目的:本研究的目的是研究老年女性患者贫血与日常生活的基本活动和工具活动之间的关系。
方法:540名老年女性门诊患者纳入本横断面研究。贫血定义为血红蛋白低于12g/dL。患者的人口统计学特征,合并症,老年抑郁量表,迷你营养评估,还记录了简易精神状态检查(MMSE)。用手测力计测量握力(HGS)以检测功能障碍。使用日常生活基本活动(BADL)和日常生活工具活动(IADL)问卷来评估功能能力。
结果:参与者的平均年龄为77.42±7.42岁。贫血患者的患病率为35%。在年龄方面,贫血组和非贫血组之间观察到显着差异,糖尿病(DM)的存在,高血压,冠状动脉疾病(CAD),慢性肾脏病(CKD),营养不良,强直症,MMSE,BADL和IADL评分(p<0.05)。在多变量分析中,调整后的年龄,DM,高血压,CAD和CKD;贫血与BADL/IADL评分降低之间存在显著关联,强直症,falls,跌倒的风险,MMSE,营养不良(p<0.05)。调整所有混杂变量后,在贫血的老年女性中,BADL和IADL总分的恶化仍比无贫血的女性更常见(p<0.05).
结论:在门诊就诊的老年妇女中,每3人中就有1人贫血。观察到贫血与BADL和IADL指标的依赖性相关。因此,应常规检查老年妇女贫血的存在,并应调查和处理可能的原因,以提高其功能能力。
OBJECTIVE: The aim of the present study was to examine the relationship between anemia and basic and instrumental activities of daily living in older female patients.
METHODS: 540 older female outpatients were included in this cross-sectional study. Anemia was defined as a hemoglobin below 12 g/dL. Patients\' demographic characteristics, comorbidities, Geriatric Depression Scale, Mini Nutritional Assessment, and Mini-Mental State Examination (MMSE) were also recorded. Handgrip strength (HGS) was measured with a hand dynamometer to detect dynapenia. Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL) questionnaires were used to evaluate functional capacity.
RESULTS: The mean age of the participants was 77.42 ± 7.42 years. The prevalence of patients with anemia was 35%. A significant difference was observed between anemic and non-anemic groups in terms of age, presence of diabetes mellitus (DM), hypertension, coronary artery disease (CAD), chronic kidney disease (CKD), malnutrition, dynapenia, and MMSE, BADL and IADL scores (p < 0.05). In multivariate analysis, after adjustment for age, DM, hypertension, CAD and CKD; there were significant associations between anemia and reduced BADL/IADL scores, dynapenia, falls, the risk of falls, MMSE, and malnutrition (p < 0.05). After adjusting for all confounding variables, deterioration in total BADL and IADL total scores were still more common among anemic older females than those without anemia (p < 0.05).
CONCLUSIONS: One out of every three older women presenting at one outpatient clinic were anemic. Anemia was observed to be associated with
dependence in both BADL and IADL measures. Therefore, the presence of anemia in elderly women should be routinely checked, and possible causes should be investigated and treated to improve their functional capacity.