老年人虚弱与握力下降的关系

Carmen Eliana Peralta Vargas, Ian Christian Falvy Bockos, Claudia Valdivia Alcalde
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摘要

目的:在三个月的随访中发现握力下降是否与虚弱和不良后果有关。材料和方法:一项描述性、观察性和前瞻性研究。在日间医院就诊的59岁以上的患者也被纳入研究。优势手握力是在门诊访问期间测量的。虚弱程度采用埃德蒙顿虚弱量表进行评估。三个月随访时,握力下降、虚弱和不良结局之间的关系采用卡方检验和学生t检验进行评估。结果:对82名平均年龄为83.68岁的老年人(其中46名为女性)进行了握力测量。根据埃德蒙顿虚弱量表,83.33%的研究对象为重度虚弱,87.87%为中度虚弱,86.66%为轻度虚弱,46.66%为易虚弱。根据这个量表,“不虚弱”的老年人是那些握力没有下降的人。握力下降与虚弱相关(p = 0.002)。在三个月的随访中,握力下降的老年人(p = 0.49)和虚弱的老年人(p = 0.48)的不良结果很常见,尽管这些结果没有统计学意义。结论:握力下降与虚弱有关。在三个月的随访中,所有死亡的研究参与者的握力都有所下降。
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Relación entre Fragilidad en adultos mayores y Fuerza de prensión disminuida
Objective: To find out if decreased grip strength is associated with frailty and adverse outcomes at three-month follow-up. Materials and methods: A descriptive, observational and prospective study. Patients older than 59 years of age attending a day hospital were included in the research. The dominant hand grip strength was measured during an outpatient visit. Frailty was assessed using the Edmonton Frail Scale. The association between decreased grip strength, frailty and adverse outcomes at three-month follow-up was evaluated using the chi-square test and Student’s t-test. Results: Grip strength was measured in 82 older adults (out of whom 46 were females) whose mean age was 83.68 years. Based on the Edmonton Frail Scale, 83.33 % of the study subjects were severely frail, 87.87 % were moderately frail, 86.66 % were mildly frail and 46.66 % were vulnerable to frailty. According to this scale, “not frail” older adults were those who did not show decreased grip strength. Decreased grip strength was associated with frailty (p = 0.002). Adverse outcomes at three-month follow-up were frequent in older adults with decreased grip strength (p = 0.49) and those with frailty (p = 0.48), although such outcomes were not statistically significant. Conclusions: Decreased grip strength is associated with frailty. At three-month follow-up, all the study participants who died had decreased grip strength.
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