scholarly journals A Frailty Index from Next-of-Kin Data: A Cross-Sectional Analysis from the Mexican Health and Aging Study

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Mario Ulises Pérez-Zepeda ◽  
Matteo Cesari ◽  
María Fernanda Carrillo-Vega ◽  
Guillermo Salinas-Escudero ◽  
Pamela Tella-Vega ◽  
...  

Objectives. To construct a frailty index from next-of-kin information of the last year of life of community-dwelling 50 years old or older adults and test its association with health services utilization. Methods. Cross-sectional analysis from next-of-kin data available from the last wave of the Mexican Health and Aging Study (MHAS). Measurements. Along with descriptive statistics, the frailty index (FI) was tested in regression models to assess its association with adverse outcomes previous to death: number of hospitalized days in the previous year and number of visits to a physician in the previous year, in unadjusted and adjusted models. Results. From a total of 2,649 individuals the mean of age was 74.8 (±11.4) and 56.3% (n = 1,183) were women. The mean of the FI was of 0.279 (±SD 0.131, R = 0.0–0.738) and distribution was biased to the right. There was a significant association (p < 0.001) between the FI and number of hospitalized days (β = 45.7, 95% CI 36.1–55.4, p < 0.001) and for the number of visits to a physician (β = 25.93, 95% CI 19.27–32.6, p < 0.001) both models adjusted for age and sex. Conclusion. The FI constructed with next-of-kin data showed similar characteristics to similar indexes of older adults. It was independently associated with health care use.

AGE ◽  
2012 ◽  
Vol 35 (5) ◽  
pp. 1983-1993 ◽  
Author(s):  
Nadine Correia Santos ◽  
Patrício Soares Costa ◽  
Pedro Cunha ◽  
Jorge Cotter ◽  
Adriana Sampaio ◽  
...  

2020 ◽  
pp. 073346482091266
Author(s):  
Beatriz A. Martins ◽  
Renuka Visvanathan ◽  
Helen R. Barrie ◽  
Chi Hsien Huang ◽  
Eiji Matsushita ◽  
...  

Neighborhood physical characteristics have been consistently associated with the health of older adults. This article investigates links between frailty and perceptions of the neighborhood environment. Using a cross-sectional analysis of 370 community-dwelling older adults from Nagoya, Japan, neighborhood perceptions were assessed using the Neighborhood Environmental Walkability Scale (NEWS) in addition to frailty, using a frailty index. Frailty was associated with the NEWS composite index, land use mix diversity, land use mix access, street connectivity, walking infrastructure, aesthetics, and crime safety, after adjustment for covariates. Older adults with increasing frailty have poorer perceptions of their neighborhoods, which could lead to further constriction of the life-space, less social and physical engagement, and worsening of frailty status.


PLoS ONE ◽  
2016 ◽  
Vol 11 (6) ◽  
pp. e0156828 ◽  
Author(s):  
Tamer Ahmed ◽  
Afshin Vafaei ◽  
Mohammad Auais ◽  
Jack Guralnik ◽  
Maria Victoria Zunzunegui

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
María Fernanda Carrillo-Vega ◽  
Carmen García-Peña ◽  
Luis Miguel Gutiérrez-Robledo ◽  
Mario Ulises Pérez-Zepeda

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2151
Author(s):  
Berna Rahi ◽  
Hermine Pellay ◽  
Virginie Chuy ◽  
Catherine Helmer ◽  
Cecilia Samieri ◽  
...  

Dairy products (DP) are part of a food group that may contribute to the prevention of physical frailty. We aimed to investigate DP exposure, including total DP, milk, fresh DP and cheese, and their cross-sectional and prospective associations with physical frailty in community-dwelling older adults. The cross-sectional analysis was carried out on 1490 participants from the Three-City Bordeaux cohort. The 10-year frailty risk was examined in 823 initially non-frail participants. A food frequency questionnaire was used to assess DP exposure. Physical frailty was defined as the presence of at least 3 out of 5 criteria of the frailty phenotype: weight loss, exhaustion, slowness, weakness, and low physical activity. Among others, diet quality and protein intake were considered as confounders. The baseline mean age of participants was 74.1 y and 61% were females. Frailty prevalence and incidence were 4.2% and 18.2%, respectively. No significant associations were observed between consumption of total DP or DP sub-types and frailty prevalence or incidence (OR = 1.40, 95%CI 0.65–3.01 and OR = 1.75, 95%CI 0.42–1.32, for a total DP consumption >4 times/d, respectively). Despite the absence of beneficial associations of higher DP consumption on frailty, older adults are encouraged to follow the national recommendations regarding DP.


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