|
KMID : 1130220220260040309
|
|
Annals of Geriatric Medicine and Research
2022 Volume.26 No. 4 p.309 ~ p.315
|
|
|
Differential Associations of Frailty with the Incidence of Mild and Severe Disabilities in Older Adults: A 3-Year Cohort Study
|
|
Hagiyama Akikazu
Takao Soshi
Matsuo Rumi
Yorifuji Takashi
|
|
|
Abstract
|
|
|
Background : Frailty is associated with the incidence of disability in older adults; however, few studies have investigated differences in the association of frailty with mild and severe disabilities according to Japanese long-term care insurance certification. This study separately investigated the associations between frailty and the incidence of mild and severe disabilities.
Methods : This 3-year retrospective cohort study included community-dwelling adults in Okayama City aged ≥65 years. We assessed frailty status using the Kihon Checklist and defined the outcomes as mild and severe disabilities according to long-term care insurance certifications. We applied multinomial logistic regression analysis to investigate the association between frailty and the incidence of mild and severe disabilities.
Results : The analysis included a total of 36,043 participants. For mild disability, the odds ratios (ORs) comparing frail to robust and prefrail to robust were 3.85 (95% confidence interval [CI], 3.36?4.42) and 1.82 (95% CI, 1.58?2.10), respectively. Similarly, the corresponding ORs for severe disability were 4.35 (95% CI, 3.55?5.34) and 1.78 (95% CI, 1.43?2.21), respectively. In the age-stratified analysis of mild disability, the pre-old group (aged 65?74 years) with frail showed a higher association than the old-age group (aged ≥75 years) with frail. Regarding severe disability, the older group with frailty showed a higher association than the pre-old group with frailty.
Conclusion : The results showed that both prefrail and frail were associated with the incidence of mild and severe disabilities, with different patterns of association between the pre-old and old age groups.
|
|
|
KEYWORD
|
|
|
Aged, Frailty, Incidence, Long-term care
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|