Relationship between Frailty Assessed Using the Kihon Checklist and Rheumatoid Arthritis.

IF 1.5
Progress in rehabilitation medicine Pub Date : 2025-09-18 eCollection Date: 2025-01-01 DOI:10.2490/prm.20250023
Takeshi Mochizuki, Koichiro Yano, Katsunori Ikari, Ken Okazaki
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Abstract

Objectives: This study investigated the relationship between frailty as assessed using the Kihon checklist (KCL) and rheumatoid arthritis (RA) status.

Methods: In total, 626 consecutive patients with RA were enrolled in this cross-sectional study. We examined the patients' KCL scores, characteristics, and clinical data. The patients were grouped according to their KCL scores as follows: robust (scores of 0-3), pre-frailty (scores of 4-7), and frailty (scores ≥8).

Results: Frailty, pre-frailty, and robust groups accounted for 36.9%, 30.5%, and 32.6% of the patients, respectively. Significant factors comparing frailty and robust groups were age (P < 0.001), Health Assessment Questionnaire Disability Index (HAQ-DI) (P < 0.001), and habitual exercise (P = 0.004). Significant factors comparing the pre-frailty and robust groups were age (P < 0.001) and HAQ-DI (P = 0.041).

Conclusions: In patients with RA, HAQ-DI and exercise should be managed to prevent frailty and avoid the need for long-term care. Our results will help identify those patients who can most benefit from aggressive management of RA.

Abstract Image

使用Kihon检查表评估虚弱与类风湿关节炎的关系。
目的:本研究调查了使用Kihon检查表(KCL)评估的虚弱与类风湿关节炎(RA)状态之间的关系。方法:共有626例连续的RA患者被纳入这项横断面研究。我们检查了患者的KCL评分、特征和临床资料。根据患者的KCL评分分为:健全性(0-3分)、虚弱前期(4-7分)和虚弱(≥8分)。结果:虚弱组、虚弱前组和健全组分别占36.9%、30.5%和32.6%。比较虚弱组和健壮组的重要因素是年龄(P)。结论:在RA患者中,HAQ-DI和运动应得到管理,以防止虚弱,避免需要长期护理。我们的结果将有助于确定那些可以从积极治疗类风湿性关节炎中获益最多的患者。
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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