摘要
目的:使用衰弱指数和Fried衰弱表型评估工具对参与社区健康体检的老年人进行衰弱评估,以期为促进开展社区老年人衰弱评估及健康干预提供参考。方法:2022年9—10月,采用方便抽样方法,收集上海市徐汇区斜土街道社区≥60岁老年人的健康体检数据和衰弱数据。使用衰弱指数和Fried衰弱表型两种评估工具进行衰弱评估,比较两种评估工具的一致性和适用性。适用性方面,以日常生活活动能力作为效度评价标准,比较两种衰弱评估工具的预测效度,同时与老年人体检结果进行相关性分析。结果:474例样本中,衰弱指数和Fried衰弱表型评估的衰弱发生率分别为37.1%、11.8%,两者呈正相关。以日常生活活动能力下降为结局变量,衰弱指数和Fried衰弱表型的ROC曲线下面积分别为0.747、0.778。衰弱指数与身体质量指数、收缩压、空腹血糖、甘油三酯、尿酸、尿素、红细胞、血红蛋白呈相关性;Fried衰弱表型评估结果与收缩压、舒张压、红细胞、血红蛋白呈相关性。结论:衰弱指数与Fried衰弱表型评估工具对社区老年人的衰弱识别有差异,衰弱指数评估工具更为灵敏;与衰弱指数评估工具相比,Fried衰弱表型评估工具对日常生活活动能力下降的预测能力更好,更适合评估老年人的身体衰弱状态;与Fried衰弱表型评估工具相比,衰弱指数评估工具的评估维度更广,更适合评估社区老年人的综合衰弱和整体健康状态。
OBJECTIVE To assess the frailty of elderly people participating in community physical examination through frailty index and Fried frailty phenotype,to provide guidance for promoting frailty assessment and health interventions for the community-dwelling elderly.METHODS From September to October 2022,a convenient sampling method was used to collect the physical examination data and frailty data of the elderly aged≥60 in Xietu Community,Xuhui District,Shanghai.Using frailty index and Fried frailty phenotype to evaluate frailty and compare their consistency and applicability.In terms of applicability,the ability of Activity of Daily Living was used as the validity evaluation standard to compare the predictive validity of the two frailty assessment tools,and a correlation analysis was conducted with the physical examination results of the elderly.RESULTS Among the 474 samples,the incidence of frailty evaluated by frailty index and Fried frailty phenotype was 37.1%,11.8%,showing a positive correlation.Taking the decline of Activities of daily living as the outcome variable,the area under the ROC curve of frailty index and Fried frailty phenotype was 0.747 and 0.778.Frailty index was correlated with Body mass index,systolic blood pressure,fasting blood glucose,triglycerides,uric acid,urea,red blood cells,and hemoglobin;Fried frailty phenotype was correlated with systolic blood pressure,diastolic blood pressure,red blood cells,and hemoglobin.CONCLUSION There is a difference between the frailty index and the Fried frailty phenotype in identifying frailty among the community-dwelling elderly,and the frailty index is more sensitive;compared with the frailty index,Fried frailty phenotype has a better predictive ability for the decline of Activities of daily living,and is more suitable for assessing the physical frailty of the elderly;compared with the Fried frailty phenotype,frailty index has a wider assessment dimension,and is more suitable for assessing the synthetical frailty and overall health status of the community-d
作者
沈家琪
柯美英
王海琴
吕江江
陈萌萱
王彪
罗力
Shen Jiaqi;Ke Meiying;Wang Haiqin;Lv Jiangjiang;Chen Mengxuan;Wang Biao;Luo Li(School of Public Health,Fudan University,Shanghai,200032,China;不详)
出处
《中国初级卫生保健》
2023年第9期12-15,共4页
Chinese Primary Health Care
基金
国家重点研发计划项目(2022YFC3600901)
上海市优秀学术带头人项目(23XD1403600)。
