Investigation Of Frailty Among Some Elderly In Beijing Urban Area

Objective To investigate the frailty status among some elderly living in Beijing urban areas for the purpose of screening and inventing to frailty.Methods Investigate some elderly 60 years or older living in urban areas of Beijing by questionnaires,who were unsatisfied with their health.The investigation issues included demography,socioeconomics information,frailty,chronic diseases,geriatric syndroms and physical funtions.Results Data from 224 participants,mean age of 80.1 ± 7.754 years,were analyzed.The number of men and woman were 128 and 96 respectively.The number of young elderly(60-74years),elderly(75-89 years)and longevous elderly ≥90years)were 51,157 and 16 respectively.According to the evaluation of frailty,73 participants were healthy,85 were prefrail and 66 frail,among them prefrail and frail elderly account for 66.7%.The severer frailty related with the older age(Kendall’s tau-b coefficient=0.11,P=0.048),as well as the worse chronic diseases(Kendall’ s tau-b coefficient =0.593,P=0.007).Diabete with complications,chronic pumonary diseases(χ2=5.065,P=0.024)and chronic kidney diseasea(χ2=5.612,P=0.018)were significant correlates for frailty status among the chronic diseases.The physical function declined with the frailty deterioration(Kendall’s tau-b coefficient=-0.414,P<0.001).According to the number of geriatric syndrome,we devided elderly into high incidence group(with≥3 geriatric syndromes)and low incidence group(with<3 geriatric syndromes).Then we found that frail elderly was more inclined to suffer from geriatric syndroms than thier healthy counterpart(χ2=4.822,P=0.028).Cognitive impairment(χ2=7.106,P=0.008)and muscle function(leg speed)(0.66 ± 0.27m/s vs 0.96 ± 0.68m/s,P=0.001)were significant correlates for frailty status among the geriatric syndromes.Conclusion Aging is a risk factor of frailty.Frailty often accompanies with serious comorbidity burden,and had more geriatric syndromes and worse function defection.For those with comorbidity,function defection and cognitive impairment,we ought to screen to find and intervene in the frail and pre-frail status as early as possible,give targeted intervening measure so as to decrease adverse complications,maintain function and improve quality.