社区老年男性中老年综合征和衰弱的患病率：康科德男性健康与老龄化项目
Prevalence of the geriatric syndromes and frailty in older men living in the community: The Concord Health and Ageing in Men Project.
作者信息
Noguchi Naomi, Blyth Fiona M, Waite Louise M, Naganathan Vasi, Cumming Robert G, Handelsman David J, Seibel Markus J, Le Couteur David G
机构信息
Centre for Education and Research on Ageing and Ageing and Alzheimer's Institute, Concord Hospital, University of Sydney, Sydney, New South Wales, Australia.
School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
出版信息
Australas J Ageing. 2016 Dec;35(4):255-261. doi: 10.1111/ajag.12310. Epub 2016 Mar 11.
AIM
To describe the age at which the geriatric syndromes and frailty become common in community-dwelling men.
METHODS
The Concord Health and Ageing in Men Project involves a population-based sample of 1705 community-dwelling men aged 70 and over from a defined geographic region in Sydney. Data were obtained by physical performance tests, clinical examinations, and questionnaire to determine the prevalence of the following conditions by five-year age group.
RESULTS
Poor mobility, recurrent falls, urinary incontinence, dementia and frailty phenotype were all uncommon (less than 10%) in men in their 70s, but the prevalence of each of these conditions exceeded 10% in men aged 85-89. The prevalence of Frailty Index-defined frailty, multimorbidity, polypharmacy and instrumental activities of daily living dependence was constantly high in all age groups.
CONCLUSIONS
The different health-care needs of the 'old old' aged 85 years and older should be accounted for in health service planning.
目的
描述老年综合征和衰弱在社区居住男性中变得常见的年龄。
方法
“男性康科德健康与衰老项目”涉及来自悉尼特定地理区域的1705名70岁及以上社区居住男性的基于人群的样本。通过身体机能测试、临床检查和问卷调查获取数据，以确定按五岁年龄组划分的以下状况的患病率。
结果
行动不便、反复跌倒、尿失禁、痴呆和衰弱表型在70多岁的男性中均不常见（低于10%），但在85 - 89岁的男性中，这些状况的患病率均超过10%。在所有年龄组中，衰弱指数定义的衰弱、多种疾病并存、多重用药和日常生活工具性活动依赖的患病率一直很高。
结论
在卫生服务规划中应考虑85岁及以上“高龄老人”的不同医疗保健需求。
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