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Identification of multidimensional health types and their characteristics in community-dwelling (pre)frail older adults based on cluster analysis
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Yihe GAO, Jinqiu YU, Yuhan LI, Qiushui YIN, Xinxin REN, Xinlan CAO, Xiaoxia QIAO
Chinese Nursing Research | 2026, 40(17) : 2961 - 2967
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Chinese Nursing Research | 2026, 40(17): 2961-2967
• Special Planning-Chronic Disease Frailty •
Identification of multidimensional health types and their characteristics in community-dwelling (pre)frail older adults based on cluster analysis
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Yihe GAO, Jinqiu YU, Yuhan LI, Qiushui YIN, Xinxin REN, Xinlan CAO, Xiaoxia QIAO
Affiliations
  • 1College of Nursing, Shanxi Medical University, Shanxi 030001 China
Published: 2026-09-10 doi: 10.12102/j.issn.1009-6493.2026.17.001
Outline
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Objective

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.

Methods

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.

Results

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).

Conclusions

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.

older adults  /  frailty  /  multidimensional health  /  influencing factors  /  cluster analysis
高艺河, 俞锦秋, 李雨菡, 尹秋水, 任鑫鑫, 曹鑫兰, 乔晓霞. 基于聚类分析的社区衰弱老年人多维健康类型及其特征识别. 护理研究, 2026 , 40 (17) : 2961 -2967 . DOI: 10.12102/j.issn.1009-6493.2026.17.001
Yihe GAO, Jinqiu YU, Yuhan LI, Qiushui YIN, Xinxin REN, Xinlan CAO, Xiaoxia QIAO. Identification of multidimensional health types and their characteristics in community-dwelling (pre)frail older adults based on cluster analysis[J]. Chinese Nursing Research, 2026 , 40 (17) : 2961 -2967 . DOI: 10.12102/j.issn.1009-6493.2026.17.001
Year 2026 volume 40 Issue 17
38
16
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.17.001
  • Receive Date:2026-05-17
  • Online Date:2026-10-30
  • Published:2026-09-10
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History
  • Received:2026-05-17
  • Revised:2026-07-13
Affiliations
    1College of Nursing, Shanxi Medical University, Shanxi 030001 China
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表12种不同金属材料的力学参数
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Family
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Number of
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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
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