Self-rated health trajectory and frailty among community-dwelling older adults: evidence from the Taiwan Longitudinal Study on Aging (TLSA)

doi:10.1136/bmjopen-2021-049795

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/23656

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题名:	Self-rated health trajectory and frailty among community-dwelling older adults: evidence from the Taiwan Longitudinal Study on Aging (TLSA)
作者:	Chu, WM;Ho, HE;Yeh, CJ;Hsiao, YH;Hsu, PS;Lee, SH;Lee, MC
关键词:	geriatric medicine;public health;epidemiology
日期:	2021
上传时间:	2022-08-05T09:40:47Z (UTC)
出版者:	BMJ PUBLISHING GROUP
ISSN:	2044-6055
摘要:	Objectives Self-rated health (SRH) is an assessment and predictor of health based on an individual's general condition; however, evidence of the value of SRH for predicting frailty remains scarce for older Asian adults. This study aimed to evaluate the relationship between SRH score trajectory and frailty among older individuals in Taiwan. Design An 8-year retrospective cohort study. Setting Data were retrieved from the Taiwan Longitudinal Study on Aging from 1999 to 2007. Participants Respondents aged 53-69 years old who were not frail or disabled in 1999 (n=1956). Primary and secondary outcome measures Frailty was defined using the Fried criteria. The group-based trajectory modelling technique was used to estimate SRH trajectories. Logistic regression analysis was used to examine the associations between changes in SRH and frailty. Results Four SRH trajectory classes were identified across the 8-year follow-up: 232 participants (11.9%) were classified into the constantly poor SRH group, 1123 (57.4%) into the constantly fair SRH group, 335 (17.1%) into the constantly good SRH group and 266 (13.6%) into the good-to-fair SRH group. After adjusting for gender, age, level of education, income, social participation, health behaviours and major comorbidities, it was found that age, poor income satisfaction, without job and constantly poor SRH were associated with increased risk of frailty, while constantly good SRH (OR 0.04, 95% CI (0.01 to 0.32)) and good-to-fair SRH (OR 0.19, 95% CI (0.06 to 0.63)) were associated with reduced risks of frailty. Conclusions Constantly poor SRH was associated with an increased risk of frailty in older age. SRH in older adults should be recognised as a predictive tool for future frailty. Diet and exercise interventions may help to prevent frailty among high-risk older individuals with constantly low SRH.
URI:	http://dx.doi.org/10.1136/bmjopen-2021-049795 https://www.webofscience.com/wos/woscc/full-record/WOS:000683452100009 https://ir.csmu.edu.tw:8080/handle/310902500/23656
關聯:	BMJ OPEN ,2021,v11,issue 8
显示于类别:	[中山醫學大學研究成果] 期刊論文

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