Epidemiology of Restricting Fatigue in Older Adults: The Precipitating Events Project

Epidemiology of Restricting Fatigue in Older Adults: The Precipitating Events Project
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DOI:
10.1111/jgs.12685
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发表时间:
2014-03-01
影响因子:
6.3
通讯作者:
Gill, Thomas M.
Gill, Thomas M.
中科院分区:
医学1区
文献类型:
--
作者:
de Rekeneire, Nathalie;Leo-Summers, Linda;Gill, Thomas M.

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目的估计社区生活的老年人限制疲劳的比率,并确定该比率是否因年龄、性别、种族、身体虚弱和抑郁而异。设计前瞻性队列研究。设置大纽黑文,研究对象为70岁及以上的非残疾社区老年男性和女性(N=754)。或连续三个月或以上因疲劳而减少日常活动。身体虚弱的基础上定义的缓慢的步态速度,抑郁症进行了评估,使用流行病学研究中心抑郁Scale.ResultsDuring中位随访111 months,限制疲劳的累积发病率为31.1%的男性和42.1%的女性。限制性疲劳的总发生率为6.7/1000人月(女性为7.8,男性为4.4,P
ObjectivesTo estimate the rate of restricting fatigue in community-living older adults and to determine whether the rates differ according to age, sex, race, physical frailty, and depression.DesignProspective cohort study.SettingGreater New Haven, Connecticut.ParticipantsNondisabled community-living older men and women aged 70 and older (N=754).MeasurementsRestricting fatigue was defined as staying in bed for at least half the day and/or cutting down on one's usual activities because of fatigue for 3 consecutive months or longer. Physical frailty was defined on the basis of slow gait speed, and depression was assessed using the Center for Epidemiologic Studies Depression Scale.ResultsDuring a median follow-up of 111months, the cumulative incidence of restricting fatigue was 31.1% for men and 42.1% for women. The overall incidence rate of restricting fatigue was 6.7 per 1,000 person-months (7.8 for women and 4.4 for men, P