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Development of frailty subtypes and their associated risk factors among the community-dwelling elderly population.


ABSTRACT: In order to explore frailty subtypes and find their associated risk factors, we conducted cross-sectional surveys of 5,341 seniors aged 60 and over in China using the Frailty Index (FI) scale. We identified four frailty subtypes, namely multi-frail, cognitive and functionally frail, psychologically frail and physiologically frail. Old age and low education level were the common risk factors among the four subtypes. Being widowed, divorced or unmarried was a risk factor for multi-frail, cognitive and functionally frail and psychologically frail, and male sex was a protective factor against cognitive and functionally frail and psychologically frail subtypes. Having a harmonious relationship with family was a protective factor against multi-frail, and fewer visits to the elderly by their children was a risk factor for psychologically frail. Dissatisfaction with their housing was a risk factor for cognitive and functionally frail, psychologically frail and physiologically frail, and a pension being the main source of income was a risk factor for cognitive and functionally frail and psychologically frail. Exercising every day was a protective factor against multi-frail and cognitive and functionally frail, and a lower level of physical activity was a risk factor for all four frailty subtypes. Our findings confirm the heterogeneity of frailty and suggest that different frail elderly individuals need more targeted care interventions.

SUBMITTER: Zhang Y 

PROVIDER: S-EPMC7053645 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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Development of frailty subtypes and their associated risk factors among the community-dwelling elderly population.

Zhang Yan Y   Xu Xiu-Juan XJ   Lian Ting-Yu TY   Huang Ling-Feng LF   Zeng Jin-Mei JM   Liang Dong-Mei DM   Yin Ming-Juan MJ   Huang Jing-Xiao JX   Xiu Liang-Chang LC   Yu Zu-Wei ZW   Li Yu-Lian YL   Mao Chen C   Ni Jin-Dong JD  

Aging 20200116 2


In order to explore frailty subtypes and find their associated risk factors, we conducted cross-sectional surveys of 5,341 seniors aged 60 and over in China using the Frailty Index (FI) scale. We identified four frailty subtypes, namely multi-frail, cognitive and functionally frail, psychologically frail and physiologically frail. Old age and low education level were the common risk factors among the four subtypes. Being widowed, divorced or unmarried was a risk factor for multi-frail, cognitive  ...[more]

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