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Frailty and Its Contributory Factors in Older Adults: A Comparison of Two Asian Regions (Hong Kong and Taiwan)

Yu, Ruby, Wu, Wan-Chi, Leung, Jason, Hu, Susan C., Woo, Jean·2017·International Journal of Environmental Research and Public Health
DOI 10.3390/ijerph14101096PMC PMC5664597
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Abstract

This study aimed to compare the prevalence of frailty across three Chinese populations: Hong Kong, Taiwan-urban and Taiwan-rural. Contributing factors to disparities in frailty were also examined. Data were derived from the Osteoporotic Fractures in Men (MrOs) and Women (MsOs) (Hong Kong) Study (n = 4000) and the Taiwan Longitudinal Study on Aging (n = 2392). Frailty was defined as an index calculated from 30 multiple deficits. The ratio of the frailty index to life expectancy at birth (FI/LE) was used as an indicator of compression of morbidity. Frailty was more prevalent in Taiwan-urban (33.1%) and Taiwan-rural (38.1%) compared to Hong Kong (16.6%, p < 0.05) and was higher in women (22.6–49.7%) than in men (10.5–27.5%, p < 0.05). The ratios of FI/LE were higher in Taiwan-urban and Taiwan-rural (both 0.27) compared to Hong Kong (0.20, p < 0.05). Multivariate analyses revealed that older age, being a woman and low levels of physical activity were common risk factors for frailty across the three populations. Alcohol use was inversely associated with frailty in both Hong Kong and Taiwan-urban populations, but not in Taiwan-rural. Living alone was associated with frailty in Hong Kong men, but not in Hong Kong women or Taiwanese people. For all study populations, older age and being a woman constituted the highest attributable factor. This comparison provides useful data to inform government policies.

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Metadata

Authors
Yu, R., Wu, W.-C., Leung, J., Hu, S. C., & Woo, J.
Affiliations
  • Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong, China
  • Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan
  • The Chinese University of Hong Kong Jockey Club Centre for Osteoporosis Care and Control, Shatin, Hong Kong, China
ORCID
Venue
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Published
2017-09-21
Volume
14
Issue
10
Pages
1096
ISSN
1660-4601
DOI
10.3390/ijerph14101096
PMC
PMC5664597
Cited by
39
References
6
Language
en
Licence
creativecommons.org/licenses/by/4.0/ (vor)

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CoChat. (2026). Citation check: Frailty and Its Contributory Factors in Older Adults: A Comparison of Two Asian Regions (Hong Kong and Taiwan). https://app.cochat.ai/papers/10.3390/ijerph14101096
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Yu, R., Wu, W.-C., Leung, J., Hu, S. C., & Woo, J. (2017). Frailty and Its Contributory Factors in Older Adults: A Comparison of Two Asian Regions (Hong Kong and Taiwan). International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph14101096