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Frailty and Mortality Among Chinese at Advanced Ages
Objectives This study investigates the factors associated with frailty and the association of frailty with mortality in a national sample of adults aged 65-109 in China. Methods Using the 2002 wave of the Chinese Longitudinal Healthy Longevity Survey, we construct a frailty index (FI) based on 39 me...
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| Published in: | The journals of gerontology. Series B, Psychological sciences and social sciences Psychological sciences and social sciences, 2009-03, Vol.64B (2), p.279-289 |
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| Main Authors: | , , , , , |
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| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c575t-288f2779ef47c6ee9427aa44fc1bd17d361784e042e0967f6c1d51eed560401e3 |
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| cites | cdi_FETCH-LOGICAL-c575t-288f2779ef47c6ee9427aa44fc1bd17d361784e042e0967f6c1d51eed560401e3 |
| container_end_page | 289 |
| container_issue | 2 |
| container_start_page | 279 |
| container_title | The journals of gerontology. Series B, Psychological sciences and social sciences |
| container_volume | 64B |
| creator | Gu, Danan Dupre, Matthew E. Sautter, Jessica Zhu, Haiyan Liu, Yuzhi Yi, Zeng |
| description | Objectives
This study investigates the factors associated with frailty and the association of frailty with mortality in a national sample of adults aged 65-109 in China.
Methods
Using the 2002 wave of the Chinese Longitudinal Healthy Longevity Survey, we construct a frailty index (FI) based on 39 measures available in the data set. We use ordinal logistic regressions to examine the factors associated with the FI and use Weibull hazard regression to examine the association between frailty and 3-year mortality from 2002 to 2005.
Results
Age, sex, ethnicity, urban-rural residence, economic condition, religious involvement, and daily exercise are significantly associated with levels of frailty. Hazard analyses further reveal that the FI is a robust predictor of mortality at advanced ages and that the relationship between frailty and mortality is independent of various covariates.
Discussion
The measurement and analysis of frailty have broad implications for public health initiatives designed to target individuals with the diminished capacity to effectively compensate for external stressors and to prevent further declines associated with aging and mortality. A key to healthy longevity is the prevention, postponement, and potential recovery from physical and cognitive deficits at advanced ages through enhanced medical interventions and treatments. |
| doi_str_mv | 10.1093/geronb/gbn009 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2655172</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/geronb/gbn009</oup_id><sourcerecordid>61770392</sourcerecordid><originalsourceid>FETCH-LOGICAL-c575t-288f2779ef47c6ee9427aa44fc1bd17d361784e042e0967f6c1d51eed560401e3</originalsourceid><addsrcrecordid>eNqFkk1v1DAQhi0EoqVw5IoiDhWXUI_jj_iCtFpRiijiAmfLcSbZVIkT7GSl_fd4lRUtXNbSeMby43fsGRPyFuhHoLq4aTGMvrppK0-pfkYuQYkyF4Usn6eYKp0LCvyCvIrxgaYBir8kF6BBS6nhkvDbYLt-PmTW19n3Mcy279JqM4y-zba7zmPEzM7Zpt5b77DONi3G1-RFY_uIb07-ivy6_fxze5ff__jydbu5z51QYs5ZWTZMKY0NV04ias6UtZw3DqoaVF1IUCVHyhlSLVUjHdQCEGshKaeAxRX5tOpOSzVg7dDPwfZmCt1gw8GMtjP_7vhuZ9pxb5gUAhRLAtcngTD-XjDOZuiiw763HsclGqloUWqhz4OgEqrPKwpV0ELBUfH9f-DDuASfymUYUJBccJmgfIVcGGMM2Px9G1BzbK9Z22vW9ib-28oHnNA9FmKZTtzeFFbyKs2HZCydSa47hsmmo1fasFKb3TwktXdPy_uY-_Q7EvBhBVKCMzf7A5XCyHA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>210164546</pqid></control><display><type>article</type><title>Frailty and Mortality Among Chinese at Advanced Ages</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Oxford Journals Online</source><source>Sociological Abstracts</source><creator>Gu, Danan ; Dupre, Matthew E. ; Sautter, Jessica ; Zhu, Haiyan ; Liu, Yuzhi ; Yi, Zeng</creator><creatorcontrib>Gu, Danan ; Dupre, Matthew E. ; Sautter, Jessica ; Zhu, Haiyan ; Liu, Yuzhi ; Yi, Zeng</creatorcontrib><description>Objectives
This study investigates the factors associated with frailty and the association of frailty with mortality in a national sample of adults aged 65-109 in China.
Methods
Using the 2002 wave of the Chinese Longitudinal Healthy Longevity Survey, we construct a frailty index (FI) based on 39 measures available in the data set. We use ordinal logistic regressions to examine the factors associated with the FI and use Weibull hazard regression to examine the association between frailty and 3-year mortality from 2002 to 2005.
Results
Age, sex, ethnicity, urban-rural residence, economic condition, religious involvement, and daily exercise are significantly associated with levels of frailty. Hazard analyses further reveal that the FI is a robust predictor of mortality at advanced ages and that the relationship between frailty and mortality is independent of various covariates.
Discussion
The measurement and analysis of frailty have broad implications for public health initiatives designed to target individuals with the diminished capacity to effectively compensate for external stressors and to prevent further declines associated with aging and mortality. A key to healthy longevity is the prevention, postponement, and potential recovery from physical and cognitive deficits at advanced ages through enhanced medical interventions and treatments.</description><identifier>ISSN: 1079-5014</identifier><identifier>EISSN: 1758-5368</identifier><identifier>DOI: 10.1093/geronb/gbn009</identifier><identifier>PMID: 19196691</identifier><identifier>CODEN: JGBSF3</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Activities of Daily Living - classification ; Age ; Aged ; Aged, 80 and over ; Aging ; China ; Chronic Disease - ethnology ; Chronic Disease - mortality ; Data collection ; Developing Countries ; Disability Evaluation ; Economic Conditions ; Ethnicity ; Female ; Frail Elderly - statistics & numerical data ; Frailty ; Hazards ; Health care ; Health initiatives ; Health Policy ; Humans ; Industrialized nations ; Intervention ; Journal of Gerontology: Social Sciences ; LDCs ; Longevity ; Longitudinal Studies ; Male ; Mortality ; Mortality Rates ; Older people ; Peoples Republic of China ; Postponement ; Prevention ; Proportional Hazards Models ; Risk ; Risk factors ; Sex Factors ; Social Environment ; Social Support ; Socioeconomic Factors ; Stress ; Studies ; Survival Analysis</subject><ispartof>The journals of gerontology. Series B, Psychological sciences and social sciences, 2009-03, Vol.64B (2), p.279-289</ispartof><rights>The Author 2009. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org. 2009</rights><rights>Copyright Gerontological Society of America, Incorporated Mar 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c575t-288f2779ef47c6ee9427aa44fc1bd17d361784e042e0967f6c1d51eed560401e3</citedby><cites>FETCH-LOGICAL-c575t-288f2779ef47c6ee9427aa44fc1bd17d361784e042e0967f6c1d51eed560401e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925,30999,31000,33775</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19196691$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://econpapers.repec.org/article/oupgeronb/v_3a64b_3ay_3a2009_3ai_3a2_3ap_3a279-289.htm$$DView record in RePEc$$Hfree_for_read</backlink></links><search><creatorcontrib>Gu, Danan</creatorcontrib><creatorcontrib>Dupre, Matthew E.</creatorcontrib><creatorcontrib>Sautter, Jessica</creatorcontrib><creatorcontrib>Zhu, Haiyan</creatorcontrib><creatorcontrib>Liu, Yuzhi</creatorcontrib><creatorcontrib>Yi, Zeng</creatorcontrib><title>Frailty and Mortality Among Chinese at Advanced Ages</title><title>The journals of gerontology. Series B, Psychological sciences and social sciences</title><addtitle>J Gerontol B Psychol Sci Soc Sci</addtitle><description>Objectives
This study investigates the factors associated with frailty and the association of frailty with mortality in a national sample of adults aged 65-109 in China.
Methods
Using the 2002 wave of the Chinese Longitudinal Healthy Longevity Survey, we construct a frailty index (FI) based on 39 measures available in the data set. We use ordinal logistic regressions to examine the factors associated with the FI and use Weibull hazard regression to examine the association between frailty and 3-year mortality from 2002 to 2005.
Results
Age, sex, ethnicity, urban-rural residence, economic condition, religious involvement, and daily exercise are significantly associated with levels of frailty. Hazard analyses further reveal that the FI is a robust predictor of mortality at advanced ages and that the relationship between frailty and mortality is independent of various covariates.
Discussion
The measurement and analysis of frailty have broad implications for public health initiatives designed to target individuals with the diminished capacity to effectively compensate for external stressors and to prevent further declines associated with aging and mortality. A key to healthy longevity is the prevention, postponement, and potential recovery from physical and cognitive deficits at advanced ages through enhanced medical interventions and treatments.</description><subject>Activities of Daily Living - classification</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>China</subject><subject>Chronic Disease - ethnology</subject><subject>Chronic Disease - mortality</subject><subject>Data collection</subject><subject>Developing Countries</subject><subject>Disability Evaluation</subject><subject>Economic Conditions</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Frail Elderly - statistics & numerical data</subject><subject>Frailty</subject><subject>Hazards</subject><subject>Health care</subject><subject>Health initiatives</subject><subject>Health Policy</subject><subject>Humans</subject><subject>Industrialized nations</subject><subject>Intervention</subject><subject>Journal of Gerontology: Social Sciences</subject><subject>LDCs</subject><subject>Longevity</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mortality</subject><subject>Mortality Rates</subject><subject>Older people</subject><subject>Peoples Republic of China</subject><subject>Postponement</subject><subject>Prevention</subject><subject>Proportional Hazards Models</subject><subject>Risk</subject><subject>Risk factors</subject><subject>Sex Factors</subject><subject>Social Environment</subject><subject>Social Support</subject><subject>Socioeconomic Factors</subject><subject>Stress</subject><subject>Studies</subject><subject>Survival Analysis</subject><issn>1079-5014</issn><issn>1758-5368</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkk1v1DAQhi0EoqVw5IoiDhWXUI_jj_iCtFpRiijiAmfLcSbZVIkT7GSl_fd4lRUtXNbSeMby43fsGRPyFuhHoLq4aTGMvrppK0-pfkYuQYkyF4Usn6eYKp0LCvyCvIrxgaYBir8kF6BBS6nhkvDbYLt-PmTW19n3Mcy279JqM4y-zba7zmPEzM7Zpt5b77DONi3G1-RFY_uIb07-ivy6_fxze5ff__jydbu5z51QYs5ZWTZMKY0NV04ias6UtZw3DqoaVF1IUCVHyhlSLVUjHdQCEGshKaeAxRX5tOpOSzVg7dDPwfZmCt1gw8GMtjP_7vhuZ9pxb5gUAhRLAtcngTD-XjDOZuiiw763HsclGqloUWqhz4OgEqrPKwpV0ELBUfH9f-DDuASfymUYUJBccJmgfIVcGGMM2Px9G1BzbK9Z22vW9ib-28oHnNA9FmKZTtzeFFbyKs2HZCydSa47hsmmo1fasFKb3TwktXdPy_uY-_Q7EvBhBVKCMzf7A5XCyHA</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Gu, Danan</creator><creator>Dupre, Matthew E.</creator><creator>Sautter, Jessica</creator><creator>Zhu, Haiyan</creator><creator>Liu, Yuzhi</creator><creator>Yi, Zeng</creator><general>Oxford University Press</general><general>Oxford University Press for Gerontological Society of America</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>WZK</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090301</creationdate><title>Frailty and Mortality Among Chinese at Advanced Ages</title><author>Gu, Danan ; Dupre, Matthew E. ; Sautter, Jessica ; Zhu, Haiyan ; Liu, Yuzhi ; Yi, Zeng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c575t-288f2779ef47c6ee9427aa44fc1bd17d361784e042e0967f6c1d51eed560401e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Activities of Daily Living - classification</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>China</topic><topic>Chronic Disease - ethnology</topic><topic>Chronic Disease - mortality</topic><topic>Data collection</topic><topic>Developing Countries</topic><topic>Disability Evaluation</topic><topic>Economic Conditions</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Frail Elderly - statistics & numerical data</topic><topic>Frailty</topic><topic>Hazards</topic><topic>Health care</topic><topic>Health initiatives</topic><topic>Health Policy</topic><topic>Humans</topic><topic>Industrialized nations</topic><topic>Intervention</topic><topic>Journal of Gerontology: Social Sciences</topic><topic>LDCs</topic><topic>Longevity</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mortality</topic><topic>Mortality Rates</topic><topic>Older people</topic><topic>Peoples Republic of China</topic><topic>Postponement</topic><topic>Prevention</topic><topic>Proportional Hazards Models</topic><topic>Risk</topic><topic>Risk factors</topic><topic>Sex Factors</topic><topic>Social Environment</topic><topic>Social Support</topic><topic>Socioeconomic Factors</topic><topic>Stress</topic><topic>Studies</topic><topic>Survival Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gu, Danan</creatorcontrib><creatorcontrib>Dupre, Matthew E.</creatorcontrib><creatorcontrib>Sautter, Jessica</creatorcontrib><creatorcontrib>Zhu, Haiyan</creatorcontrib><creatorcontrib>Liu, Yuzhi</creatorcontrib><creatorcontrib>Yi, Zeng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journals of gerontology. Series B, Psychological sciences and social sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gu, Danan</au><au>Dupre, Matthew E.</au><au>Sautter, Jessica</au><au>Zhu, Haiyan</au><au>Liu, Yuzhi</au><au>Yi, Zeng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frailty and Mortality Among Chinese at Advanced Ages</atitle><jtitle>The journals of gerontology. Series B, Psychological sciences and social sciences</jtitle><addtitle>J Gerontol B Psychol Sci Soc Sci</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>64B</volume><issue>2</issue><spage>279</spage><epage>289</epage><pages>279-289</pages><issn>1079-5014</issn><eissn>1758-5368</eissn><coden>JGBSF3</coden><abstract>Objectives
This study investigates the factors associated with frailty and the association of frailty with mortality in a national sample of adults aged 65-109 in China.
Methods
Using the 2002 wave of the Chinese Longitudinal Healthy Longevity Survey, we construct a frailty index (FI) based on 39 measures available in the data set. We use ordinal logistic regressions to examine the factors associated with the FI and use Weibull hazard regression to examine the association between frailty and 3-year mortality from 2002 to 2005.
Results
Age, sex, ethnicity, urban-rural residence, economic condition, religious involvement, and daily exercise are significantly associated with levels of frailty. Hazard analyses further reveal that the FI is a robust predictor of mortality at advanced ages and that the relationship between frailty and mortality is independent of various covariates.
Discussion
The measurement and analysis of frailty have broad implications for public health initiatives designed to target individuals with the diminished capacity to effectively compensate for external stressors and to prevent further declines associated with aging and mortality. A key to healthy longevity is the prevention, postponement, and potential recovery from physical and cognitive deficits at advanced ages through enhanced medical interventions and treatments.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>19196691</pmid><doi>10.1093/geronb/gbn009</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The journals of gerontology. Series B, Psychological sciences and social sciences, 2009-03, Vol.64B (2), p.279-289 |
| issn | 1079-5014 1758-5368 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2655172 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Oxford Journals Online; Sociological Abstracts |
| subjects | Activities of Daily Living - classification Age Aged Aged, 80 and over Aging China Chronic Disease - ethnology Chronic Disease - mortality Data collection Developing Countries Disability Evaluation Economic Conditions Ethnicity Female Frail Elderly - statistics & numerical data Frailty Hazards Health care Health initiatives Health Policy Humans Industrialized nations Intervention Journal of Gerontology: Social Sciences LDCs Longevity Longitudinal Studies Male Mortality Mortality Rates Older people Peoples Republic of China Postponement Prevention Proportional Hazards Models Risk Risk factors Sex Factors Social Environment Social Support Socioeconomic Factors Stress Studies Survival Analysis |
| title | Frailty and Mortality Among Chinese at Advanced Ages |
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