Citation

Wu C, Smit E, Xue QL, Odden MC. J. Gerontol. A Biol. Sci. Med. Sci. 2017; 73(1): 102-108.

Affiliation

School of Biological and Population Health Sciences, Oregon State University, Corvallis, Oregon.

Copyright

(Copyright © 2017, Gerontological Society of America)

DOI

10.1093/gerona/glx098

PMID

28525586

Abstract

BACKGROUND.: Frailty is an age-related clinical syndrome of decreased resilience to stressors and is associated with numerous adverse outcomes. Although there is preponderance of literature on frailty in developed countries, limited investigations have been conducted in less developed regions including China-a country that has the world's largest aging population. We examined frailty prevalence in China by socio-demographics and geographic region, and investigated correlates of frailty.

METHODS.: Participants were 5301 adults aged ≥60 years from the China Health and Retirement Longitudinal Study. Frailty was identified by the validated physical frailty phenotype (PFP) scale. We estimated frailty prevalence in the overall sample and by socio-demographics. We identified age-adjusted frailty prevalence by geographical region. Bivariate associations of frailty with health and function measures were evaluated by chi-squared test and analysis of variance.

RESULTS.: We found 7.0% of adults aged ≥60 years were frail. Frailty is more prevalent at advanced ages, among women, and persons with low education. Age-adjusted frailty prevalence ranged from 3.3% in the Southeast and the Northeast to 9.1% in the Northwest, and was >1.5 times higher in rural vs. urban areas. Frail vs. nonfrail persons had higher prevalence of comorbidities, falls, disability, and functional limitation.

CONCLUSIONS.: We demonstrated the utility of the PFP scale in identifying frail Chinese elders, and found substantial socio-demographic and regional disparities in frailty prevalence. The PFP scale may be incorporated into clinical practice in China to identify the most vulnerable elders to reduce morbidity, prevent disability, and enable more efficient use of healthcare resources.

Language: en

Keywords

Aging; China; Disparities.; Frailty