Frailty and health related quality of life in older Mexican Americans
Frailty and health related quality of life in older Mexican Americans
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DOI：
10.1186/1477-7525-7-70
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发表时间：
2009-07-23
影响因子：
3.6
通讯作者：
Ottenbacher, Kenneth J.
中科院分区：
文献类型：
--
作者：
Masel, Meredith C.;Graham, James E.;Ottenbacher, Kenneth J.
背景：以前关于老年人虚弱的研究主要集中在发病率和死亡率上。本研究的目的是在2005- 2006年调查的墨西哥裔美国老年人的代表性样本中，引出非脆弱、脆弱前或脆弱与健康相关生活质量之间的关系。数据来自西班牙裔老年人既定人群流行病学研究（EPESE）的代表性子样本，包括1008名居住在社区的老年人（平均（sd）年龄= 82.3（4.3））。多元回归分析研究了虚弱状态与SF-36健康相关生活质量子量表和两个汇总量表之间的关系。模型还调整了参与者的社会人口统计学和健康状况。结果：我们发现，在调整了社会人口统计学和健康相关的协变量后，（p < 0.001）与健康相关的所有身体和认知健康的生活质量量表得分低于非脆弱。与不虚弱的人相比，被确定为虚弱和虚弱前的墨西哥裔美国人的健康相关生活质量评分显着降低。未来的研究应评估潜在的中介因素，努力提高生活质量的体弱老人在这一人群中。
Background: Previous research on frailty in older adults has focused on morbidity and mortality. The purpose of this study was to elicit the relationship between being non-frail, pre-frail, or frail and health related quality of life in a representative sample of older Mexican Americans surveyed in 2005-2006.Methods: Data were from a representative subsample of the Hispanic Established Populations Epidemiologic Studies of the Elderly (EPESE) and included 1008 older adults living in the community (mean (sd) age = 82.3(4.3)). Multiple regression analyses examined the relationship between frailty status and the eight SF-36 health related quality of life subscales and two summary scales. Models also adjusted for the participants' sociodemographic and health status.Results: We found that, after adjusting for sociodemographic and health related covariables, being pre-frail or frail was significantly associated (p < 0.001) with lower scores on all physical and cognitive health related quality of life scales than being non-frail.Conclusion: When compared to persons who are not frail, older Mexican American individuals identified as frail and pre-frail exhibit significantly lower health related quality of life scores. Future research should assess potential mediating factors in an effort to improve quality of life for frail elders in this population.