Self-Rated Frailty and Mortality in Old Men: The Manitoba Follow-up Study.
Frailty
mortality
older men
self-rated
Journal
The Journal of frailty & aging
ISSN: 2260-1341
Titre abrégé: J Frailty Aging
Pays: France
ID NLM: 101604797
Informations de publication
Date de publication:
2021
2021
Historique:
entrez:
17
12
2020
pubmed:
18
12
2020
medline:
14
1
2021
Statut:
ppublish
Résumé
While a multitude of definitions and operationalizations of frailty have been developed, rarely have these considered the perspective of the older adult themselves. This knowledge gap was addressed by examining older adults' self-rating of frailty. To assess the validity of self-rated frailty and to determine whether self-rated frailty relates to mortality. The Manitoba Follow-up Study was initiated in 1948 as a prospective cohort study of 3,983 men. Community dwelling older adult men. Survivors of the original cohort (231 men) were sent a quality of life survey in 2015. A response was received from 186 men, including 146 surveys completed by the participant himself and thus were eligible to include (completion rate of 78.4%). The quality of life survey is sent out annually to the study participants to ascertain information about mental, physical, and social functioning. In 2015, the Clinical Frailty Scale was adapted and added to the survey as a simple self-rating of frailty. The mean age of the 146 respondents in 2015 was 93.7 years (SD 2.7) Self-ratings of "moderate-severe" frailty, received from 132 men, were associated with worse measures of physical health and functional impairment, thus supporting the significance of self-rated frailty. Adjusted for age, the Hazard Ratio for mortality over the next 3 years was 3.3 (95% CI: 1.5, 7.1) for those who rated themselves as "mildly to severely frail" vs. "very fit or well, with no disease". The present study has illustrated that self-rated frailty is associated with other measures of health and that self-rated frailty predicts mortality over a three-year period. These findings support the utilization of older adult's self-ratings of frailty for new avenues of operationalizing frailty.
Sections du résumé
BACKGROUND
BACKGROUND
While a multitude of definitions and operationalizations of frailty have been developed, rarely have these considered the perspective of the older adult themselves. This knowledge gap was addressed by examining older adults' self-rating of frailty.
OBJECTIVES
OBJECTIVE
To assess the validity of self-rated frailty and to determine whether self-rated frailty relates to mortality.
DESIGN
METHODS
The Manitoba Follow-up Study was initiated in 1948 as a prospective cohort study of 3,983 men.
SETTING
METHODS
Community dwelling older adult men.
PARTICIPANTS
METHODS
Survivors of the original cohort (231 men) were sent a quality of life survey in 2015. A response was received from 186 men, including 146 surveys completed by the participant himself and thus were eligible to include (completion rate of 78.4%).
MEASUREMENTS
METHODS
The quality of life survey is sent out annually to the study participants to ascertain information about mental, physical, and social functioning. In 2015, the Clinical Frailty Scale was adapted and added to the survey as a simple self-rating of frailty.
RESULTS
RESULTS
The mean age of the 146 respondents in 2015 was 93.7 years (SD 2.7) Self-ratings of "moderate-severe" frailty, received from 132 men, were associated with worse measures of physical health and functional impairment, thus supporting the significance of self-rated frailty. Adjusted for age, the Hazard Ratio for mortality over the next 3 years was 3.3 (95% CI: 1.5, 7.1) for those who rated themselves as "mildly to severely frail" vs. "very fit or well, with no disease".
CONCLUSION
CONCLUSIONS
The present study has illustrated that self-rated frailty is associated with other measures of health and that self-rated frailty predicts mortality over a three-year period. These findings support the utilization of older adult's self-ratings of frailty for new avenues of operationalizing frailty.
Identifiants
pubmed: 33331621
doi: 10.14283/jfa.2020.14
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
44-48Déclaration de conflit d'intérêts
None declared by the Authors