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What is the duration of life expectancy in the state of frailty? Estimates in the SIPAF study

Author

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  • Marie Herr

    (Université Versailles St-Quentin-en-Yvelines
    Hôpitaux Universitaires Paris Ile-de-France Ouest, site Sainte-Périne, Assistance Publique-Hôpitaux de Paris)

  • Jean-Jacques Arvieu

    (Prévoyance Individuelle et IARD)

  • Joël Ankri

    (Université Versailles St-Quentin-en-Yvelines
    Hôpitaux Universitaires Paris Ile-de-France Ouest, site Sainte-Périne, Assistance Publique-Hôpitaux de Paris)

  • Jean-Marie Robine

    (EPHE)

Abstract

The screening of frailty can trigger interventions aiming to delay disability in older people. Whereas the prevalence, the consequences, and the factors associated with frailty are well described, little is known about the duration of the state of frailty. This study aimed to estimate the time spent in the state of frailty in men and women using the Sullivan method. Data used were the age- and sex-specific prevalence of frailty found in SIPAF study (“Système d’Information sur la Perte d’Autonomie Fonctionnelle de la personne âgée”) and statistics of mortality from the Human Mortality Database. The SIPAF study included 2350 individuals aged 70 and over and living in France. Participants were interviewed at home by trained nurses. Frailty was defined as impairment in three domains or more among nutrition, energy, physical activity, strength, and mobility. People requiring assistance in basic activities of daily living were considered in a separate category. Mean age of the study sample was 83.3 ± 7.5 years, with 59.4% of women. Overall, the prevalence of pre-frailty, frailty, and dependency was 39.1, 17.0, and 15.4%, respectively. Life expectancy at age 70 was 18.3 years for women, of which 7.4 years (95% CI 6.9–7.9) were pre-frail, 3.4 years (95% CI 3.0–3.8) frail, and 2.4 (95% CI 2.1–2.7) with disability. In contrast, LE for men at 70 was 14.8 years, of which pre-frail, frail, and disabled years were 6.0 years (95% CI 5.5–6.5), 1.2 years (95% CI 1.0–1.5), and 1.2 (95% CI 1.0–1.5), respectively. In conclusion, frailty is a transition state that is relatively limited in time compared to pre-frailty that may represent a larger time window for prevention.

Suggested Citation

  • Marie Herr & Jean-Jacques Arvieu & Joël Ankri & Jean-Marie Robine, 2018. "What is the duration of life expectancy in the state of frailty? Estimates in the SIPAF study," European Journal of Ageing, Springer, vol. 15(2), pages 165-173, June.
    • Handle: RePEc:spr:eujoag:v:15:y:2018:i:2:d:10.1007_s10433-017-0438-z
    DOI: 10.1007/s10433-017-0438-z
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    References listed on IDEAS

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    1. Yang Yang & Linda C. Lee, 2010. "Dynamics and Heterogeneity in the Process of Human Frailty and Aging: Evidence From the U.S. Older Adult Population," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 65(2), pages 246-255.
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    1. Zachary Zimmer & Yasuhiko Saito & Olga Theou & Clove Haviva & Kenneth Rockwood, 2021. "Education, wealth, and duration of life expected in various degrees of frailty," European Journal of Ageing, Springer, vol. 18(3), pages 393-404, September.
    2. Aïda Solé-Auró & Dorly J. H. Deeg, 2021. "New thinking about health expectancy: introduction to the special section," European Journal of Ageing, Springer, vol. 18(4), pages 439-441, December.

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