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Prevalence of Physical Frailty and Its Multidimensional Risk Factors in Korean Community-Dwelling Older Adults: Findings from Korean Frailty and Aging Cohort Study

Author

Listed:
  • Heeeun Jung

    (Department of Biomedical Science and Technology, Graduate School, Kyung Hee University, Seoul 02447, Korea)

  • Miji Kim

    (Department of Biomedical Science and Technology, College of Medicine, East-West Medical Research Institute, Kyung Hee University, Seoul 02447, Korea)

  • Yunhwan Lee

    (Department of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon 16499, Korea)

  • Chang Won Won

    (Elderly Frailty Research Center, Department of Family Medicine, College of Medicine, Kyung Hee University, Seoul 02447, Korea)

Abstract

Frailty is defined as a state of increased vulnerability to stressors, and it predicts disability and mortality in the older population. This study aimed to investigate the standardized prevalence and multidimensional risk factors associated with frailty among Korean community-dwelling older adults. We analyzed the baseline data of 2907 adults aged 70–84 years (mean age 75.8 ± 3.9 years, 57.8% women) in the Korean Frailty and Aging Cohort Study. The Fried frailty phenotype was used to define frailty. Analyzed data included sociodemographic, physical, physical function, biological, lifestyle, health condition, medical condition, psychological, and social domains. Data were standardized using the national standard population composition ratio based on the Korean Population and Housing Census. The standardized prevalence of frailty and prefrailty was 7.9% (95% confidence interval (CI) 6.8–8.9%) and 47.0% (95% CI, 45.1–48.8%), respectively. The following 14 risk factors were significantly associated with frailty: at risk of malnutrition, sarcopenia, severe mobility limitation, poor social capital, rural dwellers, depressive symptoms, poor self-perceived health, polypharmacy, elevated high-sensitivity C-reactive protein, elevated glycosylated hemoglobin, low 25-hydroxy vitamin D level, longer Timed Up and Go, and low Short Physical Performance Battery score ( p < 0.05). Physiconutritional, psychological, sociodemographic, and medical factors are strongly associated with frailty.

Suggested Citation

  • Heeeun Jung & Miji Kim & Yunhwan Lee & Chang Won Won, 2020. "Prevalence of Physical Frailty and Its Multidimensional Risk Factors in Korean Community-Dwelling Older Adults: Findings from Korean Frailty and Aging Cohort Study," IJERPH, MDPI, vol. 17(21), pages 1-20, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7883-:d:435693
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    References listed on IDEAS

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    1. Ottenbacher, K.J. & Graham, J.E. & Al Snih, S. & Raji, M. & Samper-Ternent, R. & Ostir, G.V. & Markides, K.S., 2009. "Mexican Americans and frailty: Findings from the hispanic established populations epidemiologic studies of the elderly," American Journal of Public Health, American Public Health Association, vol. 99(4), pages 673-679.
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    Cited by:

    1. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2021. "The Contribution of Citizens to Community-Based Medical Education in Japan: A Systematic Review," IJERPH, MDPI, vol. 18(4), pages 1-15, February.
    2. Ryo Komatsu & Koutatsu Nagai & Yoko Hasegawa & Kazuki Okuda & Yuto Okinaka & Yosuke Wada & Shotaro Tsuji & Kayoko Tamaki & Hiroshi Kusunoki & Hiromitsu Kishimoto & Ken Shinmura, 2021. "Association between Physical Frailty Subdomains and Oral Frailty in Community-Dwelling Older Adults," IJERPH, MDPI, vol. 18(6), pages 1-9, March.
    3. Kai Sze Chan & Yoke Mun Chan & Yit Siew Chin & Zalilah Mohd Shariff, 2022. "Dietary Quality, Sleep Quality and Muscle Mass Predicted Frailty among Chinese Postmenopausal Women in Malaysia," IJERPH, MDPI, vol. 19(5), pages 1-14, February.
    4. Ana da Conceição Alves Faria & Maria Manuela F. P. S. Martins & Olga Maria Pimenta Lopes Ribeiro & João Miguel Almeida Ventura-Silva & Esmeralda Faria Fonseca & Luciano José Moreira Ferreira & Paulo J, 2022. "Multidimensional Frailty and Lifestyles of Community-Dwelling Older Portuguese Adults," IJERPH, MDPI, vol. 19(22), pages 1-14, November.
    5. Ryuichi Ohta & Mikiya Sato & Jun Kitayuguchi & Tetsuhiro Maeno & Chiaki Sano, 2021. "The Association between the Self-Management of Mild Symptoms and Quality of Life of Elderly Populations in Rural Communities: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(16), pages 1-10, August.
    6. Jinyoung Shin & Jaekyung Choi, 2021. "Frailty Related to the Exposure to Particulate Matter and Ozone: The Korean Frailty and Aging Cohort Study," IJERPH, MDPI, vol. 18(22), pages 1-12, November.

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