Evidence map›Paper›PMID 33949627›Full record

ArticleThe journal of nutrition, health & aging2021

The Prevalence of Frailty Using Three Different Frailty Measurements in Two Finnish Cohorts Born Before and After the Second World War.

M M Koivukangas, E Hietikko, T Strandberg, S Keinänen-Kiukaanniemi, R Leskinen, R Peters, R Antikainen

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Article in The journal of nutrition, health & aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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3 citing papers in PubMed.

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5 · Who and what money

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7 authors.

M M KoivukangasMinna Koivukangas, Center for Life Course Health Research, Geriatrics, University of Oulu, PO Box 5000, 90014 University of Oulu, Finland. Tel: +358405916252. E-mail: minna.koivukangas@oulu.fi.
E Hietikko
T Strandberg
S Keinänen-Kiukaanniemi
R Leskinen
R Peters
R Antikainen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo study the prevalence of frailty and its relationship to mortality in cohorts born before and after the Second World War using three different frailty measures.

methodsCross-sectional data from two cohorts born in 1935 (n=593) and 1945 (n=714) were studied for frailty at the mean age of 70.7 (SD 1.8) years. Frailty was measured using the Frailty Phenotype (FP), the Frail Scale (FS) and the 74-item Frailty Index (FI>0.21 denoted frailty). Information on socioeconomic factors was obtained via a study questionnaire and the data on mortality were obtained from the Population Information System.

resultsThe prevalence of frailty by FI was more common in the older 1935 cohort than in the 1945 cohort (p<0.001). The percentage of robust subjects was higher in both sexes in the 1945 cohort using both FI and FS. After adjusting for sociodemographic factors, the difference in the prevalence of frailty between the cohorts remained significant in women only (OR 1.9 (95% CI 1.3-2.9), p=0.001). The FI classified people as frail more often (30.2% in the 1935 cohort and 17.5% in the 1945 cohort) than the FS (13.1% and 8.8%) or FP (1.8% and 1.6%). Low financial satisfaction was associated significantly with frailty in both sexes. Low level of education was associated with frailty in women and being unmarried or divorced in men. Frailty was associated to increased mortality using all frailty definitions in the 1935 cohort with a longer follow-up time.

conclusionsImproved living conditions and health care may have resulted in the lower prevalence of frailty in the 1945 cohort. The present study further strengthens the association between frailty and mortality and poor economic status and frailty. Frailty definitions are in need of further study.

Indexed as

FrailtyAgedCross-Sectional StudiesFemaleFinlandFrail ElderlyGeriatric AssessmentHumansMalePrevalenceWorld War IIFrailtyfrailty definitionsfrailty trajectoriesmortalitysecular trends

Identifiers

PMID33949627
PMCPMC12280578

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