中国老年高血压人群衰弱及衰弱前期患病率及相关因素研究：全国横断面研究数据集（2015-2022）

目的：探讨中国老年高血压患者衰弱及衰弱前期的患病率及影响因素。
背景：在中国，关于老年高血压患者衰弱和衰弱前期的患病率及其相关因素的全国性研究还很少。
方法：通过2015年第四次中国城乡老年人口抽样调查（SSAPUR），了解中国大陆31个省、自治区、直辖市60岁及以上高血压人群的情况。并根据33项潜在缺陷构建衰弱指数，将老年高血压患者分为健壮、衰弱和衰弱前期。
结果：共有76,801名老年高血压患者纳入研究。中国高血压老年人的年龄-性别标化衰弱和衰弱前期患病率为16.1%（95%CI 15.8-16.3%）、58.1%（95%CI 57.7-58.4%）。老年高血压患者衰弱和衰弱前期的患病率存在​​显着的地域差异。多项Logistic回归分析显示，经济状况不佳、日常生活活动能力障碍以及合并慢性疾病与衰弱和衰弱前期相关。
结论：衰弱和衰弱前期在中国老年高血压患者中非常常见，并且具有相似的危险因素。应针对老年高血压衰弱前人群中已确定的危险因素，制定预防策略，以阻止或延缓衰弱的发生。优化中国老年高血压患者的衰弱管理也至关重要。

Purpose: This study aims to explore the prevalence and influencing factors of frailty and pre-frailty among elderly hypertensive patients in China.
Background: There are very few nationwide studies in China focusing on the prevalence of frailty and pre-frailty and their associated factors among elderly hypertensive patients.
Methods: Data were obtained from the 2015 4th China Sample Survey on the Elderly Population in Urban and Rural Areas (SSAPUR), covering the hypertensive population aged 60 years and above in 31 provinces, autonomous regions, and municipalities directly under the Central Government of mainland China. The frailty index was constructed based on 33 potential deficits, and elderly hypertensive patients were categorized into robust, frailty, and pre-frailty groups.
Results: A total of 76,801 elderly hypertensive patients were included in this study. The age- and sex-standardized prevalence of frailty and pre-frailty among Chinese elderly hypertensive patients was 16.1% (95%CI 15.8–16.3%) and 58.1% (95%CI 57.7–58.4%), respectively. Significant regional differences were observed in the prevalence of frailty and pre-frailty among elderly hypertensive patients. Multivariate Logistic regression analysis showed that poor economic status, activities of daily living (ADL) impairment, and comorbid chronic diseases were associated with frailty and pre-frailty.
Conclusion: Frailty and pre-frailty are highly prevalent among elderly hypertensive patients in China, with similar risk factors. Prevention strategies targeting the identified risk factors in the pre-frail elderly hypertensive population should be developed to prevent or delay the onset of frailty. Optimizing the management of frailty among elderly hypertensive patients in China is also critically important.

搜集汇总

背景与挑战

背景概述

该数据集基于2015年第四次中国城乡老年人口抽样调查，涵盖全国31个省份的76,801名老年高血压患者，旨在分析衰弱及衰弱前期的患病率及相关因素。研究发现，年龄-性别标化衰弱和衰弱前期患病率分别为16.1%和58.1%，存在显著地域差异，主要影响因素包括经济状况、日常生活活动能力障碍和慢性疾病。数据适用于老年健康和公共卫生研究，支持预防策略制定。