中国老年哮喘患者虚弱和虚弱前期的流行病学状况及相关因素一项全国性的横断面研究 数据集（2015-2022）

数据来源和内容：于2015年中国城乡老年人口抽样调查，这是一项覆盖中国大陆 31个省/自治区/直辖市224,142名60岁以上老年人的全国性横断面调查。我们使用虚弱指数进行虚弱和虚弱前评估，老年人哮喘的诊断是根据医生的诊断史自我报告的。
数据的加工方法：同分组情况下各观测变量的缺失情况：采用马尔可夫链蒙特卡洛（MCMC）多重填充法填充缺失数据；构建FI指数：按照Searle的标准程序构建FI。FI 评分 ≥0.25代表虚弱，<0.12 代表稳健，FI 0.12-0.25 代表虚弱前期。
探索描述观测变量的各分布，检验各种分组情况下基线协变量的差异两个或多变量组进行比较：对连续变量使用独立样本t检验，分类变量使用χ2检验。Cochran-Armitage检验用于检验协变量患病率的线性趋势。多因素logisitic回归：分析与虚弱和虚弱前期相关的影响因素
数据分析结果:9416名患有哮喘的老年人被纳入研究。在患有哮喘的中国老年人中，虚弱和前虚弱的年龄-性别标准化患病率为35.8%(95% CI 34.8%-36.7%)和54.5%(95% CI 53.5%-55.5%)。多项logistic回归分析显示，年龄增加、女性、文盲、独居、经济状况差、ADL残疾、共病慢性病、过去一年住院和居住在中国北方与老年哮喘患者的虚弱和虚弱前期相关。
结论:在中国老年哮喘患者中，虚弱和虚弱前期的患病率非常高，对虚弱的评估应该成为老年哮喘患者治疗的常规。应根据已确定的老年哮喘患者虚弱的危险因素制定适当的公共卫生预防策略，以减轻中国老年哮喘患者虚弱的负担。

Data Source and Content: The data were derived from the 2015 National Sampling Survey on Elderly Population in Urban and Rural Areas of China, a nationwide cross-sectional survey covering 224,142 adults aged 60 years and above from 31 provinces, autonomous regions and municipalities directly under the Central Government in mainland China. Frailty and pre-frailty were assessed using the Frailty Index (FI), and asthma diagnosis among elderly participants was based on self-reported physician-confirmed medical history.

Data Processing Procedures: For missing values of each observed variable within identical grouping strata, missing data were imputed via Markov Chain Monte Carlo (MCMC) multiple imputation. Construction of the FI: The Frailty Index was developed following the standard protocol established by Searle. FI scores ≥0.25 were defined as frailty, scores <0.12 as robust, and scores ranging from 0.12 to 0.25 as pre-frailty.

Analytical Methods: First, descriptive analyses of the distributions of all observed variables were performed. To compare baseline covariates across different grouping strata, independent samples t-tests were used for continuous variables, and chi-squared tests for categorical variables. The Cochran-Armitage test was applied to examine the linear trend in covariate prevalence. Multivariate logistic regression analysis was conducted to identify factors associated with frailty and pre-frailty.

Data Analysis Results: A total of 9,416 elderly participants with asthma were enrolled in this study. Among Chinese elderly individuals with asthma, the age- and sex-standardized prevalence of frailty and pre-frailty was 35.8% (95% CI 34.8%–36.7%) and 54.5% (95% CI 53.5%–55.5%), respectively. Multivariate logistic regression analysis revealed that advanced age, female sex, illiteracy, living alone, low socioeconomic status, Activities of Daily Living (ADL) disability, comorbid chronic conditions, hospitalization in the past year, and residence in northern China were significantly associated with frailty and pre-frailty in elderly patients with asthma.

Conclusion: The prevalence of frailty and pre-frailty is remarkably high among elderly patients with asthma in China. Routine frailty assessment should be integrated into clinical care for this population. Targeted public health prevention strategies should be formulated based on the identified risk factors for frailty in elderly asthma patients, to alleviate the burden of frailty among elderly individuals with asthma in China.

搜集汇总

背景与挑战

背景概述

该数据集基于2015年中国城乡老年人口抽样调查，覆盖全国31个省/自治区/直辖市的224,142名60岁以上老年人，重点关注9416名老年哮喘患者的虚弱和虚弱前期状况。数据分析显示，老年哮喘患者中虚弱和虚弱前期的年龄-性别标准化患病率分别为35.8%和54.5%，并通过多项logistic回归识别了年龄、女性、文盲、独居、经济状况差、ADL残疾、共病慢性病、过去一年住院和居住在中国北方等相关因素。数据集以Excel文件形式提供，旨在支持公共卫生预防策略的制定，以减轻中国老年哮喘患者的虚弱负担。