Prevalence of frailty in Canadians 18-79 years old in the Canadian Health Measures Survey.
Prevalence of frailty in Canadians 18-79 years old in the Canadian Health Measures Survey.
复制标题
在加拿大健康措施调查中，加拿大人18-79岁的脆弱率。
DOI：
10.1186/s12877-017-0423-6
复制
发表时间：
2017-01-21
期刊：
影响因子：
4.1
通讯作者：
Tangri N
中科院分区：
文献类型：
--
作者：
Kehler DS;Ferguson T;Stammers AN;Bohm C;Arora RC;Duhamel TA;Tangri N
关于加拿大人在年轻的成年期普遍存在的虚弱程度，目前还没有多少确定性。本研究使用缺陷积累模型和弗里德模型对18-79岁的加拿大人的虚弱患病率进行了调查和比较。加拿大健康措施研究的数据被用来估计18-79岁成年人的虚弱患病率。利用缺陷累积模型（周期1-3；n = 10,995）编制了一个23项的脆弱指数；虚弱被定义为存在25%或更多的指标，包括症状、慢性疾病和实验室变量。Fried虚弱（周期1-2；n = 7353）包括存在≥3个标准：疲惫、缺乏身体活动、活动能力差、意外体重减轻和握力差。缺陷积累模型和Fried模型的虚弱患病率分别为8.6%和6.6%。比较Fried模型和缺陷积累模型，18-34岁年龄组虚弱患病率分别为5.3%和1.8%，35-49岁年龄组为5.7%和4.3%，50-64岁年龄组为6.9%和11.6%，65岁以上年龄组为7.8%和20.2%。与老年组相比，年轻组的一些指标更高，包括持续咳嗽，与一年前相比健康状况不佳，积累缺陷模型的哮喘，以及Fried模型的疲惫，无意体重减轻和握力弱。这些数据表明，虚弱在年轻人中普遍存在，但根据使用的虚弱工具而有所不同。需要进一步的研究来确定虚弱对年轻人健康的影响。本文的在线版本（doi:10.1186/s12877-017-0423-6）包含补充材料，可供授权用户使用。
There is little certainty as to the prevalence of frailty in Canadians in younger adulthood. This study examines and compares the prevalence of frailty in Canadians 18–79 years old using the Accumulation of Deficits and Fried models of frailty. The Canadian Health Measures Study data were used to estimate the prevalence of frailty in adults 18–79 years old. A 23-item Frailty Index using the Accumulation of Deficits Model (cycles 1–3; n = 10,995) was developed; frailty was defined as having the presence of 25% or more indices, including symptoms, chronic conditions, and laboratory variables. Fried frailty (cycles 1–2; n = 7,353) included the presence of ≥3 criteria: exhaustion, physical inactivity, poor mobility, unintentional weight loss, and poor grip strength. The prevalence of frailty was 8.6 and 6.6% with the Accumulation of Deficits and the Fried Model. Comparing the Fried vs. the Accumulation of Deficits Model, the prevalence of frailty was 5.3% vs. 1.8% in the 18–34 age group, 5.7% vs. 4.3% in the 35–49 age group, 6.9% vs. 11.6% in the 50–64 age group, and 7.8% vs. 20.2% in the 65+ age group. Some indices were higher in the younger age groups, including persistent cough, poor health compared to a year ago, and asthma for the accumulation of deficits model, and exhaustion, unintentional weight loss, and weak grip strength for the Fried model, compared to the older age groups. These data show that frailty is prevalent in younger adults, but varies depending on which frailty tool is used. Further research is needed to determine the health impact of frailty in younger adults. The online version of this article (doi:10.1186/s12877-017-0423-6) contains supplementary material, which is available to authorized users.