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Prevalence and corr...
Prevalence and correlates of frailty in an older rural African population : findings from the HAALSI cohort study
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Payne, Collin F. (författare)
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Wade, Alisha (författare)
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Kabudula, Chodziwadziwa W. (författare)
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Davies, Justine I. (författare)
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Chang, Angela Y. (författare)
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Gomez-Olive, F. Xavier (författare)
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- Kahn, Kathleen (författare)
- Umeå universitet,Epidemiologi och global hälsa,Medical Research Council/Wits University Rural Public Health and Health Transitions Research Unit, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; INDEPTH Network, Accra, Ghana
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Berkman, Lisa F. (författare)
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- Tollman, Stephen M. (författare)
- Umeå universitet,Epidemiologi och global hälsa,Medical Research Council/Wits University Rural Public Health and Health Transitions Research Unit, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; INDEPTH Network, Accra, Ghana
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Salomon, Joshua A. (författare)
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Witham, Miles D. (författare)
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(creator_code:org_t)
- 2017-12-28
- 2017
- Engelska.
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Ingår i: BMC Geriatrics. - : Springer Science and Business Media LLC. - 1471-2318. ; 17
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Frailty is a key predictor of death and dependency, yet little is known about frailty in sub-Saharan Africa despite rapid population ageing. We describe the prevalence and correlates of phenotypic frailty using data from the Health and Aging in Africa: Longitudinal Studies of an INDEPTH Community cohort.Methods: We analysed data from rural South Africans aged 40 and over. We used low grip strength, slow gait speed, low body mass index, and combinations of self-reported exhaustion, decline in health, low physical activity and high self-reported sedentariness to derive nine variants of a phenotypic frailty score. Each frailty category was compared with self-reported health, subjective wellbeing, impairment in activities of daily living and the presence of multimorbidity. Cox regression analyses were used to compare subsequent all-cause mortality for non-frail (score 0), pre-frail (score 1–2) and frail participants (score 3+).Results: Five thousand fifty nine individuals (mean age 61.7 years, 2714 female) were included in the analyses. The nine frailty score variants yielded a range of frailty prevalences (5.4% to 13.2%). For all variants, rates were higher in women than in men, and rose steeply with age. Frailty was associated with worse subjective wellbeing, and worse self-reported health. Both prefrailty and frailty were associated with a higher risk of death during a mean 17 month follow up for all score variants (hazard ratios 1.29 to 2.41 for pre-frail vs non-frail; hazard ratios 2.65 to 8.91 for frail vs non-frail).Conclusions: Phenotypic frailty could be measured in this older South African population, and was associated with worse health, wellbeing and earlier death.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
Nyckelord
- Fried frailty score
- Mortality
- Multimorbidity
- Activities of daily living
- Rural South Africa
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Payne, Collin F.
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Wade, Alisha
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Kabudula, Chodzi ...
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Davies, Justine ...
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Chang, Angela Y.
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Gomez-Olive, F. ...
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visa fler...
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Kahn, Kathleen
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Berkman, Lisa F.
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Tollman, Stephen ...
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Salomon, Joshua ...
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Witham, Miles D.
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Geriatrik
- Artiklar i publikationen
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BMC Geriatrics
- Av lärosätet
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Umeå universitet