Change in Frailty and Risk of Death in Older Persons

被引:105
作者
Buchman, A. S. [1 ,2 ]
Wilson, R. S. [1 ,2 ,3 ]
Bienias, J. L. [1 ,4 ,5 ]
Bennett, D. A. [2 ]
机构
[1] Rush Univ, Med Ctr, Rush Alzheimers Dis Ctr, Chicago, IL 60612 USA
[2] Rush Univ, Med Ctr, Dept Neurol Sci, Chicago, IL 60612 USA
[3] Rush Univ, Med Ctr, Dept Behav Sci, Chicago, IL 60612 USA
[4] Rush Univ, Med Ctr, Rush Inst Healthy Aging, Chicago, IL 60612 USA
[5] Rush Univ, Med Ctr, Dept Internal Med, Chicago, IL 60612 USA
关键词
WOMENS HEALTH; FUNCTIONAL DECLINE; ALZHEIMERS-DISEASE; PARKINSONIAN SIGNS; LONGITUDINAL DATA; DISABILITY; MORTALITY; ADULTS; COAGULATION; PERFORMANCE;
D O I
10.1080/03610730802545051
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The authors developed and validated a continuous composite measure of frailty and examined its rate of change in 832 older persons with annual evaluations for up to 8 years. In generalized estimating equation models adjusted for age, sex, and education, there was a significant increase in frailty during follow-up. In a proportional hazards model controlling for age, sex, education, and baseline frailty, each 1-unit increase in annual change in frailty was associated with an almost 5 times the risk of mortality. Using a continuous measure, the authors document that frailty is progressive in some older persons and that its rate of progression is associated with mortality.
引用
收藏
页码:61 / 82
页数:22
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