Poor self-perceived health is associated with frailty and prefrailty in urban living older adults: A cross-sectional analysis

Jing Zhao; Jagadish K Chhetri; Shaozhen Ji; Lina Ma; Xiaojuan Dan; Piu Chan

doi:10.1016/j.gerinurse.2020.05.003

Poor self-perceived health is associated with frailty and prefrailty in urban living older adults: A cross-sectional analysis

Geriatr Nurs. 2020 Nov-Dec;41(6):754-760. doi: 10.1016/j.gerinurse.2020.05.003. Epub 2020 Jun 3.

Authors

Jing Zhao¹, Jagadish K Chhetri², Shaozhen Ji¹, Lina Ma¹, Xiaojuan Dan³, Piu Chan⁴

Affiliations

¹ Department of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing Institute of Geriatrics, No. 45 Changchun Street, Beijing 100053, China; National Clinical Research Center for Geriatric Disorders, Beijing, China.
² Department of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing Institute of Geriatrics, No. 45 Changchun Street, Beijing 100053, China; National Clinical Research Center for Geriatric Disorders, Beijing, China. Electronic address: chhetri_jk@hotmail.com.
³ Department of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing Institute of Geriatrics, No. 45 Changchun Street, Beijing 100053, China.
⁴ Department of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing Institute of Geriatrics, No. 45 Changchun Street, Beijing 100053, China; National Clinical Research Center for Geriatric Disorders, Beijing, China; Key Laboratory for Neurodegenerative Disease of the Ministry of Education, Beijing Key Laboratory for Parkinson's Disease, Parkinson Disease Center of Beijing Institute for Brain Disorders, Beijing, China; Clinical Center for Parkinson's Disease, Capital Medical University, Beijing, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China. Electronic address: pbchan90@gmail.com.

PMID: 32505435
DOI: 10.1016/j.gerinurse.2020.05.003

Abstract

In this study, we investigated the cross-sectional association of Self-perceived health (SPH) with frailty phenotype. A total of 4632 participants of the Beijing Longitudinal Study of Aging II (mean age 75.4 ± 6.8years) were categorized into having good, fair, and poor SPH. Individuals were compared according to their frailty status (i.e., frail and prefrail vs robust) with SPH rating. The association of SPH with respect to the five components of frailty phenotype was further investigated. Older adults who were frail had lower odds of having good SPH (OR=0.64). Whereas frail and prefrail individuals had higher odds of having poor SPH (OR=6.26,OR=2.09 respectively). Having low education, polypharmacy, ADL and IADL disability, cognitive impairment, and depression was associated with a higher likelihood of having poor SPH. All components of frailty except weight loss was associated with poor SPH. SPH may serve as a tool to identify frail or prefrail individuals in the community.

Keywords: Aging; Disability; Frailty; Older adults; Prevention; Self-perceived health; chinese.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Aged
Cross-Sectional Studies
Frail Elderly
Frailty*
Geriatric Assessment
Humans
Independent Living
Longitudinal Studies