The Prediction of ADL and IADL Disability Using Six Physical Indicators of Frailty: A Longitudinal Study in the Netherlands.
The Prediction of ADL and IADL Disability Using Six Physical Indicators of Frailty: A Longitudinal Study in the Netherlands.
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DOI：
10.1155/2014/358137
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发表时间：
2014-01-01
影响因子：
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通讯作者：
van Assen, Marcel A L M
中科院分区：
文献类型：
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作者：
Gobbens, Robbert J J;van Assen, Marcel A L M
虚弱是残疾的预兆。适当了解脆弱的个别指标在预测残疾方面的作用是预防性干预的必要条件。本研究的目的是确定个人身体虚弱指标（步态速度、身体活动、手握力、体重指数（BMI）、疲劳和平衡）对ADL和IADL残疾的预测能力。样本包括505名社区居民（≥ 75岁，应答率35.1%）。受访者在2007年11月至2008年6月期间首次参与，一年后所有受访者的一个子集再次参与（N = 264，应答率为52.3%）。采用Groningen活动限制量表评定ADL和IADL残疾。BMI通过自我报告进行评估，其他身体虚弱指标通过TUG测试（步态速度）、LAPAQ（体力活动）、握力测试、SFQ（疲劳）和四项测试平衡量表进行评估。所有6个身体虚弱指标均与ADL和IADL残疾相关。在控制了以前的残疾，社会人口学特征，自我感知的生活方式和慢性疾病，只有步态速度是预测ADL和IADL残疾，而有一个小的影响，疲劳IADL残疾。因此，在预测未来残疾时，这些身体虚弱指标应纳入虚弱评估。
Frailty is a predictor of disability. A proper understanding of the contribution of individual indicators of frailty in the prediction of disability is a requisite for preventive interventions. The aim of this study was to determine the predictive power of the individual physical frailty indicators: gait speed, physical activity, hand grip strength, Body Mass Index (BMI), fatigue, and balance, for ADL and IADL disability. The sample consisted of 505 community-dwelling persons (≥75 years, response rate 35.1%). Respondents first participated between November 2007 and June 2008, and a subset of all respondents participated again one year later (N = 264, 52.3% response rate). ADL and IADL disability were assessed by the Groningen Activity Restriction Scale. BMI was assessed by self-report, and the other physical frailty indicators were assessed with the TUG test (gait speed), the LAPAQ (physical activity), a hand grip strength test, the SFQ (fatigue), and the Four-test balance scale. All six physical frailty indicators were associated with ADL and IADL disability. After controlling for previous disability, sociodemographic characteristics, self-perceived lifestyle, and chronic diseases, only gait speed was predictive of both ADL and IADL disability, whereas there was a small effect of fatigue on IADL disability. Hence, these physical frailty indicators should be included in frailty assessment when predicting future disability.