Diabetes mellitus, hypertension and frailty: A population-based, cross-sectional study of Mexican older adults
Diabetes mellitus, hypertension and frailty: A population-based, cross-sectional study of Mexican older adults
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DOI：
10.1111/ggi.12805
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发表时间：
2017-06-01
影响因子：
3.3
通讯作者：
Ulises Perez-Zepeda, Mario
中科院分区：
文献类型：
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作者：
Carlos Castrejon-Perez, Roberto;Miguel Gutierrez-Robledo, Luis;Ulises Perez-Zepeda, Mario
目的慢性疾病在老年人中很常见，特别是高血压和糖尿病。虚弱与这两种情况之间的关系仍不清楚。本分析的目的是探讨墨西哥老年人虚弱与糖尿病和高血压之间的关联。方法介绍了墨西哥健康和营养调查（一项横断面调查）的分析。获取糖尿病和高血压的数据以及相关病症（诊断后的时间、药物治疗等）。构建了包含 36 项的虚弱指数，并重新调整为 z 值（个体得分减去总体平均值除以一个标准差）。建立多元线性回归模型，并根据年龄和性别进行调整。结果 7164 名老年人中，54.8% 为女性，平均年龄为 70.6 岁，平均衰弱指数得分为 0.175。糖尿病患病率为22.2%，高血压患病率为37.3%。糖尿病、高血压或两种疾病之间存在独立关联（系数分别为 0.28、0.4 和 0.63，P
AimChronic diseases are frequent in older adults, particularly hypertension and diabetes. The relationship between frailty and these two conditions is still unclear. The aim of the present analyses was to explore the association between frailty with diabetes and hypertension in Mexican older adults.MethodsAnalyses of the Mexican Health and Nutrition Survey, a cross-sectional survey, are presented. Data on diabetes and hypertension were acquired along with associated conditions (time since diagnosis, pharmacological treatment, among others). A 36-item frailty index was constructed and rescaled to z-values (individual scores minus population mean divided by one standard deviation). Multiple linear regression models were carried out, adjusted for age and sex.ResultsFrom 7164 older adults, 54.8% were women, and their mean age was 70.6years with a mean frailty index score of 0.175. The prevalence of diabetes was of 22.2%, and 37.3% for hypertension. An independent association between diabetes, hypertension or both conditions (coefficients 0.28, 0.4 and 0.63, respectively, P