北京市社区高龄老年人主观身体疲乏感现状及其相关 危险因素分析. (Chinese)

Objective To analyze the current situation of perceived physical fatigability and its risk factors in the elderly in Beijing. Methods From April 2019 to August 2022,415 elderly people aged 80 years old in Beijing were included as the study subjects. General clinical data were investigated, and the Pittsburgh Fatigability Scale (PFS) Chinese-version was used to assess perceived physical fatigability, and the internationally recognized standard PFS-Physical score 15 was high perceived physical fatigability. The inbody 270 was used to analyze body composi- tion such as skeletal muscle and fat content and the body function was tested. Results Basic activities of daily living score (OR=0.897,95% CI 0.835-0.963, P=0.003) decreased, fraity (OR = 9. 177,95% CI 1. 961-42.932, P=0.003), decreased gait speed (OR =3.036,95% CI 1. 604-5.622, P<0.001), decreased grip strength (OR = 1. 984,95% CI 1. 017-3.871, P=0.045), high visceral fat area (OR=1.014,95% CI 1.002- 1.027, P=0.023) were independent associated risk factors for perceived physical fatigability in elderly people. Conclusion Early screening for high perceived physical fatigability should be emphasized in the comprehensive management of frailty and disability in the elderly. [ABSTRACT FROM AUTHOR]

目的分析北京市社区高龄老年人主观身体疲乏感现状及其相关危险因素. 方法选取2019 年4月至2022年8月北京市社区415例≥80岁高龄老年人为研究对象. 调查临床资料, 采用匹茲堡疲乏感量 表(PFS)中文版评估主观疲乏感状态, 以国际公认标准 PFS-Physical维度得分≥15分为高主观身体疲乏感. 采 用人体成分分析仪inbody 270 分析骨骼肌、脂肪含量等体成分, 并测试身体功能. 结果 基础性日常生活活动 能力下降(OR = 0. 897, 95% CI: 0.835~0.963, P=0.003)、衰弱(OR=9. 177, 95% CI: 1. 961~42. 932, P = 0.003)、步速下降(OR=3.036, 95% CI: 1. 604~5. 622, P<0.001)、握力下降(OR=1.984, 95% CI: 1.017 ~ 3.871, P=0.045)、高内脏脂肪面积(OR=1.014, 95% CI:1.002~1.027, P=0.023)是高龄老年人高主观身体疲 乏感的独立相关危险因素. 结论在高龄老年人衰弱、失能的综合管理中应重视对高主观身体疲乏感的早期 筛查. [ABSTRACT FROM AUTHOR]

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