Frailty does not cause all frail symptoms: United States Health and Retirement Study.

<h4>Background</h4>Frailty is associated with major health outcomes. However, the relationships between frailty and frailty symptoms haven't been well studied. This study aims to show the associations between frailty and frailty symptoms.<h4>Methods</h4>The Health and Re...

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Main Authors: Yi-Sheng Chao, Chao-Jung Wu, June Y T Po, Shih-Yu Huang, Hsing-Chien Wu, Hui-Ting Hsu, Yen-Po Cheng, Yi-Chun Lai, Wei-Chih Chen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0272289
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author Yi-Sheng Chao
Chao-Jung Wu
June Y T Po
Shih-Yu Huang
Hsing-Chien Wu
Hui-Ting Hsu
Yen-Po Cheng
Yi-Chun Lai
Wei-Chih Chen
author_facet Yi-Sheng Chao
Chao-Jung Wu
June Y T Po
Shih-Yu Huang
Hsing-Chien Wu
Hui-Ting Hsu
Yen-Po Cheng
Yi-Chun Lai
Wei-Chih Chen
author_sort Yi-Sheng Chao
collection DOAJ
description <h4>Background</h4>Frailty is associated with major health outcomes. However, the relationships between frailty and frailty symptoms haven't been well studied. This study aims to show the associations between frailty and frailty symptoms.<h4>Methods</h4>The Health and Retirement Study (HRS) is an ongoing longitudinal biannual survey in the United States. Three of the most used frailty diagnoses, defined by the Functional Domains Model, the Burden Model, and the Biologic Syndrome Model, were reproduced according to previous studies. The associations between frailty statuses and input symptoms were assessed using odds ratios and correlation coefficients.<h4>Results</h4>The sample sizes, mean ages, and frailty prevalence matched those reported in previous studies. Frailty statuses were weakly correlated with each other (coefficients = 0.19 to 0.38, p < 0.001 for all). There were 49 input symptoms identified by these three models. Frailty statuses defined by the three models were not significantly correlated with one or two symptoms defined by the same models (p > 0.05 for all). One to six symptoms defined by the other two models were not significantly correlated with each of the three frailty statuses (p > 0.05 for all). Frailty statuses were significantly correlated with their own bias variables (p < 0.05 for all).<h4>Conclusion</h4>Frailty diagnoses lack significant correlations with some of their own frailty symptoms and some of the frailty symptoms defined by the other two models. This finding raises questions like whether the frailty symptoms lacking significant correlations with frailty statuses could be included to diagnose frailty and whether frailty exists and causes frailty symptoms.
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spelling doaj.art-d56737395ed7492dadc443b63febbc4f2022-12-22T02:28:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011711e027228910.1371/journal.pone.0272289Frailty does not cause all frail symptoms: United States Health and Retirement Study.Yi-Sheng ChaoChao-Jung WuJune Y T PoShih-Yu HuangHsing-Chien WuHui-Ting HsuYen-Po ChengYi-Chun LaiWei-Chih Chen<h4>Background</h4>Frailty is associated with major health outcomes. However, the relationships between frailty and frailty symptoms haven't been well studied. This study aims to show the associations between frailty and frailty symptoms.<h4>Methods</h4>The Health and Retirement Study (HRS) is an ongoing longitudinal biannual survey in the United States. Three of the most used frailty diagnoses, defined by the Functional Domains Model, the Burden Model, and the Biologic Syndrome Model, were reproduced according to previous studies. The associations between frailty statuses and input symptoms were assessed using odds ratios and correlation coefficients.<h4>Results</h4>The sample sizes, mean ages, and frailty prevalence matched those reported in previous studies. Frailty statuses were weakly correlated with each other (coefficients = 0.19 to 0.38, p < 0.001 for all). There were 49 input symptoms identified by these three models. Frailty statuses defined by the three models were not significantly correlated with one or two symptoms defined by the same models (p > 0.05 for all). One to six symptoms defined by the other two models were not significantly correlated with each of the three frailty statuses (p > 0.05 for all). Frailty statuses were significantly correlated with their own bias variables (p < 0.05 for all).<h4>Conclusion</h4>Frailty diagnoses lack significant correlations with some of their own frailty symptoms and some of the frailty symptoms defined by the other two models. This finding raises questions like whether the frailty symptoms lacking significant correlations with frailty statuses could be included to diagnose frailty and whether frailty exists and causes frailty symptoms.https://doi.org/10.1371/journal.pone.0272289
spellingShingle Yi-Sheng Chao
Chao-Jung Wu
June Y T Po
Shih-Yu Huang
Hsing-Chien Wu
Hui-Ting Hsu
Yen-Po Cheng
Yi-Chun Lai
Wei-Chih Chen
Frailty does not cause all frail symptoms: United States Health and Retirement Study.
PLoS ONE
title Frailty does not cause all frail symptoms: United States Health and Retirement Study.
title_full Frailty does not cause all frail symptoms: United States Health and Retirement Study.
title_fullStr Frailty does not cause all frail symptoms: United States Health and Retirement Study.
title_full_unstemmed Frailty does not cause all frail symptoms: United States Health and Retirement Study.
title_short Frailty does not cause all frail symptoms: United States Health and Retirement Study.
title_sort frailty does not cause all frail symptoms united states health and retirement study
url https://doi.org/10.1371/journal.pone.0272289
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