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2015-03-08Zeitschriftenartikel DOI: 10.1186/s12877-015-0022-3
Prevalence and correlates of frailty among older adults: findings from the German health interview and examination survey
dc.contributor.authorButtery, Amanda K.
dc.contributor.authorBusch, Markus
dc.contributor.authorGaertner, Beate
dc.contributor.authorScheidt-Nave, Christa
dc.contributor.authorFuchs, Judith
dc.date.accessioned2018-05-07T18:08:13Z
dc.date.available2018-05-07T18:08:13Z
dc.date.created2015-03-12
dc.date.issued2015-03-08none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/re4zK7QcJ6fRE/PDF/27zdyQ544FjRs.pdf
dc.identifier.urihttp://edoc.rki.de/176904/2027
dc.description.abstractBackground: Despite having the third highest proportion of people aged 60 years and older in the world, Germany has been recently reported as having the lowest prevalence of frailty of 15 European countries. The objective of the study is to describe the prevalence of frailty in a large nationwide population-based sample and examine associations with sociodemographic, social support and health characteristics. Methods: We performed a cross-sectional analysis of the first wave of the German Health Interview and Examination Survey for Adults (DEGS1) conducted 2008–2011. Participants were 1843 community-dwelling people aged 65–79 years. Frailty and pre-frailty were defined, according to modified Fried criteria, as 3 and more or 1–2 respectively, of the following: exhaustion, low weight, low physical activity, low walking speed and low grip strength. The Oslo-3 item Social Support Scale (OSS-3) was used. Patient Health Questionnaire (PHQ-9) measured depressive symptoms and the Digit Symbol Substitution Test (DSST) measured cognition. Associations between participants’ characteristics and frailty status were examined using unadjusted and adjusted multinomial logistic regression models estimating relative risk ratios (RRR) of frailty and pre-frailty. Results: The prevalence of frailty among women was 2.8% (CI 1.8-4.3) and pre-frailty 40.4% (CI 36.3-44.7) and among men was 2.3% (CI 1.3-4.1) and 36.9% (CI 32.7-41.3) respectively. Independent determinants of frailty, from unadjusted models, included older age, low socioeconomic status, poor social support, lower cognitive function and a history of falls. In adjusted models current depressive symptoms (RRR 12.86, CI 4.47-37.03), polypharmacy (RRR 7.78, CI 2.92-20.72) and poor hearing (RRR 5.38, CI 2.17-13.35) were statistically significantly associated with frailty. Conclusions: Frailty prevalence is relatively low among community-dwelling older adults in Germany. Modifiable characteristics like low physical activity provide relevant targets for individual and population-level frailty detection and intervention strategies.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Epidemiologie und Gesundheitsberichterstattung
dc.subjectGermanyeng
dc.subjectPrevalenceeng
dc.subjectAgingeng
dc.subjectFrailtyeng
dc.subjectElderlyeng
dc.subjectCommunity-dwellingeng
dc.subject.ddc610 Medizin
dc.titlePrevalence and correlates of frailty among older adults: findings from the German health interview and examination survey
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-10038964
dc.identifier.doi10.1186/s12877-015-0022-3
dc.identifier.doihttp://dx.doi.org/10.25646/1952
local.edoc.container-titleBMC Geriatrics
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://www.biomedcentral.com/1471-2318/15/22
local.edoc.container-publisher-nameBioMedCentral
local.edoc.container-volume15
local.edoc.container-issue22
local.edoc.container-year2015

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