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体力活动日常试验中老年人虚弱评估。

Assessment of Frailty Among Older Adults in the Physical Activity Daily Trial.

机构信息

University of Alabama at Birmingham, Birmingham, AL, USA.

Pharpoint Research Inc, Durham, NC, USA.

出版信息

J Appl Gerontol. 2024 Oct;43(10):1428-1437. doi: 10.1177/07334648241244690. Epub 2024 Apr 24.

Abstract

Frailty is common among cardiac patients; however, frailty assessment data from patients with peripheral arterial disease (PAD) are limited. The purpose of this observational study was to identify the prevalence and factors related to frailty in addition to unique frailty marker groupings in a cohort of sedentary adults with PAD. We grouped three PAD-relevant frailty characteristics using Fried's frailty phenotype -1) exhaustion, (2) weakness, and (3) slowness-and observed the prevalence of pre-frailty (1-2 characteristics) and frailty (3 characteristics) in the PAD cohort. Of the 106 participants, 34.9% were robust/non-frail, 53.8% were pre-frail, and 2.8% were frail. Exhaustion (33.3%) was the most occurring characteristic followed by weakness (20.0%) and slowness (5.0%). The grouping of weakness + slowness (10.0%) was the most prevalent followed by exhaustion + weakness (8.3%) and exhaustion + slowness (5.0%). Among pre-frail participants, ankle brachial index was correlated with a reduction in gait speed.

摘要

衰弱在心脏病人群中很常见;然而,外周动脉疾病(PAD)患者的衰弱评估数据有限。本观察性研究的目的是确定在患有 PAD 的久坐成年人队列中,除了独特的衰弱标志物分组外,衰弱的患病率和相关因素。我们使用 Fried 的衰弱表型将三个与 PAD 相关的衰弱特征进行分组 -1)疲惫,2)虚弱,和 3)缓慢 - 并观察 PAD 队列中预衰弱(1-2 个特征)和衰弱(3 个特征)的患病率。在 106 名参与者中,34.9%为健壮/非衰弱,53.8%为衰弱前期,2.8%为衰弱。最常见的特征是疲惫(33.3%),其次是虚弱(20.0%)和缓慢(5.0%)。最常见的分组是虚弱+缓慢(10.0%),其次是疲惫+虚弱(8.3%)和疲惫+缓慢(5.0%)。在衰弱前期患者中,踝肱指数与步态速度降低相关。

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