ArticleThe journal of nutrition, health & aging2019
Physical Frailty and Risk of Needing Long-Term Care in Community-Dwelling Older Adults: a 6-Year Prospective Study in Japan.
Article in The journal of nutrition, health & aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Variation in the Association between Frailty and Disability over 10 Years: A Cohort Study.Annals of geriatric medicine and research · 2026Article
- The association of frailty with health care costs using the FRAIL scale.Aging clinical and experimental research · 2026Article
- The mediating role of cognitive function in the association between physical activity and frailty risk.Scientific reports · 2026Article
- Health checkup profile before age 65 and long-term care needs: a retrospective analysis of the Fukuoka-City Information Platform for Community-based Integrated Care.Environmental health and preventive medicine · 2026Article
- A systematic review of unmet needs of older adults in home settings and their implications for novel technological solutions.Innovation in aging · 2025Article
- Medication Use by Older Adults with Frailty: A Scoping Review.Pharmacy (Basel, Switzerland) · 2025Review
- Impact of Abdominal Obesity on Frailty Development: A Web-Based Survey Using a Smartphone Health App.Geriatrics (Basel, Switzerland) · 2025Article
- A scoring system and seven factors associated with certification for Japanese long-term care insurance in older people.Journal of bone and mineral metabolism · 2025Article
- Impact of spousal caregiving on frailty index: longitudinal evidence from China Health and Retirement Longitudinal Study.Age and ageing · 2025Article
- Associations between sleep duration and quality and physical frailty in community-dwelling older adults: a cross-sectional study.Scientific reports · 2025Article
- Association of the Combination of Moderate-to-Vigorous Physical Activity and Sleep Quality with Physical Frailty.Geriatrics (Basel, Switzerland) · 2024Article
- Association between Active Hobby before Hospitalization and Frailty at Discharge in Patients with Acute Cardiovascular Disease.Progress in rehabilitation medicine · 2024Article
- Accelerometer-measured sedentary behavior and risk of functional disability in older Japanese adults: a 9-year prospective cohort study.The international journal of behavioral nutrition and physical activity · 2023Article
- Predictive ability of the total score of the Kihon checklist for the incidence of functional disability in older Japanese adults: An 8-year prospective study.Geriatrics & gerontology international · 2022Article
- Association between Walking Habit and Physical Frailty among Community-Dwelling Older Adults.Healthcare (Basel, Switzerland) · 2022Article
- Relationship between frailty and long-term care needs in Chinese community-dwelling older adults: a cross-sectional study.BMJ open · 2022Article
- Assessment of coding-based frailty algorithms for long-term outcome prediction among older people in community settings: a cohort study from the Shizuoka Kokuho Database.Age and ageing · 2022Article
- Risk Factors of Long-Term Care Insurance Certification in Japan: A Scoping Review.International journal of environmental research and public health · 2022Article
- Associations of Objectively-Measured Sedentary Time and Patterns with Cognitive Function in Non-Demented Japanese Older Adults: A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Association between Physical Frailty Subdomains and Oral Frailty in Community-Dwelling Older Adults.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the association between physical frailty and risk of needing long-term care, and compare the predictive value and clinical usefulness of a simple frailty scale (FRAIL) with that of the original Cardiovascular Health Study (CHS) criteria. DESIGN AND
settingA 6-year prospective cohort study of community-dwelling older adults in a west Japanese suburban town.
participants1,554 older adults aged 65 years and over who were initially free of long-term care needs at baseline. MEASUREMENTS: Physical frailty was defined by the CHS criteria and the FRAIL scale. The onset of needing long-term care was ascertained using national records of certification of long-term care needs. Cox proportional hazard models were used to estimate the association between physical frailty and risk of needing long-term care. Decision curve analysis was performed to compare the clinical usefulness of the two physical frailty criteria.
resultsDuring a median follow-up of 5.8 years, 244 were ascertained as needing long-term care. Baseline physical frailty was significantly associated with elevated risk of needing long-term care, with a multivariable-adjusted hazard ratio (HR) of 2.00 (95% confidence interval [CI], 1.32-3.02) for being frail and 1.50 (95% CI, 1.10-2.03) for being pre-frail as defined by the CHS criteria, compared with being robust (p for trend = 0.001). Similar results were found for physical frailty defined by the FRAIL scale, with a multivariable-adjusted HR (95% CIs) of 2.11 (1.25-3.56) for being frail and 1.73 (1.28-2.35) for being pre-frail vs. being robust (p for trend < 0.001). The two physical frailty criteria had similar net benefits in identifying individuals at high risk for needing long-term care.
conclusionsPhysical frailty is significantly associated with an increased risk of needing long-term care in community-dwelling older adults in Japan. Compared with the original CHS criteria, the simple FRAIL scale has comparable predictive value and clinical usefulness for identifying individuals at risk for needing long-term care.
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