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Frequency of frailty and its association with cognitive status and survival in older Chileans
Age-associated brain physiologic decline and reduced mobility are key elements of increased age-associated vulnerability. To study the frequency of frailty phenotype and its association with mental health and survival in older Chileans. Follow-up of ALEXANDROS cohorts designed to study disability as...
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| Published in: | Clinical interventions in aging 2017-01, Vol.12, p.995-1001 |
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| creator | Albala, Cecilia Lera, Lydia Sanchez, Hugo Angel, Barbara Márquez, Carlos Arroyo, Patricia Fuentes, Patricio |
| description | Age-associated brain physiologic decline and reduced mobility are key elements of increased age-associated vulnerability.
To study the frequency of frailty phenotype and its association with mental health and survival in older Chileans.
Follow-up of ALEXANDROS cohorts designed to study disability associated with obesity in community-dwelling people 60 years and older living in Santiago, Chile. At baseline, 2,098 (67% women) of 2,372 participants had the necessary measurements for the identification of the frailty phenotype: weak handgrip dynamometry, unintentional weight loss, fatigue/exhaustion, five chair-stands/slow walking speed and difficulty walking (low physical activity). After 10-15 years, 1,298 people were evaluated and 373 had died. Information regarding deaths was available for the whole sample.
The prevalence of frailty at baseline (≥3 criteria) in the whole sample was 13.9% (women 16.4%; men 8.7%) and the pre-frailty prevalence (1-2 criteria) was 63.8% (65.0% vs 61.4%), respectively. Frailty was associated with cognitive impairment (frail 48.1%; pre-frail 21.7%; nonfrail 20.5%, |
| doi_str_mv | 10.2147/CIA.S136906 |
| format | article |
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To study the frequency of frailty phenotype and its association with mental health and survival in older Chileans.
Follow-up of ALEXANDROS cohorts designed to study disability associated with obesity in community-dwelling people 60 years and older living in Santiago, Chile. At baseline, 2,098 (67% women) of 2,372 participants had the necessary measurements for the identification of the frailty phenotype: weak handgrip dynamometry, unintentional weight loss, fatigue/exhaustion, five chair-stands/slow walking speed and difficulty walking (low physical activity). After 10-15 years, 1,298 people were evaluated and 373 had died. Information regarding deaths was available for the whole sample.
The prevalence of frailty at baseline (≥3 criteria) in the whole sample was 13.9% (women 16.4%; men 8.7%) and the pre-frailty prevalence (1-2 criteria) was 63.8% (65.0% vs 61.4%), respectively. Frailty was associated with cognitive impairment (frail 48.1%; pre-frail 21.7%; nonfrail 20.5%,
<0.001) and depression (frail 55.1%; pre-frail 27.3%; nonfrail 18.8%,
<0.001). Logistic regression models for frailty adjusted for sex and age showed a strong association between frailty and mild cognitive impairment (MCI) (odds ratio [OR] =3.93; 95% CI: 1.41-10.92). Furthermore, an important association was found for depression and frailty (OR =2.36; 95% CI 1.82-3.06). Age- and sex-adjusted hazard ratios (HRs) for death showed an increased risk with increasing frailty: pre-frail HR =1.56 (95% CI: 1.07-2.29), frail HR =1.91 (95% CI: 1.15-3.19); after adjustment by age and sex, a higher risk of death was observed for people identified as frail (HR =1.56,
=0.014) and pre-frail (HR =1.30,
=0.065). MCI and dementia were also risk factors for death (MCI: HR =1.69,
<0.027; dementia: HR =1.66,
=0.016).
Frailty is highly prevalent and strongly associated with cognitive impairment and depression in older Chileans. The risk for death was higher for frail people, but underlying cognitive impairment is a key component of the lower survival rate.</description><identifier>ISSN: 1178-1998</identifier><identifier>ISSN: 1176-9092</identifier><identifier>EISSN: 1178-1998</identifier><identifier>DOI: 10.2147/CIA.S136906</identifier><identifier>PMID: 28721027</identifier><language>eng</language><publisher>New Zealand: Dove Medical Press Limited</publisher><subject>Age ; Aged ; Aged, 80 and over ; Aging ; Chile ; Chile - epidemiology ; Cognitive ability ; Cognitive disorders ; Cognitive Dysfunction - epidemiology ; Cognitive Impairment ; Complications and side effects ; Dementia ; Depression (Mood disorder) ; Fatigue - epidemiology ; Female ; Frail elderly ; Frail Elderly - statistics & numerical data ; Frailty ; Frailty - epidemiology ; Genotype & phenotype ; Geriatric Assessment ; Geriatrics ; Hand Strength ; Health care policy ; Humans ; Life expectancy ; Logistic Models ; Male ; Mental depression ; Middle Aged ; Mobility Limitation ; Mortality ; Nutrition ; Obesity - epidemiology ; Odds Ratio ; Older people ; Original Research ; Patient outcomes ; Population ; Prevalence ; Risk Factors ; Statistics ; Walking ; Weight control ; Womens health</subject><ispartof>Clinical interventions in aging, 2017-01, Vol.12, p.995-1001</ispartof><rights>COPYRIGHT 2017 Dove Medical Press Limited</rights><rights>2017. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Albala et al. This work is published and licensed by Dove Medical Press Limited 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c615t-260c5b73f9fd1ec6f92fdd90612ec9d11beb1cc1492e19e464eeca0584a46bf93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2224555726/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2224555726?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28721027$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Albala, Cecilia</creatorcontrib><creatorcontrib>Lera, Lydia</creatorcontrib><creatorcontrib>Sanchez, Hugo</creatorcontrib><creatorcontrib>Angel, Barbara</creatorcontrib><creatorcontrib>Márquez, Carlos</creatorcontrib><creatorcontrib>Arroyo, Patricia</creatorcontrib><creatorcontrib>Fuentes, Patricio</creatorcontrib><title>Frequency of frailty and its association with cognitive status and survival in older Chileans</title><title>Clinical interventions in aging</title><addtitle>Clin Interv Aging</addtitle><description>Age-associated brain physiologic decline and reduced mobility are key elements of increased age-associated vulnerability.
To study the frequency of frailty phenotype and its association with mental health and survival in older Chileans.
Follow-up of ALEXANDROS cohorts designed to study disability associated with obesity in community-dwelling people 60 years and older living in Santiago, Chile. At baseline, 2,098 (67% women) of 2,372 participants had the necessary measurements for the identification of the frailty phenotype: weak handgrip dynamometry, unintentional weight loss, fatigue/exhaustion, five chair-stands/slow walking speed and difficulty walking (low physical activity). After 10-15 years, 1,298 people were evaluated and 373 had died. Information regarding deaths was available for the whole sample.
The prevalence of frailty at baseline (≥3 criteria) in the whole sample was 13.9% (women 16.4%; men 8.7%) and the pre-frailty prevalence (1-2 criteria) was 63.8% (65.0% vs 61.4%), respectively. Frailty was associated with cognitive impairment (frail 48.1%; pre-frail 21.7%; nonfrail 20.5%,
<0.001) and depression (frail 55.1%; pre-frail 27.3%; nonfrail 18.8%,
<0.001). Logistic regression models for frailty adjusted for sex and age showed a strong association between frailty and mild cognitive impairment (MCI) (odds ratio [OR] =3.93; 95% CI: 1.41-10.92). Furthermore, an important association was found for depression and frailty (OR =2.36; 95% CI 1.82-3.06). Age- and sex-adjusted hazard ratios (HRs) for death showed an increased risk with increasing frailty: pre-frail HR =1.56 (95% CI: 1.07-2.29), frail HR =1.91 (95% CI: 1.15-3.19); after adjustment by age and sex, a higher risk of death was observed for people identified as frail (HR =1.56,
=0.014) and pre-frail (HR =1.30,
=0.065). MCI and dementia were also risk factors for death (MCI: HR =1.69,
<0.027; dementia: HR =1.66,
=0.016).
Frailty is highly prevalent and strongly associated with cognitive impairment and depression in older Chileans. The risk for death was higher for frail people, but underlying cognitive impairment is a key component of the lower survival rate.</description><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Chile</subject><subject>Chile - epidemiology</subject><subject>Cognitive ability</subject><subject>Cognitive disorders</subject><subject>Cognitive Dysfunction - epidemiology</subject><subject>Cognitive Impairment</subject><subject>Complications and side effects</subject><subject>Dementia</subject><subject>Depression (Mood disorder)</subject><subject>Fatigue - epidemiology</subject><subject>Female</subject><subject>Frail elderly</subject><subject>Frail Elderly - statistics & numerical data</subject><subject>Frailty</subject><subject>Frailty - epidemiology</subject><subject>Genotype & phenotype</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Hand Strength</subject><subject>Health care policy</subject><subject>Humans</subject><subject>Life expectancy</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Mobility Limitation</subject><subject>Mortality</subject><subject>Nutrition</subject><subject>Obesity - epidemiology</subject><subject>Odds Ratio</subject><subject>Older people</subject><subject>Original Research</subject><subject>Patient outcomes</subject><subject>Population</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Statistics</subject><subject>Walking</subject><subject>Weight control</subject><subject>Womens health</subject><issn>1178-1998</issn><issn>1176-9092</issn><issn>1178-1998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptks2LUzEUxR-iOOPoyr08EESQjvlOsxFKcbQw4EJdSsjLu2lTXpMxyav0vzed1rEVySIh-d0T7rmnaV5idE0wk-_ni9n1V0yFQuJRc4mxnE6wUtPHJ-eL5lnOa4S4kJw8bS7IVBKMiLxsftwk-DlCsLs2utYl44eya03oW19ya3KO1pviY2h_-bJqbVwGX_wW2lxMGfM9mce09VsztD60ceghtfOVH8CE_Lx54syQ4cVxv2q-33z8Nv88uf3yaTGf3U6swLxMiECWd5I65XoMVjhFXN_XfjABq3qMO-iwtZgpAlgBEwzAGsSnzDDROUWvmsVBt49mre-S35i009F4fX8R01KbVLwdQE8FNcoxzpCQrOPIIGmZFKLjGCSnvGp9OGjdjd0GeguhJDOciZ6_BL_Sy7jVnKmplLQKvD0KpFitzUVvfLYwDCZAHLPGiiCqKOWsoq__QddxTKFapQkhjHMuifhLLU1twAcX6792L6pnnGKCJWWyUtf_oerqYeNtDODqTM4L3pwUrMAMZZXjMO6nnc_BdwfQpphzAvdgBkZ6H0FdI6iPEaz0q1P_Htg_maO_AfUs1J4</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Albala, Cecilia</creator><creator>Lera, Lydia</creator><creator>Sanchez, Hugo</creator><creator>Angel, Barbara</creator><creator>Márquez, Carlos</creator><creator>Arroyo, Patricia</creator><creator>Fuentes, Patricio</creator><general>Dove Medical Press Limited</general><general>Taylor & Francis Ltd</general><general>Dove Medical Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20170101</creationdate><title>Frequency of frailty and its association with cognitive status and survival in older Chileans</title><author>Albala, Cecilia ; Lera, Lydia ; Sanchez, Hugo ; Angel, Barbara ; Márquez, Carlos ; Arroyo, Patricia ; Fuentes, Patricio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c615t-260c5b73f9fd1ec6f92fdd90612ec9d11beb1cc1492e19e464eeca0584a46bf93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Chile</topic><topic>Chile - epidemiology</topic><topic>Cognitive ability</topic><topic>Cognitive disorders</topic><topic>Cognitive Dysfunction - epidemiology</topic><topic>Cognitive Impairment</topic><topic>Complications and side effects</topic><topic>Dementia</topic><topic>Depression (Mood disorder)</topic><topic>Fatigue - epidemiology</topic><topic>Female</topic><topic>Frail elderly</topic><topic>Frail Elderly - statistics & numerical data</topic><topic>Frailty</topic><topic>Frailty - epidemiology</topic><topic>Genotype & phenotype</topic><topic>Geriatric Assessment</topic><topic>Geriatrics</topic><topic>Hand Strength</topic><topic>Health care policy</topic><topic>Humans</topic><topic>Life expectancy</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Mobility Limitation</topic><topic>Mortality</topic><topic>Nutrition</topic><topic>Obesity - epidemiology</topic><topic>Odds Ratio</topic><topic>Older people</topic><topic>Original Research</topic><topic>Patient outcomes</topic><topic>Population</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Statistics</topic><topic>Walking</topic><topic>Weight control</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Albala, Cecilia</creatorcontrib><creatorcontrib>Lera, Lydia</creatorcontrib><creatorcontrib>Sanchez, Hugo</creatorcontrib><creatorcontrib>Angel, Barbara</creatorcontrib><creatorcontrib>Márquez, Carlos</creatorcontrib><creatorcontrib>Arroyo, Patricia</creatorcontrib><creatorcontrib>Fuentes, Patricio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Clinical interventions in aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Albala, Cecilia</au><au>Lera, Lydia</au><au>Sanchez, Hugo</au><au>Angel, Barbara</au><au>Márquez, Carlos</au><au>Arroyo, Patricia</au><au>Fuentes, Patricio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frequency of frailty and its association with cognitive status and survival in older Chileans</atitle><jtitle>Clinical interventions in aging</jtitle><addtitle>Clin Interv Aging</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>12</volume><spage>995</spage><epage>1001</epage><pages>995-1001</pages><issn>1178-1998</issn><issn>1176-9092</issn><eissn>1178-1998</eissn><abstract>Age-associated brain physiologic decline and reduced mobility are key elements of increased age-associated vulnerability.
To study the frequency of frailty phenotype and its association with mental health and survival in older Chileans.
Follow-up of ALEXANDROS cohorts designed to study disability associated with obesity in community-dwelling people 60 years and older living in Santiago, Chile. At baseline, 2,098 (67% women) of 2,372 participants had the necessary measurements for the identification of the frailty phenotype: weak handgrip dynamometry, unintentional weight loss, fatigue/exhaustion, five chair-stands/slow walking speed and difficulty walking (low physical activity). After 10-15 years, 1,298 people were evaluated and 373 had died. Information regarding deaths was available for the whole sample.
The prevalence of frailty at baseline (≥3 criteria) in the whole sample was 13.9% (women 16.4%; men 8.7%) and the pre-frailty prevalence (1-2 criteria) was 63.8% (65.0% vs 61.4%), respectively. Frailty was associated with cognitive impairment (frail 48.1%; pre-frail 21.7%; nonfrail 20.5%,
<0.001) and depression (frail 55.1%; pre-frail 27.3%; nonfrail 18.8%,
<0.001). Logistic regression models for frailty adjusted for sex and age showed a strong association between frailty and mild cognitive impairment (MCI) (odds ratio [OR] =3.93; 95% CI: 1.41-10.92). Furthermore, an important association was found for depression and frailty (OR =2.36; 95% CI 1.82-3.06). Age- and sex-adjusted hazard ratios (HRs) for death showed an increased risk with increasing frailty: pre-frail HR =1.56 (95% CI: 1.07-2.29), frail HR =1.91 (95% CI: 1.15-3.19); after adjustment by age and sex, a higher risk of death was observed for people identified as frail (HR =1.56,
=0.014) and pre-frail (HR =1.30,
=0.065). MCI and dementia were also risk factors for death (MCI: HR =1.69,
<0.027; dementia: HR =1.66,
=0.016).
Frailty is highly prevalent and strongly associated with cognitive impairment and depression in older Chileans. The risk for death was higher for frail people, but underlying cognitive impairment is a key component of the lower survival rate.</abstract><cop>New Zealand</cop><pub>Dove Medical Press Limited</pub><pmid>28721027</pmid><doi>10.2147/CIA.S136906</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1178-1998 |
| ispartof | Clinical interventions in aging, 2017-01, Vol.12, p.995-1001 |
| issn | 1178-1998 1176-9092 1178-1998 |
| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_863a9f4540674b50a07c4766b51e7535 |
| source | Open Access: PubMed Central; Taylor & Francis Open Access; Publicly Available Content Database |
| subjects | Age Aged Aged, 80 and over Aging Chile Chile - epidemiology Cognitive ability Cognitive disorders Cognitive Dysfunction - epidemiology Cognitive Impairment Complications and side effects Dementia Depression (Mood disorder) Fatigue - epidemiology Female Frail elderly Frail Elderly - statistics & numerical data Frailty Frailty - epidemiology Genotype & phenotype Geriatric Assessment Geriatrics Hand Strength Health care policy Humans Life expectancy Logistic Models Male Mental depression Middle Aged Mobility Limitation Mortality Nutrition Obesity - epidemiology Odds Ratio Older people Original Research Patient outcomes Population Prevalence Risk Factors Statistics Walking Weight control Womens health |
| title | Frequency of frailty and its association with cognitive status and survival in older Chileans |
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