The prevalence of frailty syndrome in an older population from Spain. The Toledo study for healthy aging

被引:232
作者
Garcia-Garcia, F. J. [1 ]
Gutierrez Avila, G. [2 ]
Alfaro-Acha, A. [1 ]
Amor Andres, M. S. [1 ]
de la Torre Lanza, M. De Los Angeles [1 ]
Escribano Aparicio, M. V. [1 ]
Humanes Aparicio, S. [2 ]
Larrion Zugasti, J. L. [3 ]
Gomez-Serranillo Reus, M. [4 ]
Rodriguez-Artalejo, F. [5 ]
Rodriguez-Manas, L. [6 ]
机构
[1] Complejo Hosp Toledo, Hosp Virgen Valle, Div Geriatr Med, Toledo 45071, Spain
[2] Consejeria Sanidad Castilla Mancha, Dept Epidemiol & Community Hlth, Toledo, Spain
[3] Hosp Navarra, Div Geriatr Med, Pamplona, Spain
[4] Complejo Hosp Toledo, Hosp Virgen Valle, Dept Clin Anal, Toledo 45071, Spain
[5] Univ Autonoma Madrid, CIBER Epidemiol & Publ Hlth CIBERESP, Sch Med, Dept Prevent Med & Publ Hlth,IdiPAZ, Madrid, Spain
[6] Hosp Univ Getafe, Div Geriatr Med, Madrid, Spain
关键词
Frailty; prevalence; elderly; cross-sectional study; COGNITIVE DECLINE; WOMENS HEALTH; VALIDITY; ASSOCIATION; PREDICTION; DISABILITY; EXTREMITY; MORTALITY; INDEXES; DISEASE;
D O I
10.1007/s12603-011-0075-8
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
To assess the prevalence of the frailty syndrome and its associated variables among the older adult population in the province of Toledo (Spain). Data were taken from the Toledo Study for Healthy Aging, a population-based study conducted on 2,488 individuals aged 65 years and older. Study participants were selected by a two-stage random sampling from the municipal census of Toledo, covering both institutionalized and community dwelling persons from rural and urban settings. Data were collected from 2006 to 2009, and included information on social support, activities of daily living, comorbidity, physical activity, quality of life, depressive symptoms, and cognitive function. In addition, a nurse collected anthropometric data, conducted tests of physical performance (walk speed, upper and lower extremities strength, and the stand-and-sit from a chair test) and obtained a blood sample. The diagnosis of the frailty syndrome was based on the Fried criteria (weakness, low speed, low physical activity, exhaustion, and weight loss). In total, 41.8% (95% confidence interval [CI] 39.4-44.2%) of the study participants were prefrail, and 8.4% (95% CI 7.1-9.8%) were frail. There were no differences in the prevalence of frailty by sex, level of education, occupation, marital status, or place of residence. The frequency of the frailty syndrome increased with age, and was higher in those with disability, depression, hip fracture and other comorbidity, such as cardiovascular disease and disorders of the central nervous system. The prevalence of the frailty syndrome in older Spanish adults is high and similar to that reported in other populations in the Mediterranean basin.
引用
收藏
页码:852 / 856
页数:5
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