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...

Full description

Bibliographic Details
Main Authors: Jie GU, Haiying CHEN, Xiaoqing GU, Xiaomin SUN, Zhigang PAN, Shanzhu ZHU, Doris YOUNG
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