Associations Between Obesity and Multidimensional Frailty in Older Chinese People with Hypertension
Associations Between Obesity and Multidimensional Frailty in Older Chinese People with Hypertension
复制标题
中国老年高血压患者肥胖与多维衰弱的关系
DOI：
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发表时间：
2020
影响因子：
3.6
通讯作者：
R. Gobbens
中科院分区：
文献类型：
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作者：
Xiaoyue Song;Weihong Zhang;Cynthia Hallensleben;Anke Versluis;R. M. van der Kleij;Zongliang Jiang;N. Chavannes;R. Gobbens
目的探讨老年高血压患者多维虚弱的患病率，并探讨一般性肥胖和腹部肥胖与老年高血压患者虚弱的可能关系。患者和方法选取995名居住在中国郑州的65岁及以上社区高血压老年人，完成了蒂尔堡衰弱指标（TFI），这是一份评估多维衰弱的有效自我报告问卷。此外，通过自我报告评估社会人口学和生活方式特征，并通过测量腰围和计算体重指数来确定肥胖程度。结果老年高血压患者多维虚弱患病率为46.5%。采用多元线性回归分析，体重指数与体质虚弱显著相关（p = 0.001），腰围与多维虚弱和所有三个虚弱域显著正相关。年龄与多维脆弱、身体脆弱和心理脆弱呈正相关，而性别（女性）与多维脆弱、心理脆弱和社会脆弱呈正相关。此外，合并症和没有伴侣与多维度、身体、心理和社会脆弱性呈正相关。在生活方式特征中，饮酒与脆弱域呈正相关。结论多维虚弱在中国社区老年高血压患者中普遍存在。腹部肥胖可能与身体脆弱、心理脆弱和社会脆弱有关，而一般肥胖则与身体脆弱有关。
Purpose To investigate the prevalence of multidimensional frailty in older people with hypertension and to examine a possible relationship of general obesity and abdominal obesity to frailty in older people with hypertension. Patients and Methods A sample of 995 community-dwelling older people with hypertension, aged 65 years and older and living in Zhengzhou (China), completed the Tilburg Frailty Indicator (TFI), a validated self-report questionnaire for assessing multidimensional frailty. In addition, socio-demographic and lifestyle characteristics were assessed by self-report, and obesity was determined by measuring waist circumference and calculating the body mass index. Results The prevalence of multidimensional frailty in this older population with hypertension was 46.5%. Using multiple linear regression analysis, body mass index was significantly associated with physical frailty (p = 0.001), and waist circumference was significantly positively associated with multidimensional frailty and all three frailty domains. Older age was positively associated with multidimensional frailty, physical frailty, and psychological frailty, while gender (woman) was positively associated with multidimensional, psychological, and social frailty. Furthermore, comorbid diseases and being without a partner were positively associated with multidimensional, physical, psychological, and social frailty. Of the lifestyle characteristics, drinking alcohol was positively associated with frailty domains. Conclusion Multidimensional frailty was highly prevalent among Chinese community-dwelling older people with hypertension. Abdominal obesity could be a concern in physical frailty, psychological frailty, and social frailty, while general obesity was concerning in relation to physical frailty.
影响因子：
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作者：
Walston, J;McBurnie, MA;Fried, LP
通讯作者：
Fried, LP
DOI：
10.1093/gerona/56.3.m146
发表时间：
2001-03-01
影响因子：
5.1
作者：
Fried, LP;Tangen, CM;McBurnie, MA
通讯作者：
McBurnie, MA