ArticleGeroScience2024
Frailty prevalence in 42 European countries by age and gender: development of the SHARE Frailty Atlas for Europe.
Article in GeroScience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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The trial behind it
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Who cites it
27 citing papers in PubMed.
- [Walkability in older age: built environment factors and function-sensitive assessment in urban areas].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026Review
- [Physical functioning and frailty in very old age in Germany].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026Article
- Metabolic Syndrome as a Determinant of Bidirectional Transitions Between Frailty States: Evidence From the Whitehall II Study.Journal of cachexia, sarcopenia and muscle · 2026Article
- Regional Variation in the Prevalence of Frailty Among Very Old Adults in Germany: Findings of the Nationwide Study "Old Age in Germany" (D80+).Deutsches Arzteblatt international · 2026Observational
- Frailty among older adults in Germany: regional variation across NAKO study centers.International journal for equity in health · 2026Article
- Physical frailty, depressive symptoms, and cognitive decline before and after Parkinson's disease diagnosis: a population-based prospective study of the SHARE and ELSA cohorts.NPJ Parkinson's disease · 2026Article
- New Tools Against Old Enemies: Respiratory Syncytial Virus (RSV) in Older Adults. A Narrative Review.Farmaceuticos comunitarios · 2026Article
- Development and internal validation of a frailty prediction model in adults aged ≥ 45 years with obesity: evidence from the China Health and Retirement Longitudinal Study (CHARLS).BMC public health · 2026Article
- Frailty and Socioeconomic Development in the European Region-Associations with Mortality in Middle-Aged and Older Adults.International journal of environmental research and public health · 2026Article
- The role of estimated muscle power from a sit-to-stand test in determining frailty in community-dwelling older adults.PloS one · 2026Article
- The Prediction of Successful Aging by Frailty, Functional Cognition and Well-Being in Community-Dwelling Older Adults: A Cross-Sectional Survey.Journal of multidisciplinary healthcare · 2026Article
- Moving4notfrailNursing reports (Pavia, Italy) · 2025Article
- Challenges in the prevention, treatment and management of cardiovascular disease among older adults.The Lancet regional health. Europe · 2025Review
- Sex- and system-specific analysis of blood-based biomarkers and frailty in older adults-the Activity and Function of the Elderly study.Age and ageing · 2025Article
- Associations between dimensions of physical activity (intensity, frequency, duration, and volume) and frailty among middle-aged and older Chinese adults.Journal of exercise science and fitness · 2025Article
- The effect of frailty on the relationship between cognition and depression symptoms in older people. A differential analysis by European regions.GeroScience · 2025Article
- Article
- Association between cognitive reserve proxies and frailty phenotype: data from UK Biobank.GeroScience · 2025Article
- Characteristics of older patients undergoing surgery in the UK: SNAP-3, a snapshot observational study.British journal of anaesthesia · 2025Observational
- Impact of preoperative frailty on outcomes in patients subjected to emergency laparotomy: a prospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Comparative frailty prevalence data across European countries is sparse due to heterogeneous measurement methods. The Survey of Health, Ageing and Retirement (SHARE) initiative conducted interviews with probability sampling of non-institutionalized elderly people in several European countries. Previous frailty analyses of SHARE datasets were limited to initial SHARE countries and did not provide age- and gender-stratified frailty prevalence. Our aim was to provide age- and gender-stratified frailty prevalence estimates in all European countries, with predictions where necessary. From 29 SHARE participating countries, 311,915 individual surveys were analyzed. Frailty prevalence was estimated by country and gender in 5-year age bands using the SHARE Frailty Instrument and a frailty index. Association of frailty prevalence with age, gender, and GDP per capita (country-specific economic indicator for predictions) was investigated in multivariate mixed logistic regression models with or without multiple imputation. Female gender and increasing age were significantly associated with higher frailty prevalence. Higher GDP per capita, with or without purchasing power parity adjustment, was significantly associated with lower frailty prevalence in the 65-79 age groups in all analyses. Observed and predicted data on frailty rates by country are provided in the interactive SHARE Frailty Atlas for Europe. Our study provides age- and gender-stratified frailty prevalence estimates for all European countries, revealing remarkable between-country heterogeneity. Higher frailty prevalence is strongly associated with lower GDP per capita, underlining the importance of investigating transferability of evidence across countries at different developmental levels and calling for improved policies to reduce inequity in risk of developing frailty across European countries.
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