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Article Abstract
Objective: Frailty is recognised as an emerging public health priority. However, there is still a lack of large-sample, well-designed clinical observational studies investigating frailty status among multidistrict community-dwelling older adults in Shanghai. Therefore, this study aims to establish a large-sample prospective cohort in Shanghai, investigate the frailty status of multidistrict community-dwelling older adults, analyse the characteristics of the frail population and explore potential risk factors for frailty in older adults.
Design: The present study was a cross-sectional analysis embedded within an ongoing prospective population-based cohort study.
Setting And Participants: A total of 2950 residents (≥65 years) from 9 subdistricts were recruited.
Measures: We used a stratified cluster random sampling method to obtain a representative sample of older adults in Shanghai. All participants completed paper questionnaires during face-to-face interviews and underwent physical examinations conducted by the investigation team.
Results: Our results showed that the overall age-standardised prevalence of frailty was 9.91% (95% CI 9.50% to 10.31%). Prevalence was 8.30% (95% CI 6.84% to 9.76%) in men and 9.93% (95% CI 8.85% to 11.01%) in women. Advancing age, female sex, lower education level and comorbidities were significantly associated with frailty among community-dwelling older adults.
Conclusions: Clinical and public health efforts to reduce the burden of frailty in China should devote greater attention to older women, particularly those with multiple comorbidities, and prioritise community-based frailty screening and prevention initiatives.
Trial Registration Number: ChiCTR2000039491.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374616 | PMC |
| http://dx.doi.org/10.1136/bmjopen-2024-095371 | DOI Listing |
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