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The prevalence of frailty syndrome in an older population from Spain. The Toledo study for healthy aging

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Garcia-Garcia, Francisco José, Gutierrez Avila, G., Alfaro-Acha, Ana, Amor Andres, M.S., De Los Angeles de la Torre Lanza, M., Escribano Aparicio, M.V., Humanes Aparicio, S., Larrion Zugasti, J.L., Gomez-Serranillo Reus, M., Rodriguez-Artalejo, F., Rodriguez-Manas, L.·2011·The Journal of nutrition, health and aging

Abstract

OBJECTIVE: To assess the prevalence of the frailty syndrome and its associated variables among the older adult population in the province of Toledo (Spain). METHODS: Data were taken from the Toledo Study for Healthy Aging, a population-based study conducted on 2,488 individuals aged 65 years and older. Study participants were selected by a two-stage random sampling from the municipal census of Toledo, covering both institutionalized and community dwelling persons from rural and urban settings. Data were collected from 2006 to 2009, and included information on social support, activities of daily living, comorbidity, physical activity, quality of life, depressive symptoms, and cognitive function. In addition, a nurse collected anthropometric data, conducted tests of physical performance (walk speed, upper and lower extremities strength, and the stand-and-sit from a chair test) and obtained a blood sample. The diagnosis of the frailty syndrome was based on the Fried criteria (weakness, low speed, low physical activity, exhaustion, and weight loss). RESULTS: In total, 41.8% (95% confidence interval [CI] 39.4-44.2%) of the study participants were prefrail, and 8.4% (95% CI 7.1-9.8%) were frail. There were no differences in the prevalence of frailty by sex, level of education, occupation, marital status, or place of residence. The frequency of the frailty syndrome increased with age, and was higher in those with disability, depression, hip fracture and other comorbidity, such as cardiovascular disease and disorders of the central nervous system. CONCLUSIONS: The prevalence of the frailty syndrome in older Spanish adults is high and similar to that reported in other populations in the Mediterranean basin.

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Authors
Garcia-Garcia, F. J., Gutierrez Avila, G., Alfaro-Acha, A., Amor Andres, M. S., De Los Angeles de la Torre Lanza, M., Escribano Aparicio, M. V., Humanes Aparicio, S., Larrion Zugasti, J. L., Gomez-Serranillo Reus, M., Rodriguez-Artalejo, F., & Rodriguez-Manas, L.
Venue
The Journal of nutrition, health and aging
Publisher
Elsevier BV
Published
2011-12
Volume
15
Issue
10
Pages
852-856
ISSN
1279-7707 (ISSN-L)
OpenAlex
W2045088901
Cited by
299
References
7
FWCI
7.05
Type
journal article
Language
en
Open access
hybrid

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