| 杨帆,王双,覃海,谭柯,孙倩倩,王凌霄,聂双双,刘佳倪,陈杨,张敏,陈燕语.衰弱综合征对社区老年糖尿病患者跌倒影响的队列研究[J].Chinese journal of Epidemiology,2018,39(6):776-780 |
| 衰弱综合征对社区老年糖尿病患者跌倒影响的队列研究 |
| Effect of frailty syndrome on falls in Chinese elderly diabetics in the communities: a prospective cohort study |
| Received:December 10, 2017 |
| DOI：10.3760/cma.j.issn.0254-6450.2018.06.016 |
| KeyWord: 衰弱综合征 糖尿病 跌倒 社区 |
| English Key Word: Frailty syndrome Diabetes mellitus Falls Community dwelling |
| FundProject:四川省卫生和计生委重点课题（16ZD001）；强生全球创新课题（H1312124） |
| Author Name | Affiliation | E-mail | | Yang Fan | The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China | | | Wang Shuang | The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China | wangs0211@hotmail.com | | Qin Hai | Internal Medicine Department, The Pingyi Community Health Service Center in Dujiangyan City, Chengdu 610000, China | | | Tan Ke | The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China | | | Sun Qianqian | The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China | | | Wang Lingxiao | Geriatric Department, The Fifth People's Hospital of Chengdu, Chengdu 611130, China | | | Nie Shuangshuang | General Medicine Department, The Affiliated Central Hospital of Qingdao University, Qingdao 266071, China | | | Liu Jiani | The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China | | | Chen Yang | Department of Palliative Medicine, NO.4 West China Teaching Hospital, Sichuan University, Chengdu 610041, China | | | Zhang Min | Department of Elderly Endocrinology, Sichuan Provincial People's Hospital, Chengdu 610072, China | | | Chen Yanyu | The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China | |
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| Abstract: |
| 目的 探讨衰弱综合征与社区老年糖尿病患者跌倒之间的关系。方法 在都江堰市平义社区建立≥ 65岁老年人队列，分别于2014年1月和2017年1月进行问卷调查，包括自报糖尿病、跌倒、衰弱状态、认知功能和营养状况等。采用多因素logistic回归方法分析基线衰弱水平与随后3年内跌倒发生风险之间的关系。结果 653名老年人接受了第一次调查，473人完成第二次调查。糖尿病的患病率为13.3%，糖尿病合并衰弱综合征老年人的跌倒发生率为62.5%。衰弱综合征是非糖尿病老年人（OR=3.87，95%CI：1.45~10.28）发生跌倒的独立危险因素，且对糖尿病老年人（OR=6.68，95%CI：1.14~38.99）的影响更强。结论 衰弱综合征是老年糖尿病患者未来发生跌倒的强烈预测因子，需要早期发现和干预。 |
| English Abstract: |
| Objective To explore the relationship between frailty syndrome and falls in the elderly diabetics,in the communities.Methods A three-year cohort study involving 653 community-dwelling adults who were over 65 years of age and participated in the Survey of Disease,Psychological and Social Needs in Dujiangyan Pingyi Community.Diabetic patients would include those who self-reported as having histories of diabetes or on anti-hyperglycemic therapies.Frailty,functional and other geriatric status were assessed respectively.Falls was defined as having had multiple falls or at least one event but with injury.Results The highest prevalence of falls was found in the group of frail diabetic group (62.5%).Data showed that baseline frailty was associated with falls in both diabetic and non-diabetic groups but the odds ratio in the diabetic group was higher than that of the non-diabetic group (OR=3.87,95% CI:1.45-10.28 vs.OR=6.68,95% CI:1.14-38.99).Conclusion Frailty could be used as a strong clinical predictor to prevent falls,for the elderly diabetic Chinese living in the communities. |
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