Guoji laonian yixue zazhi (May 2024)
A Cross-sectional Study on the Correlation between Living Conditionsand Frailty in the Elderly
Abstract
Objective To analyze the correlation between frailty and living conditions in the elderly. Methods A convenience sampling method was used to select 4 869 elderly people who underwent physical examination and hospitalization in 20 medical institutions in hospitals,communities and nursing homes from August 2021 to February 2022.According to the Fried frailty diagnostic criteria,the research subjects were divided into a non-frailty group(2 904 cases),pre-frailty group(1 284 cases) and frailty group(681 cases).Multivariate logistic regression was used to analyze the correlation between living conditions and frailty. Results The total prevalence of frailty was 14.0%(95% CI:13.0-15.0),and the prevalence of men and women was compared(11.9% and 16.3%),and the difference was statistically significant(P<0.05).There were statistically significant differences among the three groups in age,gender,marital status,family type,monthly income,occupation type,education level,and body mass index(BMI)(P<0.05).There were statistically significant differences among the three groups in smoking status,second-hand smoke,drinking status,occupation status,type of residence,exercise frequency,exercise time,exercise method,sleep quality,sleep time,and life satisfaction(P<0.05 ).The results of the multi-factor logistic analysis showed that the independent risk factors for the occurrence of frailty in the elderly were age≥80 years old,female,low education level,unemployed status,living in small and medium-sized cities,occasional exercise and less than 8 hours of sleep after adjusting for influencing factors were age,gender,marital status,family type,monthly income,occupation type,education level and BMI(P<0.05),the protective factors for the occurrence of frailty in the elderly were not smoking secondhand smoke,living with family members and good sleep quality(P<0.05). Conclusion There is a correlation between the living conditions of the elderly and the frailty.Frailty can be improved and the quality of life can be improved by changing unhealthy lifestyles.
Keywords