Fluctuations in frailty among older adults.
作者： Erwin Stolz , Hannes Mayerl , Wolfgang Freidl
关键词: Regression analysis 、 Demography 、 Socio economic position 、 Medicine 、 Frailty Index 、 Older person
摘要: BACKGROUND frailty fluctuations, that is, within-person up and down deviations from individual long-term index trajectories represent a hitherto both conceptually empirically untapped facet of among older adults. OBJECTIVE to assess the size fluctuations in old age their association with levels, growth as well sex socio-economic position. METHODS total 18,704 biannual observations 4,514 community-dwelling adults (65+) 10 European countries over 12 years Survey Health, Ageing Retirement Europe (SHARE) were analysed. A was constructed based on 50 items. Long-term modelled simultaneously using Bayesian mixed-effects location-scale regression models. RESULTS non-negligible adults, amounting 0.04/0.05 FI or 2.0/2.5 health deficits average. 30% between 0.04 0.1 (2 5 deficits) 8% larger than (5 deficits). Fluctuations increased higher women, those low position (education) individuals who died during follow-up. CONCLUSIONS refer instabilities an person's status but relevant aspect vulnerability age. Future analysis should be number repeated shorter time intervals.
oup.com
sci-hub.se 参考文章(31)
Arnold Mitnitski, Xiaowei Song, Ingmar Skoog, GA Broe, Jafna L. Cox, Eva Grunfeld, Kenneth Rockwood, Relative fitness and frailty of elderly men and women in developed countries and their relationship with mortality Journal of the American Geriatrics Society. ,vol. 53, pp. 2184- 2189 ,(2005) , 10.1111/J.1532-5415.2005.00506.X
Arnold Mitnitski, Xiaowei Song, Kenneth Rockwood, Improvement and decline in health status from late middle age: Modeling age-related changes in deficit accumulation Experimental Gerontology. ,vol. 42, pp. 1109- 1115 ,(2007) , 10.1016/J.EXGER.2007.08.002
T. M. Gill, Disentangling the Disabling Process: Insights From the Precipitating Events Project Gerontologist. ,vol. 54, pp. 533- 549 ,(2014) , 10.1093/GERONT/GNU067
Chris M. Blanchard, Kevin D. Stein, Frank Baker, Mary F. Dent, Maxine M. Denniston, Kerry S. Courneya, Eric Nehl, Association between current lifestyle behaviors and health-related quality of life in breast, colorectal, and prostate cancer survivors Psychology & Health. ,vol. 19, pp. 1- 13 ,(2004) , 10.1080/08870440310001606507
Donald Hedeker, Robin J. Mermelstein, Hakan Demirtas, An Application of a Mixed‐Effects Location Scale Model for Analysis of Ecological Momentary Assessment (EMA) Data Biometrics. ,vol. 64, pp. 627- 634 ,(2008) , 10.1111/J.1541-0420.2007.00924.X
A. Mitnitski, X. Song, K. Rockwood, Trajectories of changes over twelve years in the health status of Canadians from late middle age Experimental Gerontology. ,vol. 47, pp. 893- 899 ,(2012) , 10.1016/J.EXGER.2012.06.015
Nilam Ram, Denis Gerstorf, Time-Structured and Net Intraindividual Variability: Tools for Examining the Development of Dynamic Characteristics and Processes Psychology and Aging. ,vol. 24, pp. 778- 791 ,(2009) , 10.1037/A0017915
Eileen M. Crimmins, Jung Ki Kim, Aïda Solé-Auró, Gender differences in health: results from SHARE, ELSA and HRS European Journal of Public Health. ,vol. 21, pp. 81- 91 ,(2011) , 10.1093/EURPUB/CKQ022
Roman Romero-Ortuno, Rose Anne Kenny, The frailty index in Europeans: association with age and mortality Age and Ageing. ,vol. 41, pp. 684- 689 ,(2012) , 10.1093/AGEING/AFS051
Anna Oksuzyan, Knud Juel, James W. Vaupel, Kaare Christensen, Men: good health and high mortality. Sex differences in health and aging* Aging Clinical and Experimental Research. ,vol. 20, pp. 91- 102 ,(2008) , 10.1007/BF03324754