老年人自我报告视力和听力功能障碍及其交互作用与衰弱的相关性研究

doi:10.3969/j.issn.1003-9198.2024.04.005

Abstract

Abstract: Objective To explore the association of self-reported visual and hearing impairment and their interaction with frailty in the elderly. Methods From October 2022 to March 2023, a total of 5925 elderly patients from 6 medical institutions in Zunyi City were selected by convenience sampling method for investigation. The general information was collected, and the frailty screening scale was used to evaluate frailty, and the sensory function self-rating scale was used to evaluate audio-visual function in all subjects. Multivariate Logistic regression analysis was used to evaluate the association of vision and hearing impairment and their interaction with frailty in the elderly. Results After controlling the confounding factors, Logistic regression analysis showed that visual impairment (OR=2.814, 95%CI: 2.422-3.270) and hearing impairment (OR=1.899, 95%CI: 1.603-2.249) were the influencing factors of frailty in the elderly. The visual impairment and hearing impairment had additive interaction on the occurrence of frailty in the elderly (OR=5.709, 95%CI: 4.507-7.231), with relative excess risk due to interaction (RERI) =2.515(95%CI: 1.241-3.790), attributable proportion (AP)=0.441 (95%CI: 0.298-0.583), the synergy index (S) =2.147(95%CI: 1.532-3.008). Conclusions Visual impairment and hearing impairment are the influencing factors of frailty in the elderly, and they have a combined interaction on the occurrence of frailty in the elderly, which suggests that attention should be paid to the screening and management of audiovisual function in the elderly, and taking targeted intervention as early as possible can prevent or delay the frailty process in the elderly and promote healthy aging.

Key words: frailty, aged, visual impairment, hearing impairment, interactions

CLC Number:

R 592

LI Shuang, YUAN Xiaoli, JIANG Zhixia, YANG Xiaoling, ZHAO Xiaoling, LIANG Heting, WANG Chaoping. Association of self-reported visual and hearing impairment and their interaction with frailty in the elderly[J]. Practical Geriatrics, 2024, 38(4): 343-347.

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Association of self-reported visual and hearing impairment and their interaction with frailty in the elderly

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