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Prevalence of frailty and contributory factors in three Chinese populations with different socioeconomic and healthcare characteristics

Overview of attention for article published in BMC Geriatrics, December 2015
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Title
Prevalence of frailty and contributory factors in three Chinese populations with different socioeconomic and healthcare characteristics
Published in
BMC Geriatrics, December 2015
DOI 10.1186/s12877-015-0160-7
Pubmed ID
Authors

Jean Woo, Zheng Zheng, Jason Leung, Piu Chan

Abstract

Frailty predicts dependence and mortality, and is an important health indicator for aging populations. Comparing frailty prevalence between populations of the same ethnicity but different socioeconomic, lifestyle, health and social care systems, and environmental characteristics would address the role of these factors in contributing to frailty. We compare frailty prevalence and contributory factors across three Chinese populations: Beijing rural, Beijing urban, and Hong Kong (urban). Older people aged 65 years and above living in the community were invited to respond to a general health questionnaire covering demographic, socioeconomic, medical and drug histories, geriatric syndromes, assessment of physical and cognitive functioning, psychological wellbeing and nutritional status. Frailty is defined as an index calculated from multiple deficits > = 0.25 (FI). The ratio of FI/life expectancy at birth was used as an indicator of compression of morbidity. Risk factors and attributable fraction for frailty were compared across the three cohorts. The prevalence of frailty increases with age in all three cohorts, and was lower among rural compared with urban (Beijing and Hong Kong) populations. The highest FI/LE ratio was observed in the Beijing urban population, followed by Hong Kong, with the Beijing rural population having the lowest ratio. Risk factors for frailty were similar in all three populations. Those having the highest ORs were multi-morbidity (number of diseases > = 3), polypharmacy (number of drugs > = 4), age 85+, female gender, followed by low education level, and physical inactivity. For all three cohorts, age and multi-morbidity constitute the highest attributable fraction, and were highest in the Beijing rural cohort. A major difference between the Beijing and Hong Kong cohorts is the high AF from polypharmacy in Beijing and the 'protective' contribution of being married; and the effect of being a teetotaler in the Hong Kong cohort. This comparison draws attention to the importance of frailty prevention for ageing populations.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 146 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 146 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 20 14%
Student > Ph. D. Student 15 10%
Student > Bachelor 15 10%
Researcher 14 10%
Student > Doctoral Student 13 9%
Other 28 19%
Unknown 41 28%
Readers by discipline Count As %
Medicine and Dentistry 34 23%
Nursing and Health Professions 22 15%
Social Sciences 9 6%
Psychology 8 5%
Agricultural and Biological Sciences 3 2%
Other 23 16%
Unknown 47 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 July 2016.
All research outputs
#20,335,770
of 22,880,691 outputs
Outputs from BMC Geriatrics
#2,871
of 3,204 outputs
Outputs of similar age
#326,387
of 389,128 outputs
Outputs of similar age from BMC Geriatrics
#56
of 59 outputs
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