Frailty as a Risk Factor for Chronic Sinusitis: Insights from a Nationwide Cross-sectional Survey.

IF 2.2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Laryngoscope Pub Date : 2024-11-26 DOI:10.1002/lary.31924
Han Chen, Lin Wang, Jisheng Zhang, Xudong Yan, Longgang Yu, Yan Jiang
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引用次数: 0

Abstract

Objective: This study aimed to investigate the connection between frailty and chronic rhinosinusitis (CRS) using a representative sample from the Korean population.

Methods: This cross-sectional study included 24,269 participants initially, with data sourced from the Korean National Health and Nutrition Examination Survey (KNHANES) database. Frailty was assessed using the modified frailty phenotype (FP) and frailty index (FI), with criteria tailored for the KNHANES dataset. CRS was identified based on the self-reported medical history of participants. Univariate and multivariate logistic regression analyses were employed to examine the correlation between CRS and frailty.

Results: The prevalence of CRS among frail individuals was higher than that in the non-frail group. Frailty status (assessed by FP) (odds ratio [OR] = 1.484, 95% confidence interval [CI]: 1.217, 1.809) and frailty status (assessed by FI) (OR = 1.571, 95% CI: 1.107, 2,230) were associated with an elevated risk of CRS, particularly in individuals aged 40-60 years (OR = 1.826, 95% CI: 1.245, 2.680) and ≥61 years (OR = 1.549, 95% CI: 1.067, 2.249), as well as those with an education level below high school (OR = 1.717, 95% CI: 1.124, 2.624). The heightened risk of CRS associated with frailty may be attributed to increased levels of slowness (OR = 1.606, 95% CI: 1.255, 2.054) and emotional exhaustion (OR = 1.363, 95% CI: 1.158, 1.604).

Conclusion: This study supported a link between frailty and CRS, potentially induced by slowness and emotional exhaustion, suggesting that effective interventions for preventing frailty should be developed to manage CRS incidence.

Level of evidence: Level 3 Laryngoscope, 2024.

体弱是慢性鼻窦炎的风险因素:一项全国性横断面调查的启示。
目的本研究旨在利用韩国人口中的代表性样本,调查体弱与慢性鼻炎(CRS)之间的关系:这项横断面研究最初纳入了 24,269 名参与者,数据来源于韩国国民健康与营养调查(KNHANES)数据库。采用改良的虚弱表型(FP)和虚弱指数(FI)对虚弱程度进行评估,评估标准根据 KNHANES 数据集进行了调整。CRS根据参与者自我报告的病史进行鉴定。采用单变量和多变量逻辑回归分析来研究 CRS 与虚弱之间的相关性:结果:体弱者的 CRS 患病率高于非体弱者。虚弱状态(通过 FP 评估)(比值比 [OR] = 1.484,95% 置信区间 [CI]:1.217, 1.809)和虚弱状态(通过 FI 评估)(比值比 [OR] = 1.571,95% 置信区间 [CI]:1.107, 2,230)与 CRS 风险升高有关,尤其是在 40-60 岁的人群中(比值比 [OR] = 1.484,95% 置信区间 [CI]:1.217, 1.809)。826,95% CI:1.245,2.680)和≥61 岁(OR = 1.549,95% CI:1.067,2.249),以及受教育程度低于高中的人群(OR = 1.717,95% CI:1.124,2.624)。与体弱相关的CRS风险增加可能是由于行动迟缓(OR = 1.606,95% CI:1.255, 2.054)和情绪衰竭(OR = 1.363,95% CI:1.158, 1.604)程度增加所致:本研究证实了体弱与CRS之间的联系,体弱可能是由行动迟缓和情绪衰竭引起的,这表明应制定有效的干预措施来预防体弱,从而控制CRS的发病率:3级 《喉镜》,2024年。
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
Laryngoscope
Laryngoscope 医学-耳鼻喉科学
CiteScore
6.50
自引率
7.70%
发文量
500
审稿时长
2-4 weeks
期刊介绍: The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope. • Broncho-esophagology • Communicative disorders • Head and neck surgery • Plastic and reconstructive facial surgery • Oncology • Speech and hearing defects
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