To identify the multidimensional health profiles and related characteristics of community-dwelling (pre)frail older adults,and to provide a scientific basis for stratified and precise health management.
A total of 824 community-dwelling (pre)frail older adults from 17 communities in Shanxi province were recruited between May and September 2025 using a multistage stratified sampling method.Data were collected using a general information questionnaire,the FRAIL Scale,the Katz Activity of Daily Living Scale(ADL),the Lawton Instrumental Activity of Daily Living Scale(IADL),the Short Portable Mental Status Questionnaire(SPMSQ),the 5-item Geriatric Depression Scale(GDS-5),the University of California Los Angeles Loneliness Scale-8(ULS-8),and the Lubben Social Network Scale-6(LSNS-6).K-medoids cluster analysis was performed to identify multidimensional health profiles,and the demographic and health-related characteristics among different profile groups were compared.
Four distinct multidimensional health profiles were identified among community-dwelling (pre)frail older adults:the comprehensive health profile(n=207,25.1%),the cognitive-loneliness profile(n=222,26.9%),the general stability profile(n=328,39.8%),and the multiple impairment profile(n=67,8.1%).Significant differences were observed among the four profiles in age,gender,educational level,marital status,living arrangement,subjective economic status and number of chronic diseases(P<0.05).
The multidimensional health profiles identified through cluster analysis demonstrated substantial heterogeneity among community-dwelling (pre)frail older adults.Profile-based management tailored to the characteristics of each subgroup may facilitate the transformation of health management from a homogeneous approach to a more refined and individualized model,thereby improving management efficiency and promoting healthy aging.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |