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Frailty and Chronic Kidney Disease: The Third National Health and Nutrition Evaluation Survey

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Wilhelm-Leen, Emilee R., Hall, Yoshio N., Tamura, Manjula K., Chertow, Glenn M.·2009·The American Journal of Medicine

Abstract

BACKGROUND Frailty is common in the elderly and in persons with chronic diseases. Few studies have examined the association of frailty with chronic kidney disease. METHODS We used data from the Third National Health and Nutrition Examination Survey to estimate the prevalence of frailty among persons with chronic kidney disease. We created a definition of frailty based on established validated criteria, modified to accommodate available data. We used logistic regression to determine whether and to what degree stages of chronic kidney disease were associated with frailty. We also examined factors that might mediate the association between frailty and chronic kidney disease. RESULTS The overall prevalence of frailty was 2.8%. However, among persons with moderate to severe chronic kidney disease (estimated glomerular filtration rate <45 mL/min/1.73 m2), 20.9% were frail. The odds of frailty were significantly increased among all stages of chronic kidney disease, even after adjustment for the residual effects of age, sex, race, and prevalent chronic diseases. The odds of frailty associated with chronic kidney disease were only marginally attenuated with additional adjustment for sarcopenia, anemia, acidosis, inflammation, vitamin D deficiency, hypertension, and cardiovascular disease. Frailty and chronic kidney disease were independently associated with mortality. CONCLUSION Frailty is significantly associated with all stages of chronic kidney disease and particularly with moderate to severe chronic kidney disease. Potential mechanisms underlying the chronic kidney disease and frailty connection remain elusive.

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Metadata

Authors
Wilhelm-Leen, E. R., Hall, Y. N., Tamura, M. K., & Chertow, G. M.
Venue
The American Journal of Medicine
Publisher
Elsevier BV
Published
2009-07
Volume
122
Issue
7
Pages
664-671.e2
ISSN
0002-9343 (ISSN-L)
OpenAlex
W2087839380
Cited by
351
References
21
FWCI
7.56
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Frailty and Chronic Kidney Disease: The Third National Health and Nutrition Evaluation Survey. https://app.cochat.ai/papers/10.1016/j.amjmed.2009.01.026
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Wilhelm-Leen, E. R., Hall, Y. N., Tamura, M. K., & Chertow, G. M. (2009). Frailty and Chronic Kidney Disease: The Third National Health and Nutrition Evaluation Survey. The American Journal of Medicine. https://doi.org/10.1016/j.amjmed.2009.01.026

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.