{"title":"伊朗老年门诊病人虚弱的危险因素:一项横断面研究","authors":"Fatemeh Sadat Mirzadeh, Monireh Khanzadeh, Mahtab Alizadeh-Khoei","doi":"10.1007/s12126-024-09583-8","DOIUrl":null,"url":null,"abstract":"<div><p>Investigate the risk factors for frailty in Iranian older adult outpatients. In this cross-sectional study, face-to-face interviews were conducted with 364 outpatients aged 60≥ at a geriatric clinic and health centers. The study included an assessment of demographic characteristics, polypharmacy, Fried Frailty Index, and various parameters from the Comprehensive Geriatric Assessment (CGA), including Geriatric Depression Scale-15 (GDS-15), Abbreviated Mental Test (AMT), Body Mass Index (BMI), Barthel Index for Activities of Daily Living (ADL), and Lawton-Brody Instrumental Activities of Daily Living (IADL). Assessment of other geriatric syndromes involved eye and hearing impairments, incontinency, pain, sleep disorders, fall, and vertigo. Data analysis was conducted using SPSS ver.27.0. A notable correlation was observed between sex, physical dependency, depression, polypharmacy, and BMI with frailty. Several geriatric syndromes including pain, incontinency, eye-impairments, vertigo, falls, and sleep disorders were found to be linked with frailty. The older adults with polypharmacy, hearing-impairment, incontinency, depression, dementia, and pain were shown to have a higher likelihood of developing frailty. Among the Fried Frailty indicators, low grip strength and weight loss in male, slow walking speed in female, and exhaustion in both gender exhibited a significant association with age. The older adults with pain had a 4.39 times higher risk of frailty compared to those without pain (<i>p </i>< 0.001, 95% CI = 2.31-8.36). This study found that frailty was associated with sex, physical dependency, depression, polypharmacy, obesity, and various geriatric syndromes including pain, vertigo, incontinency, falls, sleep disorders, eye and hearing impairment, and polypharmacy in older outpatients.</p></div>","PeriodicalId":51665,"journal":{"name":"Ageing International","volume":"50 1","pages":""},"PeriodicalIF":1.0000,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Risk Factors for Frailty in Iranian Older Adult Outpatients: a Cross-Sectional Study\",\"authors\":\"Fatemeh Sadat Mirzadeh, Monireh Khanzadeh, Mahtab Alizadeh-Khoei\",\"doi\":\"10.1007/s12126-024-09583-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Investigate the risk factors for frailty in Iranian older adult outpatients. In this cross-sectional study, face-to-face interviews were conducted with 364 outpatients aged 60≥ at a geriatric clinic and health centers. The study included an assessment of demographic characteristics, polypharmacy, Fried Frailty Index, and various parameters from the Comprehensive Geriatric Assessment (CGA), including Geriatric Depression Scale-15 (GDS-15), Abbreviated Mental Test (AMT), Body Mass Index (BMI), Barthel Index for Activities of Daily Living (ADL), and Lawton-Brody Instrumental Activities of Daily Living (IADL). Assessment of other geriatric syndromes involved eye and hearing impairments, incontinency, pain, sleep disorders, fall, and vertigo. Data analysis was conducted using SPSS ver.27.0. A notable correlation was observed between sex, physical dependency, depression, polypharmacy, and BMI with frailty. Several geriatric syndromes including pain, incontinency, eye-impairments, vertigo, falls, and sleep disorders were found to be linked with frailty. The older adults with polypharmacy, hearing-impairment, incontinency, depression, dementia, and pain were shown to have a higher likelihood of developing frailty. Among the Fried Frailty indicators, low grip strength and weight loss in male, slow walking speed in female, and exhaustion in both gender exhibited a significant association with age. The older adults with pain had a 4.39 times higher risk of frailty compared to those without pain (<i>p </i>< 0.001, 95% CI = 2.31-8.36). This study found that frailty was associated with sex, physical dependency, depression, polypharmacy, obesity, and various geriatric syndromes including pain, vertigo, incontinency, falls, sleep disorders, eye and hearing impairment, and polypharmacy in older outpatients.</p></div>\",\"PeriodicalId\":51665,\"journal\":{\"name\":\"Ageing International\",\"volume\":\"50 1\",\"pages\":\"\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2024-12-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ageing International\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s12126-024-09583-8\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ageing International","FirstCategoryId":"1085","ListUrlMain":"https://link.springer.com/article/10.1007/s12126-024-09583-8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
调查伊朗老年门诊病人虚弱的危险因素。在本横断面研究中,对364名60岁以上的老年诊所和卫生中心门诊患者进行了面对面访谈。该研究包括人口统计学特征、多药、Fried衰弱指数和老年综合评估(CGA)的各种参数的评估,包括老年抑郁量表15 (GDS-15)、简短智力测试(AMT)、体重指数(BMI)、Barthel日常生活活动指数(ADL)和劳顿-布罗迪日常生活工具活动(IADL)。其他老年综合征的评估包括眼睛和听力障碍、尿失禁、疼痛、睡眠障碍、跌倒和眩晕。数据分析采用SPSS ver.27.0进行。性别、身体依赖、抑郁、多药和BMI与虚弱之间存在显著相关性。一些老年综合症,包括疼痛、大小便失禁、视力受损、眩晕、跌倒和睡眠障碍,被发现与虚弱有关。患有多种药物、听力障碍、失禁、抑郁、痴呆和疼痛的老年人有更高的可能性出现虚弱。在Fried虚弱指标中,男性握力低、体重减轻、女性步行速度慢、男女疲惫均与年龄有显著相关性。与没有疼痛的老年人相比,有疼痛的老年人虚弱的风险高4.39倍(p <;0.001, 95% ci = 2.31-8.36)。这项研究发现,老年门诊患者的虚弱与性别、身体依赖、抑郁、多种药物、肥胖以及各种老年综合征(包括疼痛、眩晕、大小便失禁、跌倒、睡眠障碍、视力和听力损害以及多种药物)有关。
Risk Factors for Frailty in Iranian Older Adult Outpatients: a Cross-Sectional Study
Investigate the risk factors for frailty in Iranian older adult outpatients. In this cross-sectional study, face-to-face interviews were conducted with 364 outpatients aged 60≥ at a geriatric clinic and health centers. The study included an assessment of demographic characteristics, polypharmacy, Fried Frailty Index, and various parameters from the Comprehensive Geriatric Assessment (CGA), including Geriatric Depression Scale-15 (GDS-15), Abbreviated Mental Test (AMT), Body Mass Index (BMI), Barthel Index for Activities of Daily Living (ADL), and Lawton-Brody Instrumental Activities of Daily Living (IADL). Assessment of other geriatric syndromes involved eye and hearing impairments, incontinency, pain, sleep disorders, fall, and vertigo. Data analysis was conducted using SPSS ver.27.0. A notable correlation was observed between sex, physical dependency, depression, polypharmacy, and BMI with frailty. Several geriatric syndromes including pain, incontinency, eye-impairments, vertigo, falls, and sleep disorders were found to be linked with frailty. The older adults with polypharmacy, hearing-impairment, incontinency, depression, dementia, and pain were shown to have a higher likelihood of developing frailty. Among the Fried Frailty indicators, low grip strength and weight loss in male, slow walking speed in female, and exhaustion in both gender exhibited a significant association with age. The older adults with pain had a 4.39 times higher risk of frailty compared to those without pain (p < 0.001, 95% CI = 2.31-8.36). This study found that frailty was associated with sex, physical dependency, depression, polypharmacy, obesity, and various geriatric syndromes including pain, vertigo, incontinency, falls, sleep disorders, eye and hearing impairment, and polypharmacy in older outpatients.
期刊介绍:
As a quarterly peer-reviewed journal that has existed for over three decades, Ageing International serves all professionals who deal with complex ageing issues. The journal is dedicated to improving the life of ageing populations worldwide through providing an intellectual forum for communicating common concerns, exchanging analyses and discoveries in scientific research, crystallizing significant issues, and offering recommendations in ageing-related service delivery and policy making. Besides encouraging the submission of high-quality research and review papers, Ageing International seeks to bring together researchers, policy analysts, and service program administrators who are committed to reducing the ''implementation gap'' between good science and effective service, between evidence-based protocol and culturally suitable programs, and between unique innovative solutions and generalizable policies. For significant issues that are common across countries, Ageing International will organize special forums for scholars and investigators from different disciplines to present their regional perspectives as well as to provide more comprehensive analysis. The editors strongly believe that such discourse has the potential to foster a wide range of coordinated efforts that will lead to improvements in the quality of life of older persons worldwide. Abstracted and Indexed in:
ABI/INFORM, Academic OneFile, Academic Search, CSA/Proquest, Current Abstracts, EBSCO, Ergonomics Abstracts, Expanded Academic, Gale, Google Scholar, Health Reference Center Academic, OCLC, PsychINFO, PsyARTICLES, SCOPUS, Social Science Abstracts, and Summon by Serial Solutions.