Document Detail

Prevalence of frailty in middle-aged and older community-dwelling Europeans living in 10 countries.
MedLine Citation:
PMID:  19276189     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Frailty is an indicator of health status in old age. Its frequency has been described mainly for North America; comparable data from other countries are lacking. Here we report on the prevalence of frailty in 10 European countries included in a population-based survey.
METHODS: Cross-sectional analysis of 18,227 randomly selected community-dwelling individuals 50 years of age and older, enrolled in the Survey of Health, Aging and Retirement in Europe (SHARE) in 2004. Complete data for assessing a frailty phenotype (exhaustion, shrinking, weakness, slowness, and low physical activity) were available for 16,584 participants. Prevalences of frailty and prefrailty were estimated for individuals 50-64 years and 65 years of age and older from each country. The latter group was analyzed further after excluding disabled individuals. We estimated country effects in this subset using multivariate logistic regression models, controlling first for age, gender, and then demographics and education.
RESULTS: The proportion of frailty (three to five criteria) or prefrailty (one to two criteria) was higher in southern than in northern Europe. International differences in the prevalences of frailty and prefrailty for 65 years and older group persisted after excluding the disabled. Demographic characteristics did not account for international differences; however, education was associated with frailty. Controlling for education, age and gender diminished the effects of residing in Italy and Spain.
CONCLUSIONS: A higher prevalence of frailty in southern countries is consistent with previous findings of a north-south gradient for other health indicators in SHARE. Our data suggest that socioeconomic factors like education contribute to these differences in frailty and prefrailty.
Brigitte Santos-Eggimann; Patrick Cuénoud; Jacques Spagnoli; Julien Junod
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2009-03-10
Journal Detail:
Title:  The journals of gerontology. Series A, Biological sciences and medical sciences     Volume:  64     ISSN:  1758-535X     ISO Abbreviation:  J. Gerontol. A Biol. Sci. Med. Sci.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-11     Completed Date:  2009-05-28     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  9502837     Medline TA:  J Gerontol A Biol Sci Med Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  675-81     Citation Subset:  AIM; IM    
Department of Community Medicine and Health, Institute of Social and Preventive Medicine, University Hospital Center and University of Lausanne, Switzerland.
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MeSH Terms
Age Factors
Aged, 80 and over
Cross-Sectional Studies
Europe / epidemiology
Fatigue / epidemiology
Frail Elderly / statistics & numerical data*
Geriatric Assessment
Health Status
Health Surveys
Logistic Models
Middle Aged
Muscle Weakness / epidemiology
Physical Fitness
Risk Factors
Sex Factors
Socioeconomic Factors
Grant Support
OGHA 04-064//PHS HHS; P01 AG005842/AG/NIA NIH HHS; P01 AG08291/AG/NIA NIH HHS; P30 AG12815/AG/NIA NIH HHS; U01 AG09740-13S2/AG/NIA NIH HHS; Y1-AG-4553-01/AG/NIA NIH HHS

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