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Frailty in Older American Indians: The Native Elder Care Study

Introduction: Frailty is often described as a reduction in energy reserves, especially with respect to physical ability and endurance, and it has not been examined in American Indians. The goals of this study were to estimate the prevalence of frailty and identify its correlates in a sample of Ameri...

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Autores principales: Turner Goins, R., Schure, Mark, Winchester, Blythe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6598311/
https://www.ncbi.nlm.nih.gov/pubmed/31276021
http://dx.doi.org/10.1177/2333721419855669
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author Turner Goins, R.
Schure, Mark
Winchester, Blythe
author_facet Turner Goins, R.
Schure, Mark
Winchester, Blythe
author_sort Turner Goins, R.
collection PubMed
description Introduction: Frailty is often described as a reduction in energy reserves, especially with respect to physical ability and endurance, and it has not been examined in American Indians. The goals of this study were to estimate the prevalence of frailty and identify its correlates in a sample of American Indians. Methods: We examined data from 411 community-dwelling American Indians aged ≥55 years. Frailty was measured with weight loss, exhaustion, low energy expenditure, slowness, and weakness characteristics. Results: Slightly over 44% of participants were classified as pre-frail and 2.9% as frail. Significant correlates of a combined pre-frail and frail status identified in the fully adjusted analyses were younger age, female gender, lower levels of education, increased number of chronic medical conditions, and increased number of activities of daily living limitations. Marital status, chronic pain, and social support were not associated with pre-frail/frail status. Conclusions: Our findings point to specific areas in need of further research, including use of frailty measures that also capture psychosocial components and examining constructs of physical resilience. Targeting those with multiple chronic medical conditions may be an important area in which to intervene, with the goal of reducing risk factors and preventing frailty onset.
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spelling pubmed-65983112019-07-03 Frailty in Older American Indians: The Native Elder Care Study Turner Goins, R. Schure, Mark Winchester, Blythe Gerontol Geriatr Med Aging and Diverse Race and Ethnic Populations Introduction: Frailty is often described as a reduction in energy reserves, especially with respect to physical ability and endurance, and it has not been examined in American Indians. The goals of this study were to estimate the prevalence of frailty and identify its correlates in a sample of American Indians. Methods: We examined data from 411 community-dwelling American Indians aged ≥55 years. Frailty was measured with weight loss, exhaustion, low energy expenditure, slowness, and weakness characteristics. Results: Slightly over 44% of participants were classified as pre-frail and 2.9% as frail. Significant correlates of a combined pre-frail and frail status identified in the fully adjusted analyses were younger age, female gender, lower levels of education, increased number of chronic medical conditions, and increased number of activities of daily living limitations. Marital status, chronic pain, and social support were not associated with pre-frail/frail status. Conclusions: Our findings point to specific areas in need of further research, including use of frailty measures that also capture psychosocial components and examining constructs of physical resilience. Targeting those with multiple chronic medical conditions may be an important area in which to intervene, with the goal of reducing risk factors and preventing frailty onset. SAGE Publications 2019-06-27 /pmc/articles/PMC6598311/ /pubmed/31276021 http://dx.doi.org/10.1177/2333721419855669 Text en © The Author(s) 2019 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Aging and Diverse Race and Ethnic Populations
Turner Goins, R.
Schure, Mark
Winchester, Blythe
Frailty in Older American Indians: The Native Elder Care Study
title Frailty in Older American Indians: The Native Elder Care Study
title_full Frailty in Older American Indians: The Native Elder Care Study
title_fullStr Frailty in Older American Indians: The Native Elder Care Study
title_full_unstemmed Frailty in Older American Indians: The Native Elder Care Study
title_short Frailty in Older American Indians: The Native Elder Care Study
title_sort frailty in older american indians: the native elder care study
topic Aging and Diverse Race and Ethnic Populations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6598311/
https://www.ncbi.nlm.nih.gov/pubmed/31276021
http://dx.doi.org/10.1177/2333721419855669
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