Frailty Index in the Colonias on the US-Mexico Border: A Special Report
Frailty is the age-related decline in well-being. The Frailty index (FI) measures the accumulation of health deficits and reflects biopsychosocial and cultural determinants of well-being. Frailty is measured as a static phenotype or as a Frailty Index comprising a ratio of suffered health deficits a...
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Frontiers Media S.A.
2021-08-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2021.650259/full |
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| author | Eron G. Manusov Carolina Gomez De Ziegler Vincent P. Diego Gerardo Munoz-Monaco Sarah Williams-Blangero Sarah Williams-Blangero |
| author_facet | Eron G. Manusov Carolina Gomez De Ziegler Vincent P. Diego Gerardo Munoz-Monaco Sarah Williams-Blangero Sarah Williams-Blangero |
| author_sort | Eron G. Manusov |
| collection | DOAJ |
| description | Frailty is the age-related decline in well-being. The Frailty index (FI) measures the accumulation of health deficits and reflects biopsychosocial and cultural determinants of well-being. Frailty is measured as a static phenotype or as a Frailty Index comprising a ratio of suffered health deficits and total deficits. We report a Frailty Index calculated from routinely measured clinical variables gathered from residents of two Colonias (neighborhoods) in South Texas. A Colonia is a predominantly Hispanic, economically distressed, unincorporated neighborhood. We analyzed retrospective data from 894 patients that live in two Colonias located on the Texas-Mexico border. We calculated the FI with seven physiological variables, PHQ-9 score, and the 11 domain-specific Duke Profile scores, for a total of 19 possible health deficits. FI against age separately in males (n = 272) and females (n = 622) was regressed. Females had a significantly higher starting frailty, and males had a significantly greater change rate with age. FI against age for Cameron Park Colonia and Indian Hills Colonia was regressed. We calculated a significantly higher starting FI in Indian Hills and a significantly greater change rate in Cameron Park residents. Frailty's contributors are complex, especially in neighborhoods of poverty, immigration, low education level, and high prevalence of chronic disease. We report baseline Frailty Index data from two Colonias in South Texas and the clinical and research implications. |
| first_indexed | 2024-12-22T08:35:21Z |
| format | Article |
| id | doaj.art-5793e2e6cad3490889b785589614b443 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-22T08:35:21Z |
| publishDate | 2021-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-5793e2e6cad3490889b785589614b4432022-12-21T18:32:23ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-08-01810.3389/fmed.2021.650259650259Frailty Index in the Colonias on the US-Mexico Border: A Special ReportEron G. Manusov0Carolina Gomez De Ziegler1Vincent P. Diego2Gerardo Munoz-Monaco3Sarah Williams-Blangero4Sarah Williams-Blangero5Department of Human Genetics, School of Medicine, University of Texas Rio Grande Valley, Edinburg, TX, United StatesKnapp Family Medicine Residency Program, University of Texas Rio Grande Valley, Edinburg, TX, United StatesDepartment of Human Genetics, School of Medicine, University of Texas Rio Grande Valley, Edinburg, TX, United StatesKnapp Family Medicine Residency Program, University of Texas Rio Grande Valley, Edinburg, TX, United StatesDepartment of Human Genetics, School of Medicine, University of Texas Rio Grande Valley, Edinburg, TX, United StatesSouth Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley, Edinburg, TX, United StatesFrailty is the age-related decline in well-being. The Frailty index (FI) measures the accumulation of health deficits and reflects biopsychosocial and cultural determinants of well-being. Frailty is measured as a static phenotype or as a Frailty Index comprising a ratio of suffered health deficits and total deficits. We report a Frailty Index calculated from routinely measured clinical variables gathered from residents of two Colonias (neighborhoods) in South Texas. A Colonia is a predominantly Hispanic, economically distressed, unincorporated neighborhood. We analyzed retrospective data from 894 patients that live in two Colonias located on the Texas-Mexico border. We calculated the FI with seven physiological variables, PHQ-9 score, and the 11 domain-specific Duke Profile scores, for a total of 19 possible health deficits. FI against age separately in males (n = 272) and females (n = 622) was regressed. Females had a significantly higher starting frailty, and males had a significantly greater change rate with age. FI against age for Cameron Park Colonia and Indian Hills Colonia was regressed. We calculated a significantly higher starting FI in Indian Hills and a significantly greater change rate in Cameron Park residents. Frailty's contributors are complex, especially in neighborhoods of poverty, immigration, low education level, and high prevalence of chronic disease. We report baseline Frailty Index data from two Colonias in South Texas and the clinical and research implications.https://www.frontiersin.org/articles/10.3389/fmed.2021.650259/fullMexican Americanquality of lifechronic illnesshispanicUS-Mexico border background |
| spellingShingle | Eron G. Manusov Carolina Gomez De Ziegler Vincent P. Diego Gerardo Munoz-Monaco Sarah Williams-Blangero Sarah Williams-Blangero Frailty Index in the Colonias on the US-Mexico Border: A Special Report Frontiers in Medicine Mexican American quality of life chronic illness hispanic US-Mexico border background |
| title | Frailty Index in the Colonias on the US-Mexico Border: A Special Report |
| title_full | Frailty Index in the Colonias on the US-Mexico Border: A Special Report |
| title_fullStr | Frailty Index in the Colonias on the US-Mexico Border: A Special Report |
| title_full_unstemmed | Frailty Index in the Colonias on the US-Mexico Border: A Special Report |
| title_short | Frailty Index in the Colonias on the US-Mexico Border: A Special Report |
| title_sort | frailty index in the colonias on the us mexico border a special report |
| topic | Mexican American quality of life chronic illness hispanic US-Mexico border background |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2021.650259/full |
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