ArticleBehavioral sciences (Basel, Switzerland)2023
Can the Frailty of Older Adults in China Change? Evidence from a Random-Intercept Latent Transition Profile Analysis.
Article in Behavioral sciences (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- The Trajectory of Activities of Daily Living and Its Influencing Factors in Older Adults: A Longitudinal Study.Nursing open · 2026Article
- Identification of frailty heterogeneity and its transition trajectories in patients with chronic heart failure: a latent transition analysis.Frontiers in medicine · 2026Article
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Abstract
backgroundA major aspect of caring for older adults in the medical field is addressing their health risks. The term "frailty" is generally used to describe the changes in health risks of older adults. Although there is considerable heterogeneity in the Chinese older adult population who are classified as frail, there remain few relevant studies. Furthermore, there is a lack of research on the frailty status transitions of older Chinese adults at different time points. This research intends to determine the frailty status and category of older adults according to their physical, psychological, social, and cognitive function domains, and on this basis, to investigate changes in their frailty states.
methodsThis article studied 2791 respondents who were over 60 years old (
resultsThe latent profile analysis revealed that the evaluation results of the frailty state of older adults showed obvious group heterogeneity. Each fitting index supported four latent states, which were named according to the degree of the symptoms (i.e., multi-frailty, severe socially frailty, mild socially frailty, and relatively healthy frailty). Based on the categorical probability and the probability of transition, it can be concluded that most of the samples belonged to the healthy population, and the health status had generally improved across the four time points. The relatively healthy frailty group and the severe socially frailty group have relatively strong stabilities. The multi-frailty group and the mild socially frailty group had the highest probability of joining to the relatively healthy frailty group. Strengthening social interactions among older adults and promoting their participation in social activities can significantly improve their frail state.
conclusionsThis study supplements related research on frailty. Firstly, it deepens the meaning of frailty, which is defined based on four aspects: physical, psychological, cognitive, and social functioning. Secondly, it divides frailty into different sub-categories. Frailty is discussed from the perspective of longitudinal research, which can provide practical adjustment suggestions for older adult nursing intervention systems and measures in China.
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