ArticleBMC geriatrics2021
Bidirectional relationship between subjective age and frailty: a prospective cohort study.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Longitudinal effects of subjective aging on health and longevity: An updated meta-analysis.Psychology and aging · 2023Pooled it
- Impact of frailty, mild cognitive impairment and cognitive frailty on adverse health outcomes among community-dwelling older adults: A systematic review and meta-analysis.Frontiers in medicine · 2022Pooled it
- Feeling Younger as an Indicator of Better Overall Intrinsic Capacities in the INSPIRE-T Cohort.International journal of geriatric psychiatry · 2026Observational
- Cross-Sectional and Longitudinal Associations Among Loneliness, Depression/Anxiety, and the Subjective and Chronological Age Difference in Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Frailty in Critically Ill Cancer Patients in a Lower-middle Income Country-Prevalence, Risk Factors, and Impact on Acute Clinical Outcomes and Postdischarge Health-related Quality of Life: A Single Center Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Article
- "How old do you feel?" Subjective age as a tool to enhance communication in primary care: a pilot observational study.BMC primary care · 2025Observational
- Behavioural and psychological factors associated with pre-frailty in community-dwelling adults aged 40 and over: a cross-sectional study.BMC public health · 2025Article
- Article
- Estimated glucose disposal rate predicts frailty through diabetes: Evidence from machine learning and mediation models in NHANES.PloS one · 2025Article
- Daily Fluctuations in Subjective Age among Older Adults: Links with Stressors, Positive Events, and Emotional Reactions.Gerontology · 2025Article
- Impact of aging on alanine aminotransferase levels and frailty in chronic kidney disease patients: laboratory-based cross-sectional study in Northwest Ethiopia.Frontiers in medicine · 2025Article
- Successful Aging and Subjective Aging: Toward a Framework to Research a Neglected Connection.The Gerontologist · 2024Review
- The bidirectional association between self-perceptions of aging and frailty: the mediating role of subjective cognitive decline.BMC geriatrics · 2024Article
- Construction and verification of a risk prediction model for cognitive frailty in older patients with chronic obstructive pulmonary disease and diabetes mellitus.The Journal of international medical research · 2024Article
- To Be Frail or Not to Be Frail: This Is the Question-A Critical Narrative Review of Frailty.Journal of clinical medicine · 2024Review
- Association between personality traits and concerns about falling among older patients: the mediating role of subjective age.Frontiers in public health · 2024Article
- The Contribution of the Internet to Promoting Mental Health for Older Adults: Cross-Sectional Survey in China.Journal of medical Internet research · 2023Article
- Testing Bidirectionality in Associations of Awareness of Age-Related Gains and Losses With Physical, Mental, and Cognitive Functioning Across 1 Year: The Role of Age.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- Article
- Subjective Age and Falls in Older Age: Evidence From Two Longitudinal Cohorts.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundSubjective age refers to how young or old individuals experience themselves to be and is associated with health status, behavioral, cognitive, and biological processes that influence frailty. However, little research has examined the relationship between subjective age and frailty among older adults. This study examined the bidirectional association between subjective age and frailty among community-dwelling older adults.
methodsWe used data from the 2011 to 2015 waves of the National Health and Aging Trends Study. Our sample consists of 2,592 community-dwelling older adults with complete data on main outcome variables. Subjective age was measured by asking participants, "What age do you feel most of the time?" Based on the five phenotypic criteria: exhaustion, unintentional weight loss, low physical activity, slow gait, and weak grip strength, frailty was categorized into robust = 0, pre-frailty = 1 or 2; frailty = 3 or more criteria met. Generalized estimating equation models were used to examine the concurrent and lagged association between subjective age and frailty.
resultsParticipants were, on average, 75.2 ± 6.8 years old, non-Hispanic whites (76 %), female (58 %). 77 % of the participants felt younger, 18 % felt the same, and 5 % felt older than their chronological age. About 45 %, 46 %, and 9 % of the participants were robust, pre-frailty and frailty in the first wave, respectively. Generalized estimating equations revealed that an "older" subjective age predicted a higher likelihood of pre-frailty and frailty (OR, 95 % CI = 1.93, 1.45-2.56).
conclusionsThese findings suggest that people with older subjective age are more likely to be pre-frail/frail. Subjective age could be used as a quick and economical screening for those who are potentially frailty or at risk for frailty.
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