Frailty and Associated Risk Factors in Elderly People with Health Examination in Rural Areas of China
Background: Frailty is a common syndrome in elderly people, but has not been fully studied in China. We aimed to investigate the epidemiological characteristics of frailty and analyze its risk factors in elderly people in rural areas of China. Methods: This cross-sectional study was conducted bet...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Tehran University of Medical Sciences
2019-09-01
|
Series: | Iranian Journal of Public Health |
Subjects: | |
Online Access: | https://ijph.tums.ac.ir/index.php/ijph/article/view/18253 |
_version_ | 1819240795087044608 |
---|---|
author | Jie GU Haiying CHEN Xiaoqing GU Xiaomin SUN Zhigang PAN Shanzhu ZHU Doris YOUNG |
author_facet | Jie GU Haiying CHEN Xiaoqing GU Xiaomin SUN Zhigang PAN Shanzhu ZHU Doris YOUNG |
author_sort | Jie GU |
collection | DOAJ |
description | Background: Frailty is a common syndrome in elderly people, but has not been fully studied in China. We aimed to investigate the epidemiological characteristics of frailty and analyze its risk factors in elderly people in rural areas of China.
Methods: This cross-sectional study was conducted between September and October 2016. Overall, 4323 elderly people over 60 yr were enrolled by cluster random sampling method from the Fengxian District of Shanghai, China. These subjects voluntarily participated in the health examination of the 2016 National Basic Public Health Service Program. In addition to regular examination items, frailty assessment was performed on the basis of Fried frailty phenotype criteria.
Results: The prevalence of pre-frailty and frailty was 49.4% and 6.8%, respectively. Advanced age (OR=1.44 for pre-frailty and OR=2.01 for frailty, 65-74 years old; OR=3.02 for pre-frailty and OR=14.13 for frailty,75-84 years old; OR=8.17 for pre-frailty and OR=71.71 for frailty, ≥85 years old), female (OR=1.32 for pre-frailty and OR=1.97 for frailty), stroke history (OR=1.75 for pre-frailty and OR=2.43 for frailty), vision decrease (OR=1.98 for pre-frailty and OR=2.70 for frailty), and anemia (OR=1.95 for pre-frailty and OR=3.64 for frailty) were common risk factors for both pre-frailty and frailty.
Conclusion: Healthy elderly people in the rural areas of Shanghai have relatively high prevalence of pre-frailty and frailty. Advanced age, female, stroke history, decreased vision, and anemia are the risk factors for pre-frailty and frailty. |
first_indexed | 2024-12-23T14:13:41Z |
format | Article |
id | doaj.art-1deaa5a0f94c48e5a67bf2e43260c2b0 |
institution | Directory Open Access Journal |
issn | 2251-6085 2251-6093 |
language | English |
last_indexed | 2024-12-23T14:13:41Z |
publishDate | 2019-09-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | Iranian Journal of Public Health |
spelling | doaj.art-1deaa5a0f94c48e5a67bf2e43260c2b02022-12-21T17:43:59ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932019-09-0148910.18502/ijph.v48i9.3026Frailty and Associated Risk Factors in Elderly People with Health Examination in Rural Areas of ChinaJie GU0Haiying CHEN1Xiaoqing GU2Xiaomin SUN3Zhigang PAN4Shanzhu ZHU5Doris YOUNG6Zhongshan Hospital of Fudan University, Shanghai 200032, P.R. ChinaXidu Community Health Center of the Fengxian District, Shanghai 201400, P.R. ChinaXidu Community Health Center of the Fengxian District, Shanghai 201400, P.R. ChinaHealth Development Institute of Pudong, Shanghai 201208, P.R. ChinaZhongshan Hospital of Fudan University, Shanghai 200032, P.R. ChinaZhongshan Hospital of Fudan University, Shanghai 200032, P.R. ChinaDepartment of General Practice, Melbourne Medical School, The University of Melbourne, Melbourne, AustraliaBackground: Frailty is a common syndrome in elderly people, but has not been fully studied in China. We aimed to investigate the epidemiological characteristics of frailty and analyze its risk factors in elderly people in rural areas of China. Methods: This cross-sectional study was conducted between September and October 2016. Overall, 4323 elderly people over 60 yr were enrolled by cluster random sampling method from the Fengxian District of Shanghai, China. These subjects voluntarily participated in the health examination of the 2016 National Basic Public Health Service Program. In addition to regular examination items, frailty assessment was performed on the basis of Fried frailty phenotype criteria. Results: The prevalence of pre-frailty and frailty was 49.4% and 6.8%, respectively. Advanced age (OR=1.44 for pre-frailty and OR=2.01 for frailty, 65-74 years old; OR=3.02 for pre-frailty and OR=14.13 for frailty,75-84 years old; OR=8.17 for pre-frailty and OR=71.71 for frailty, ≥85 years old), female (OR=1.32 for pre-frailty and OR=1.97 for frailty), stroke history (OR=1.75 for pre-frailty and OR=2.43 for frailty), vision decrease (OR=1.98 for pre-frailty and OR=2.70 for frailty), and anemia (OR=1.95 for pre-frailty and OR=3.64 for frailty) were common risk factors for both pre-frailty and frailty. Conclusion: Healthy elderly people in the rural areas of Shanghai have relatively high prevalence of pre-frailty and frailty. Advanced age, female, stroke history, decreased vision, and anemia are the risk factors for pre-frailty and frailty.https://ijph.tums.ac.ir/index.php/ijph/article/view/18253RuralElderly peopleFried frailty phenotype definitionFrailty |
spellingShingle | Jie GU Haiying CHEN Xiaoqing GU Xiaomin SUN Zhigang PAN Shanzhu ZHU Doris YOUNG Frailty and Associated Risk Factors in Elderly People with Health Examination in Rural Areas of China Iranian Journal of Public Health Rural Elderly people Fried frailty phenotype definition Frailty |
title | Frailty and Associated Risk Factors in Elderly People with Health Examination in Rural Areas of China |
title_full | Frailty and Associated Risk Factors in Elderly People with Health Examination in Rural Areas of China |
title_fullStr | Frailty and Associated Risk Factors in Elderly People with Health Examination in Rural Areas of China |
title_full_unstemmed | Frailty and Associated Risk Factors in Elderly People with Health Examination in Rural Areas of China |
title_short | Frailty and Associated Risk Factors in Elderly People with Health Examination in Rural Areas of China |
title_sort | frailty and associated risk factors in elderly people with health examination in rural areas of china |
topic | Rural Elderly people Fried frailty phenotype definition Frailty |
url | https://ijph.tums.ac.ir/index.php/ijph/article/view/18253 |
work_keys_str_mv | AT jiegu frailtyandassociatedriskfactorsinelderlypeoplewithhealthexaminationinruralareasofchina AT haiyingchen frailtyandassociatedriskfactorsinelderlypeoplewithhealthexaminationinruralareasofchina AT xiaoqinggu frailtyandassociatedriskfactorsinelderlypeoplewithhealthexaminationinruralareasofchina AT xiaominsun frailtyandassociatedriskfactorsinelderlypeoplewithhealthexaminationinruralareasofchina AT zhigangpan frailtyandassociatedriskfactorsinelderlypeoplewithhealthexaminationinruralareasofchina AT shanzhuzhu frailtyandassociatedriskfactorsinelderlypeoplewithhealthexaminationinruralareasofchina AT dorisyoung frailtyandassociatedriskfactorsinelderlypeoplewithhealthexaminationinruralareasofchina |