Frailty on the island of Ireland: evidence from the NICOLA and TILDA studies.

التفاصيل البيبلوغرافية
العنوان:	Frailty on the island of Ireland: evidence from the NICOLA and TILDA studies.
المؤلفون:	McKelvie MJ; Centre for Public Health, Queen's University of Belfast, Belfast, UK., Cruise S; Centre for Public Health, Queen's University of Belfast, Belfast, UK., Ward M; The Irish Longitudinal Study on Ageing, Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin, Ireland., Romero-Ortuno R; The Irish Longitudinal Study on Ageing, Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin, Ireland., Kee F; Centre for Public Health, Queen's University of Belfast, Belfast, UK., Kenny RA; The Irish Longitudinal Study on Ageing, Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin, Ireland., O'Reilly D; Centre for Public Health, Queen's University of Belfast, Belfast, UK., O'Halloran AM; The Irish Longitudinal Study on Ageing, Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin, Ireland.
المصدر:	European journal of public health [Eur J Public Health] 2024 Aug 01; Vol. 34 (4), pp. 710-716.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Oxford University Press Country of Publication: England NLM ID: 9204966 Publication Model: Print Cited Medium: Internet ISSN: 1464-360X (Electronic) Linking ISSN: 11011262 NLM ISO Abbreviation: Eur J Public Health Subsets: MEDLINE
أسماء مطبوعة:	Publication: Oxford : Oxford University Press Original Publication: Stockholm, Sweden : Almqvist & Wiksell International, c1991-
مواضيع طبية MeSH:	Frailty*/epidemiology, Humans ; Female ; Male ; Aged ; Ireland/epidemiology ; Longitudinal Studies ; Prevalence ; Northern Ireland/epidemiology ; Aged, 80 and over ; Middle Aged ; Frail Elderly/statistics & numerical data ; Geriatric Assessment/statistics & numerical data ; Geriatric Assessment/methods ; Risk Factors
مستخلص:	Background: Aimed to compare the prevalence, characteristics, and associated mortality risk of frailty in Northern Ireland (NI) and the Republic of Ireland (ROI). Methods: Secondary analysis of the first wave of two nationally representative cohorts, the Northern Ireland Cohort for the Longitudinal Study of Ageing or NICOLA study (N = 8504) and the Irish Longitudinal Study on Ageing or TILDA study (N = 8504). Frailty was assessed using a harmonized accumulation deficits frailty index (FI) containing 30 items. FI scores classified individuals as non-frail (<0.10), pre-frail (0.10-0.24) and frail (≥0.25). Linkage to respective administrative data sources provided mortality information with a follow-up time of 8 years. Results: The prevalence of frailty was considerably higher in NI compared with the ROI (29.0% compared with 15.0%), though pre-frailty was slightly lower (35.8% and 37.3%, respectively). Age, female sex, and lower socio-economic status were consistently associated with a higher likelihood of both pre-frailty and frailty. In the pooled analysis, both frailty and pre-frailty were higher in NI (RR = 2.68, 95% CIs 2.45, 2.94 and RR = 1.30, 95% CIs 1.21, 1.40, respectively). Frailty was associated with an increased mortality risk in both cohorts, even after full adjustment for all other characteristics, being marginally higher in TILDA than in NICOLA (HR = 2.43, 95% CIs 2.03, 2.91 vs. HR = 2.31, 95% CIs 1.90, 2.79). Conclusions: Frailty is a major public health concern for both jurisdictions. Further research and monitoring are required to elucidate why there is a higher prevalence in NI and to identify factors in early life that may be driving these differences. (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Public Health Association.)
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تواريخ الأحداث:	Date Created: 20240319 Date Completed: 20240801 Latest Revision: 20240803
رمز التحديث:	20240803
مُعرف محوري في PubMed:	PMC11293819
DOI:	10.1093/eurpub/ckae046
PMID:	38503497
قاعدة البيانات:	MEDLINE

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تدمد:	1464-360X
DOI:	10.1093/eurpub/ckae046