Trajectories of Frailty and Related Factors of the Older People in Taiwan
Trajectories of Frailty and Related Factors of the Older People in Taiwan
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DOI：
10.1080/0361073x.2015.978219
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发表时间：
2015-01-01
影响因子：
1.8
通讯作者：
Chang, Wen-Chiung
中科院分区：
文献类型：
--
作者：
Hsu, Hui-Chuan;Chang, Wen-Chiung
背景/研究背景：本研究旨在确定老年人随时间变化的不同衰弱轨迹和与衰弱相关的因素。方法：资料来自1993年至2007年台湾老年人组成的五波面板（N = 2306）。虚弱被定义为存在以下三个或更多标准：萎缩、虚弱、疲惫、行动迟缓和低体力活动。采用基于群的轨迹分析模型，同时考虑时变和时变变量。结果：确定了三个轨迹组：维持非虚弱，发展虚弱和高危虚弱。女性、年龄较大、受教育程度较低是处于发育性虚弱组或高危虚弱组的危险因素。身体危险因素和心理因素与各组虚弱程度相关。较高的经济满意度和社会参与度分别是发展中脆弱组和高风险脆弱组的保护因素。结论：老年人应促进身体、心理和社会健康。
Background/Study Context: This study aimed to identify the different trajectories of frailty and factors related to frailty among older adults over time.Methods: Data were obtained from a five-wave panel composed of older Taiwanese adults from 1993 to 2007 (N = 2306). Frailty was defined as the presence of three or more of the following criteria: shrinking, weakness, exhaustion, slowness, and low physical activity. A group-based model of trajectory analysis was applied with time-dependent and time-independent variables.Results: Three trajectory groups were identified: maintaining nonfrailty, developing frailty, and high risk of frailty. Being female, older, and having a lower level of education were risk factors for being in the developing frailty group or high risk of frailty group. Physical risk factors and psychological factors were associated with frailty within each group. Higher financial satisfaction and social participation were protective factors from frailty for the developing frailty group and high risk of frailty group, respectively.Conclusion: Older adults should promote their health physically, psychologically, and socially.