A Prevalence and correlates of frailty among community dwelling older people: findings from the Hertfordshire Cohort Study


Syddall, Holly, Roberts, Helen C., Evandrou, Maria, Cooper, Cyrus and Sayer, Avan Aihie (2010) A Prevalence and correlates of frailty among community dwelling older people: findings from the Hertfordshire Cohort Study. Age and Ageing, 39, (2), 197-203. (doi:10.1093/ageing/afp204). (PMID:20007127).

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Description/Abstract

Background: frailty, a multi-dimensional geriatric syndrome, confers a high risk for falls, disability, hospitalisation and mortality. The prevalence and correlates of frailty in the UK are unknown.

Methods: frailty, defined by Fried, was examined among community-dwelling young-old (64–74 years) men (n = 320) and women (n = 318) who participated in the Hertfordshire Cohort Study, UK.

Results: the prevalence of frailty was 8.5% among women and 4.1% among men (P = 0.02). Among men, older age (P = 0.009), younger age of leaving education (P = 0.05), not owning/mortgaging one's home (odds ratio [OR] for frailty 3.45 [95% confidence interval {CI} 1.01–11.81], P = 0.05, in comparison with owner/mortgage occupiers) and reduced car availability (OR for frailty 3.57 per unit decrease in number of cars available [95% CI 1.32, 10.0], P = 0.01) were associated with increased odds of frailty. Among women, not owning/mortgaging one's home (P = 0.02) was associated with frailty. With the exception of car availability among men (P = 0.03), all associations were non-significant (P > 0.05) after adjustment for co-morbidity.

Conclusions: frailty is not uncommon even among community-dwelling young-old men and women in the UK. There are social inequalities in frailty which appear to be mediated by co-morbidity.

Item Type: Article
ISSNs: 0002-0729 (print)
1468-2834 (electronic)
Keywords: frailty, prevalence, older people, social inequalities, co-morbidity, elderly
Subjects: H Social Sciences > HT Communities. Classes. Races
R Medicine > RT Nursing
Divisions: Faculty of Health Sciences
ePrint ID: 341864
Date Deposited: 07 Aug 2012 15:16
Last Modified: 28 Mar 2014 15:19
Projects:
Centre for Population Change: Understanding Population Change in the 21st Century
Funded by: ESRC (RES-625-28-0001)
Led by: Jane Cecelia Falkingham
1 January 2009 to 31 December 2013
URI: http://eprints.soton.ac.uk/id/eprint/341864

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