variables – A Step Forward Towards Healthy Aging

IF 3.6 3区医学

Clinical Interventions in Aging Pub Date : 2024-05-18 DOI:10.2147/cia.s462347

Lana Alhalaseh, Hala Makahleh, Bashayer Al-Saleem, Farah Al-Omran, Birgitte Schoenmakers

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引用次数: 0

Abstract

Purpose: Geriatric syndromes (GS) are prevalent in the older population, with an impact on morbidity and disability. This study aimed to investigate the prevalence of functional dependence and ten GS in community older adults and to examine the different associations between these syndromes and sociodemographic variables and their impact on functional dependence.
Patients and Methods: A cross-sectional study of 342 outpatients seen at the geriatric clinic in the period 2015– 2023.
Results: The mean age was 75± 7.4. One-third had functional dependence and 96.2% had at least one GS. The mean number of GS was 3.11± 1.74, ranging from 2.56± 1.67 in the 60s to 3.55± 1.70 in octogenarians. The most common GS found were polypharmacy (79.5%), musculoskeletal pain (49.7%), and Major Neurocognitive Disorder (MND) (32.7%). Polypharmacy was significantly associated with female sex and chronic pain, whereas sensory impairment was associated with male sex. MND, dizziness, and urinary incontinence were the only GS that significantly predicted functional dependence and were typically associated with increasing age.
Conclusion: Functional dependence increases as individuals age, paralleled by increases in MND, urinary incontinence, dizziness, sensory impairment, and constipation. Notably, only MND, incontinence, depression, and dizziness were significant predictors of functional dependence. Consequently, it is imperative to screen older adults presenting with these syndromes for early signs of functional decline to optimize their function and avert subsequent dependence, morbidity, and mortality.

Keywords: geriatric syndromes, functional dependence, elderly/older, ADL, Katz Index

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功能状态与常见老年综合症和社会人口变量的关系--向健康老龄化迈进的一步

目的：老年综合征（GS）在老年人口中十分普遍，对发病率和残疾率都有影响。本研究旨在调查社区老年人功能依赖和十种老年综合征的发病率，并研究这些综合征与社会人口变量之间的不同关联及其对功能依赖的影响：对2015-2023年期间在老年病诊所就诊的342名门诊患者进行横断面研究：平均年龄（75±7.4）岁。三分之一的患者有功能依赖，96.2%的患者至少有一个 GS。GS的平均数量为3.11±1.74，从60多岁的2.56±1.67到八旬老人的3.55±1.70不等。最常见的GS是多药（79.5%）、肌肉骨骼疼痛（49.7%）和重度神经认知障碍（32.7%）。多重用药与女性性别和慢性疼痛有很大关系，而感觉障碍则与男性性别有关。MND、头晕和尿失禁是唯一能显著预测功能依赖性的GS，通常与年龄增长有关：结论：随着年龄的增长，功能依赖性也会增加，与此同时，MND、尿失禁、头晕、感觉障碍和便秘也会增加。值得注意的是，只有MND、尿失禁、抑郁和头晕能显著预测功能依赖性。因此，必须对出现这些综合征的老年人进行筛查，以发现功能衰退的早期迹象，从而优化他们的功能，避免随后出现依赖、发病和死亡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-

CiteScore

6.20

自引率

2.80%

发文量

193

期刊介绍： Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.