Factors associated with frailty in geriatric patients with and without sarcopenia in Vietnam

被引:1
作者
Nguyen, Tam Ngoc [1 ,2 ]
Nguyen, Tu Ngoc [3 ]
Thillainadesan, Janani [4 ,5 ,6 ]
Nguyen, Anh Trung [1 ,2 ]
Nguyen, Huong Thi Thu [1 ,2 ]
Nguyen, Thu Thi Hoai [1 ,2 ]
Nguyen, Huong Thi Thanh [7 ,8 ]
Nguyen, Thanh Xuan [1 ,2 ]
Naganathan, Vasi [4 ,5 ,6 ]
Vu, Huyen Thi Thanh [1 ,2 ]
机构
[1] Hanoi Med Univ, Dept Geriatr, 01 Ton That Tung, Hanoi, Vietnam
[2] Natl Geriatr Hosp, Sci Res Dept, Hanoi, Vietnam
[3] Univ Sydney, Fac Med & Hlth, Westmead Appl Res Ctr, Sydney Med Sch, Sydney, NSW, Australia
[4] Concord Hosp, Dept Geriatr Med, Sydney, NSW, Australia
[5] Concord Hosp, Ctr Educ & Res Ageing CERA, Sydney, NSW, Australia
[6] Univ Sydney, Fac Med & Hlth, Sydney, NSW, Australia
[7] Dinh Tien Hoang Inst Med, Hanoi, Vietnam
[8] Hanoi Med Univ, Physiol Dept, Hanoi, Vietnam
关键词
educational level; geriatric syndrome; malnutrition;
D O I
10.1111/ajag.13253
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives: This study aimed to investigate the relationship between sarcopenia and frailty and examine factors associated with frailty among older patients with and without sarcopenia.Methods: This cross-sectional study was conducted on older inpatients and outpatients in Vietnam. Participants aged 60 years or older were consecutively enrolled in the study. Sarcopenia was defined using the Asian Working Group for Sarcopenia (AWGS) 2019 criteria. Fried's frailty phenotype was applied to define frailty. Logistic regression models with frailty as the dependent variable were applied.Results: A total of 835 patients (mean age: 71.3 years, SD 8.4) were recruited. The overall prevalence of frailty was 17%. Among participants with and without frailty, 92% and 47% had sarcopenia, respectively. In unadjusted analysis, sarcopenia was significantly associated with increased frailty (OR 12.3, 95% CI 6.7-22.6) and remained significant after adjustment for sociodemographic factors (OR 6.3, 95% CI: 3.0-12.6) and for both sociodemographic and clinical factors (OR 5.4, 95% CI: 2.4-12.2). Among participants with sarcopenia, older age, inpatient status, having a high risk for falls, malnutrition and a history of hospitalisation in the last year were significantly associated with frailty. Among participants without sarcopenia, the factors associated with frailty were older age, inpatient status, low educational level, high risk of falls and malnutrition.Conclusions: Our study results highlighted that sarcopenia and frailty are two related but distinct geriatric syndromes.
引用
收藏
页码:281 / 287
页数:7
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