9. Suy giảm chức năng thể chất và mối liên quan với hội chứng dễ bị tổn thương ở bệnh nhân loãng xương cao tuổi

Abstract

The objective was to evaluate the physical impairment and its association with the frailty syndrome in older osteoporosis patients. A cross-sectional descriptive study on 392 osteoporosis patients from August 2021 to August 2022 at the National Geriaric Hospital. Physical impairment was assessed by activities of daily living (ADL) and instrumental daily functional activities (IADL).Frailty syndrome leads to instability and risk of loss of function, where disability indicates loss of function and is often assessed on the basis of difficulty or dependence in performing activities, necessary for independent living, such as activities of daily living. The results showed that the average age was 73.15 ± 6.57. Male/Female ratio equalled 1/3.14. The rate of frailty syndrome accounted for 23.7%. The number of patients with impaired daily functioning according to ADL accounted for 23.2%, impairment in walking was the most common (26.3%). According to IADL, the number of patients with functional impairment was 30.6%, in which the decline in self-cooking activities accounted for the highest rate (32.7%). There was a statistically significant relationship between physical function impairment and frailty syndrome with p < 0.001, in which study subjects with reduced physical function according to ADL and IADL have higher frailty syndrome compared with the group of patients with normal physical function. Our results provide additional evidence that screening for physical impairment and frailty syndrome is needed in elderly osteoporosis patients.