The current status and influencing factors of frailty among community-dwelling old adults / 中华行为医学与脑科学杂志

ABSTRACT

Objective To explore the current status and predictive factors of frailty among community-dwelling old adults.Methods A total of 1 012 community-dwelling older adults aged 65 years and above in Sichuan Province were enrolled and investigated by self-made general condition scale,Tilburg Frailty Indicator (TFI),Short Physical Performance Battery (SPPB),10-item Connor-Davidson Resilience Scale (CD-RISC-10),Mini-Mental State Examination (MMSE) and Geriatric Depression Scale Short-form (GDS-15).Results (1) The prevalence of frailty was 30.73％.(2) There were significant differences in the frailty scores of community-dwelling older adults in terms of gender,education,marital status,living condition,spouse support,children support,family economic conditions,self-perceived health status,number of chronic diseases,body mass index,number of falls in the past year,exercise state and sleep time at night(all P＜0.05).(3) The frailty (3.72±2.88) was significantly positively correlated with depression (2.69± 2.58;r=0.58,P＜0.01),and negatively correlated with the scores of balance ability(3.28± 1.01),walking speed (2.92± 1.05),chair rise test (2.92± 1.27),strength of resilience (13.99±3.57) and MMSE (23.71 ±5.55) (r=-0.33-0.43,P＜0.01).(4) Depression (β=0.416,P＜0.001),the number of chronic diseases (β=0.219,P＜0.001),balance ability (β=-0.166,P＜0.001),spousal support (β=-0.089,P＜0.01),strength of resilience(β =-0.097,P＜0.01),family economic status(β=0.093,P＜0.01) and gender(β=0.082,P＜0.01) significantly influenced frailty,with a combined explanation variance of 45.9％.Conclusions The rate of frailty of community-dwelling old adults is high,which is influenced by physiological,psychological and social factors.Therefore,it is necessary to adopt a comprehensive model of multi-disciplinary cooperation to carry out frailty intervention in community.