The prevalence of anemia and its associations with other geriatric syndromes in subjects over 65 years old: data of Russian epidemiological study EVKALIPT

Background. A low hemoglobin level in older adults impairs cognitive ability and functional status and associates with risk of falls and fractures, sarcopenia, malnutrition, depression, frailty, and decreased autonomy. Epidemiological data on the anemia prevalence in the geriatric population in our...

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Main Authors: Natalia O. Khovasova, Natalya M. Vorobyeva, Olga N. Tkacheva, Yulia V. Kotovskaya, Anton V. Naumov, Elena V. Selezneva, Lilia N. Ovcharova
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2022-01-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/viewFile/104687/79119
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author Natalia O. Khovasova
Natalya M. Vorobyeva
Olga N. Tkacheva
Yulia V. Kotovskaya
Anton V. Naumov
Elena V. Selezneva
Lilia N. Ovcharova
author_facet Natalia O. Khovasova
Natalya M. Vorobyeva
Olga N. Tkacheva
Yulia V. Kotovskaya
Anton V. Naumov
Elena V. Selezneva
Lilia N. Ovcharova
author_sort Natalia O. Khovasova
collection DOAJ
description Background. A low hemoglobin level in older adults impairs cognitive ability and functional status and associates with risk of falls and fractures, sarcopenia, malnutrition, depression, frailty, and decreased autonomy. Epidemiological data on the anemia prevalence in the geriatric population in our country is not available. Aim. To assess the prevalence of anemia and analyze its associations with geriatric syndromes (GS) in subjects aged 65 years. Materials and methods. 4308 subjects (30% of men) aged 65107 years, living in 11 regions of the Russian Federation, were examined and divided into age groups (6574 years, 7584 years and 85 years). All the participants underwent a comprehensive geriatric assessment and determined hemoglobin level. Results. The anemia prevalence in older adults was 23.9%. It has been shown that with an increase in age per 1 year, the risk of anemia detection increases by 4%. The incidence of anemia was higher in males than females (28.1% versus 22.1%; p0.001). In most cases, anemia was mild. The results of a comprehensive geriatric assessment show that patients with anemia had lower hand grip force, Barthel Index, the sum of points on Lawton instrumental activities of daily living scale, Mini Nutritional Assessment scale, the Mini-Cog test and higher the sum of points on the Geriatric Depression Scale (GDS-15) and the Age Is No Barrier scale. Patients with anemia were more likely to use hearing aids, absorbent underwear, and assistive devices during movement. Patients with anemia had a higher incidence of all GS, except for orthostatic hypotension and chronic pain syndrome. The presence of GS is associated with an increased risk of anemia by 1.33.4 times. Conclusion. EVKALIPT study obtained domestic data on the prevalence of anemia in older patients and examined its associations with other GS.
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spelling doaj.art-f66e6b92336f4e56ad3ad9926560eef02022-12-21T23:33:18Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422022-01-01941243110.26442/00403660.2022.01.20131678043The prevalence of anemia and its associations with other geriatric syndromes in subjects over 65 years old: data of Russian epidemiological study EVKALIPTNatalia O. Khovasova0https://orcid.org/0000-0002-3066-4866Natalya M. Vorobyeva1https://orcid.org/0000-0002-6021-7864Olga N. Tkacheva2https://orcid.org/0000-0002-4193-688XYulia V. Kotovskaya3https://orcid.org/0000-0002-1628-5093Anton V. Naumov4Elena V. Selezneva5https://orcid.org/0000-0001-6623-6815Lilia N. Ovcharova6https://orcid.org/0000-0002-7266-707XRussian Clinical and Research Center of GerontologyRussian Clinical and Research Center of GerontologyRussian Clinical and Research Center of GerontologyRussian Clinical and Research Center of GerontologyRussian Clinical and Research Center of GerontologyNational Research University “Higher School of Economics”National Research University “Higher School of Economics”Background. A low hemoglobin level in older adults impairs cognitive ability and functional status and associates with risk of falls and fractures, sarcopenia, malnutrition, depression, frailty, and decreased autonomy. Epidemiological data on the anemia prevalence in the geriatric population in our country is not available. Aim. To assess the prevalence of anemia and analyze its associations with geriatric syndromes (GS) in subjects aged 65 years. Materials and methods. 4308 subjects (30% of men) aged 65107 years, living in 11 regions of the Russian Federation, were examined and divided into age groups (6574 years, 7584 years and 85 years). All the participants underwent a comprehensive geriatric assessment and determined hemoglobin level. Results. The anemia prevalence in older adults was 23.9%. It has been shown that with an increase in age per 1 year, the risk of anemia detection increases by 4%. The incidence of anemia was higher in males than females (28.1% versus 22.1%; p0.001). In most cases, anemia was mild. The results of a comprehensive geriatric assessment show that patients with anemia had lower hand grip force, Barthel Index, the sum of points on Lawton instrumental activities of daily living scale, Mini Nutritional Assessment scale, the Mini-Cog test and higher the sum of points on the Geriatric Depression Scale (GDS-15) and the Age Is No Barrier scale. Patients with anemia were more likely to use hearing aids, absorbent underwear, and assistive devices during movement. Patients with anemia had a higher incidence of all GS, except for orthostatic hypotension and chronic pain syndrome. The presence of GS is associated with an increased risk of anemia by 1.33.4 times. Conclusion. EVKALIPT study obtained domestic data on the prevalence of anemia in older patients and examined its associations with other GS.https://ter-arkhiv.ru/0040-3660/article/viewFile/104687/79119anemiageriatric syndromecomprehensive geriatric assessmentadvanced agefunctional status
spellingShingle Natalia O. Khovasova
Natalya M. Vorobyeva
Olga N. Tkacheva
Yulia V. Kotovskaya
Anton V. Naumov
Elena V. Selezneva
Lilia N. Ovcharova
The prevalence of anemia and its associations with other geriatric syndromes in subjects over 65 years old: data of Russian epidemiological study EVKALIPT
Терапевтический архив
anemia
geriatric syndrome
comprehensive geriatric assessment
advanced age
functional status
title The prevalence of anemia and its associations with other geriatric syndromes in subjects over 65 years old: data of Russian epidemiological study EVKALIPT
title_full The prevalence of anemia and its associations with other geriatric syndromes in subjects over 65 years old: data of Russian epidemiological study EVKALIPT
title_fullStr The prevalence of anemia and its associations with other geriatric syndromes in subjects over 65 years old: data of Russian epidemiological study EVKALIPT
title_full_unstemmed The prevalence of anemia and its associations with other geriatric syndromes in subjects over 65 years old: data of Russian epidemiological study EVKALIPT
title_short The prevalence of anemia and its associations with other geriatric syndromes in subjects over 65 years old: data of Russian epidemiological study EVKALIPT
title_sort prevalence of anemia and its associations with other geriatric syndromes in subjects over 65 years old data of russian epidemiological study evkalipt
topic anemia
geriatric syndrome
comprehensive geriatric assessment
advanced age
functional status
url https://ter-arkhiv.ru/0040-3660/article/viewFile/104687/79119
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