Prevalence of Frailty in Middle-Aged and Older Community-Dwelling Europeans Living in 10 Countries
Prevalence of Frailty in Middle-Aged and Older Community-Dwelling Europeans Living in 10 Countries
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DOI：
10.1093/gerona/glp012
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发表时间：
2009-06-01
影响因子：
5.1
通讯作者：
Junod, Julien
中科院分区：
文献类型：
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作者：
Santos-Eggimann, Brigitte;Cuenoud, Patrick;Junod, Julien
背景虚弱是老年人健康状况的一个指标。其发生率主要是在北美描述的;缺乏其他国家的可比数据。在这里，我们报告的患病率在10个欧洲国家包括在人口为基础的调查。对18，227名随机选择的50岁及以上的社区居民进行横断面分析，这些人参加了2004年欧洲健康、老龄化和退休调查（SHARE）。评估虚弱表型（衰竭、萎缩、虚弱）的完整数据。慢。和低体力活动）可供16，584名参与者使用。估计了每个国家50-64岁和65岁及以上人群的虚弱和易虚弱患病率。后一组在排除残疾人后进行了进一步分析。我们使用多变量逻辑回归模型估计了这个子集中的国家效应，首先控制了年龄、性别，然后控制了人口统计学和教育。南欧的虚弱（三到五个标准）或虚弱前期（一到两个标准）的比例高于北方。在排除残疾人后，65岁及以上人群的虚弱和虚弱前患病率的国际差异仍然存在。人口统计学特征并不能解释国际差异：然而，教育与虚弱有关。控制受教育程度、年龄和性别后，居住在意大利和西班牙的影响减弱。南方国家虚弱患病率较高，这与以前的研究结果一致，即SHARE中的其他健康指标存在南北极端。我们的数据表明，社会经济因素，如教育，有助于这些差异的脆弱和prefrailty。
Background. Frailty is an indicator of health status in old age. Its frequency has been described mainly for North America; comparable data from other countries are lacking. Here we report on the prevalence of frailty in 10 European Countries included in a population-based survey.Methods. Cross-sectional analysis of 18,227 randomly selected community-dwelling individuals 50 years of age and older, enrolled in the Survey of Health, Aging and Retirement in Europe (SHARE) in 2004. Complete data for assessing a frailty phenotype (exhaustion, shrinking, weakness. slowness. and low physical activity) were available for 16,584 participants. Prevalences of frailty and prefrailty were estimated for individuals 50-64 years and 65 years of age and older front each Country. The latter group was analyzed further after excluding disabled individuals. we estimated country effects in this subset using multivariate logistic regression models, controlling first for age, gender, and then demographics and education.Results. The proportion of frailty (three to five criteria) or prefrailty (one to two criteria) was higher in southern than in northern Europe. International differences in the prevalences of frailty and prefrailty for 65 years and older group persisted after excluding the disabled. Demographic characteristics did not account for international differences: however, education was is associated with frailty. Controlling for education, age and gender diminished the effects of residing in Italy and Spain.Conclusions. A higher prevalence of frailty in southern countries is consistent with previous findings of a north-south, radical for other health indicators in SHARE. Our data Suggest that socioeconomic factors like education contribute to these differences in frailty and prefrailty.