首页|中国社区中老年人衰弱与慢性肺疾病发生的关联:一项基于中国健康与养老追踪调查数据的纵向研究

中国社区中老年人衰弱与慢性肺疾病发生的关联:一项基于中国健康与养老追踪调查数据的纵向研究

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目的 了解中国中老年人群衰弱现状,探讨其与慢性肺疾病(chronic lung disease,CLD)发生的相关性。方法 使用中国健康与养老追踪调查2011年与2018年数据,纳入2073名45岁及以上的中老年人。采用身体衰弱表型量表(physical frailty phe-notype,PFP)评估受试者的衰弱状态,人群被分为无衰弱、衰弱前状态和衰弱状态3组。该研究的结局变量是CLD的发生率。采用加权Cox比例风险回归模型分析衰弱表型与CLD风险之间的关联。结果 共有127名(6。13%)受试者患有CLD。无衰弱、衰弱前期和衰弱组的CLD累积发病率分别为5。05%(14/277)、5。63%(87/1544)和10。32%(26/252)。与无衰弱组相比,衰弱组患有CLD风险较高[HR:2。09,95%CI(1。09,4。01),P<0。05]。结论 在中国社区中老年人群中,衰弱状态与CLD发病风险之间存在关联;提示医务人员应加强对中老年人的衰弱评估,尽早采取有针对性的干预措施,降低CLD的发病率。
Association Between Frailty and Incidence of Chronic Lung Disease Among Middle-Aged and Elderly People in Chinese Community:A Longitudinal Study Based on CHARLS Data
Objective To understand the occurrence of frailty in the middle-aged and elderly population in China,and to explore the correlation between frailty and the incidence of chronic lung disease(CLD).Meth-ods The data of the China Health and Retirement Longitudinal Study(CHARLS)in 2011 and 2018 was used to select 2073 middle-aged and elderly people aged 45 years and over.The Physical Frailty Phenotype(PFP)scale was used to assess the frailty status of the subjects,and the population was categorized into three groups:no frailty,pre-frailty status,and frailty status.The outcome variable of the study was the inci-dence rate of CLD.Weighted Cox proportional risk regression model was used to analyze the association be-tween the frailty phenotype and the risk of CLD.Results A total of 127(6.13%)subjects suffered from CLD.The cumulative prevalence of CLD in the no-frailty,pre-frailty,and frailty groups was 5.05%(14/277),5.63%(87/1544),and 10.32%(26/252),respectively.Compared with the no-frailty group,the frailty group had a higher risk of developing CLD[HR:2.09,95%CI(1.09,4.01),P<0.05].Conclusions There is association between frailty status and risk of developing CLD in the middle-aged and elderly population in the Chinese community.It is suggested that the healthcare personnel should strengthen the frailty assess-ment for the middle-aged and elderly and take intervention measures as early as possible to reduce the inci-dence of CLD.

middle-aged and elderly peoplefrailty phenotypechronic lung disease

赵嘉敏、韩文娟、万文霞、张晗、晁策、姚莉

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常州市第一人民医院呼吸与危重症医学科,江苏常州 213000

常州市第一人民医院心胸外科

中老年人 衰弱表型 慢性肺疾病

常州市卫生健康青苗人才培养工程

CZQM2023004

2024

军事护理
第二军医大学

军事护理

CSTPCD北大核心
影响因子:1.628
ISSN:2097-1826
年,卷(期):2024.41(9)