Prevalence and correlates of frailty among community-dwelling older men and women: findings from the Hertfordshire Cohort Study
Prevalence and correlates of frailty among community-dwelling older men and women: findings from the Hertfordshire Cohort Study
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.
frailty, prevalence, older people, social inequalities, co-morbidity, elderly
197-203
Syddall, H.E.
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Roberts, Helen C.
eb72590b-27b2-478f-b1b9-89d036b270fa
Evandrou, Maria
cd2210ea-9625-44d7-b0f4-fc0721a25d28
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Bergman, Howard
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Sayer, Avan Aihie
fb4c2053-6d51-4fc1-9489-c3cb431b0ffb
8 December 2009
Syddall, H.E.
a0181a93-8fc3-4998-a996-7963f0128328
Roberts, Helen C.
eb72590b-27b2-478f-b1b9-89d036b270fa
Evandrou, Maria
cd2210ea-9625-44d7-b0f4-fc0721a25d28
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Bergman, Howard
2b76ae7a-9ef0-48ce-909d-53d413c41a35
Sayer, Avan Aihie
fb4c2053-6d51-4fc1-9489-c3cb431b0ffb
Syddall, H.E., Roberts, Helen C., Evandrou, Maria, Cooper, Cyrus, Bergman, Howard and Sayer, Avan Aihie
(2009)
Prevalence and correlates of frailty among community-dwelling older men and women: findings from the Hertfordshire Cohort Study.
Age and Ageing, 39 (2), .
(doi:10.1093/ageing/afp204).
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.
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e-pub ahead of print date: 8 December 2009
Published date: 8 December 2009
Keywords:
frailty, prevalence, older people, social inequalities, co-morbidity, elderly
Organisations:
Dev Origins of Health & Disease
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Local EPrints ID: 73486
URI: http://eprints.soton.ac.uk/id/eprint/73486
ISSN: 0002-0729
PURE UUID: 24c5c0b9-5ca4-4551-9e39-90125902f2c6
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Date deposited: 08 Mar 2010
Last modified: 18 Mar 2024 03:02
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Author:
Helen C. Roberts
Author:
Howard Bergman
Author:
Avan Aihie Sayer
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