دورية أكاديمية

Frailty among middle-aged and older Canadians: population norms for the frailty index using the Canadian Longitudinal Study on Aging.

التفاصيل البيبلوغرافية
العنوان: Frailty among middle-aged and older Canadians: population norms for the frailty index using the Canadian Longitudinal Study on Aging.
المؤلفون: Pérez-Zepeda MU; Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.; Instituto Nacional de Geriatría, Mexico City, Mexico.; Centro de Investigación en Ciencias de la Salud (CICSA), FCS, Universidad Anáhuac México Campus Norte, Huixquilucan Edo. de México., Godin J; Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada., Armstrong JJ; Department of Health Sciences, Lakehead University Thunder Bay Campus, Ontario, Canada., Andrew MK; Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada., Mitnitski A; Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada., Kirkland S; Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.; Department of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada., Rockwood K; Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada., Theou O; Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.; School of Physiotherapy, Dalhousie University, Halifax, Nova Scotia, Canada.
المصدر: Age and ageing [Age Ageing] 2021 Feb 26; Vol. 50 (2), pp. 447-456.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: England NLM ID: 0375655 Publication Model: Print Cited Medium: Internet ISSN: 1468-2834 (Electronic) Linking ISSN: 00020729 NLM ISO Abbreviation: Age Ageing Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Oxford University Press
Original Publication: London, Baillière, Tindall.
مواضيع طبية MeSH: Frailty*/diagnosis , Frailty*/epidemiology, Aged ; Aging ; Canada/epidemiology ; Female ; Frail Elderly ; Geriatric Assessment ; Humans ; Longitudinal Studies ; Male ; Middle Aged
مستخلص: Background: frailty is a public health priority now that the global population is ageing at a rapid rate. A scientifically sound tool to measure frailty and generate population-based reference values is a starting point.
Objective: in this report, our objectives were to operationalize frailty as deficit accumulation using a standard frailty index (FI), describe levels of frailty in Canadians ≥45 years old and provide national normative data.
Design: this is a secondary analysis of the Canadian Longitudinal Study on Aging (CLSA) baseline data.
Setting/participants: about 51,338 individuals (weighted to represent 13,232,651 Canadians), aged 45-85 years, from the tracking and comprehensive cohorts of CLSA.
Methods: after screening all available variables in the pooled dataset, 52 items were selected to construct an FI. Descriptive statistics for the FI and normative data derived from quantile regressions were developed.
Results: the average age of the participants was 60.3 years (95% confidence interval [CI]: 60.2-60.5), and 51.5% were female (95% CI: 50.8-52.2). The mean FI score was 0.07 (95% CI: 0.07-0.08) with a standard deviation of 0.06. Frailty was higher among females and with increasing age, and scores >0.2 were present in 4.2% of the sample. National normative data were identified for each year of age for males and females.
Conclusions: the standardized frailty tool and the population-based normative frailty values can help inform discussions about frailty, setting a new bar in the field. Such information can be used by clinicians, researchers, stakeholders and the general public to understand frailty, especially its relationship with age and sex.
(© The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
فهرسة مساهمة: Keywords: CLSA; ageing; frailty; geriatric epidemiology
تواريخ الأحداث: Date Created: 20200818 Date Completed: 20210728 Latest Revision: 20210728
رمز التحديث: 20221213
DOI: 10.1093/ageing/afaa144
PMID: 32805022
قاعدة البيانات: MEDLINE
الوصف
تدمد:1468-2834
DOI:10.1093/ageing/afaa144