Observational studyThe journal of nutrition, health & aging2020
Risk Factors of Progression to Frailty: Findings from the Singapore Longitudinal Ageing Study.
Observational study in The journal of nutrition, health & aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Systematic review and meta-analysis of prevalence, trajectories, and clinical outcomes for frailty in COPD.NPJ primary care respiratory medicine · 2023Pooled it
- Prevalence and influencing factors of frailty in older patients with diabetes in China: a system review and meta-analysis.Frontiers in medicine · 2023Pooled it
- Frailty measurement, prevalence, incidence, and clinical implications in people with diabetes: a systematic review and study-level meta-analysis.The lancet. Healthy longevity · 2020Pooled it
- A 90 g/day low-carbohydrate diet improved glycemic control without decreasing frailty in older patients with type 2 diabetes: A secondary analysis of a randomized controlled trial.Journal of diabetes investigation · 2025Trial
- Examining HbA1c in Frail Older Adults: A Linked Data Cohort Study.Australasian journal on ageing · 2026Article
- Frailty, malnutrition risk, and kidney function impairment in older adults: Singapore longitudinal ageing study.GeroScience · 2026Article
- Frailty Meets Cardio-oncology: A New Frontier in Personalised Cancer Care.European cardiology · 2026Review
- Analysis of frailty status and its influencing factors in maintenance hemodialysis patients based on the health ecological model.BMC nephrology · 2025Article
- Article
- Constructing and evaluating a predictive model for the risk of preoperative frailty in breast cancer patients.BMC women's health · 2025Article
- Screening for intrinsic capacity and frailty in older adults with multimorbidity in the primary care setting: application of the ICOPE tool and two frailty instruments.BMC geriatrics · 2025Article
- The association between gut microbiota and accelerated aging and frailty: a Mendelian randomization study.Aging clinical and experimental research · 2025Article
- Observational
- Regional differences in frailty among older adults with type 2 diabetes: a multicenter cross-sectional study in Japan.BMC geriatrics · 2024Article
- Post-discharge nutritional management for patients with coronary heart disease and frailty: a qualitative study.BMC geriatrics · 2024Article
- Frailty and Parkinson's disease: the role of diabetes mellitus.Frontiers in medicine · 2024Review
- Nomogram model for predicting frailty of patients with hematologic malignancies - A cross-sectional survey.Asia-Pacific journal of oncology nursing · 2023Article
- Risk Factors of Progression to Cognitive Frailty: Singapore Longitudinal Ageing Study 2.Gerontology · 2023Article
- Prevalence and associated factors of frailty among community dwelling older adults in Northwest China: a cross-sectional study.BMJ open · 2022Article
- Factors influencing the stages of frailty among Korean older adults focusing on objective and subjective social isolation.BMC geriatrics · 2022Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate risk factors of incident physical frailty.
designA population-based observational longitudinal study.
settingCommunity-dwelling elderly with age 55 years and above recruited from 2009 through 2011 in the second wave Singapore Longitudinal Ageing Study-2 (SLAS-2) were followed up 3-5 years later.
participantsA total of 1297 participants, mean age of 65.6 ±0.19, who were free of physical frailty. MEASUREMENTS: Incident frailty defined by three or more criteria of the physical phenotype used in the Cardiovascular Health Study was determined at follow-up. Potential risk factors assessed at baseline included demographic, socioeconomic, medical, psychological factors, and biochemical markers.
resultsA total of 204 (15.7%) participants, including 81 (10.87%) of the robust and 123 (22.28%) of the prefrail transited to frailty at follow-up. Age, no education, MMSE score, diabetes, prediabetes and diabetes, arthritis, ≥5 medications, fair and poor self-rated health, moderate to high nutritional risk (NSI ≥3), Hb (g/dL), CRP (mg/L), low B12, low folate, albumin (g/L), low total cholesterol, adjusted for sex, age and education, were significantly associated (p<0.05) with incident frailty. In stepwise selection models, age (year) (OR=1.07, 95%CI=1.03-1.10, p<0.001), albumin (g/L) (OR=0.85, 95%CI=0.77-0.94, p=0.002), MMSE score (OR=0.88, 95%CI=0.78-0.98, p=0.02), low folate (OR=3.72, 95%CI=1.17-11.86, p=0.03, and previous hospitalization (OR=2.26, 95%CI=1.01-5.04,p=0.05) were significantly associated with incident frailty.
conclusionsThe study revealed multiple modifiable risk factors, especially related to poor nutrition, for which preventive measures and early management could potentially halt or delay the development of frailty.
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