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Association of Frailty with recovery from disability among community-dwelling Chinese older adults: China health and retirement longitudinal study

BACKGROUNDS: Little is known about the role of frailty in the recovery process of disability among older adults. We examined the association between frailty and recovery from activities of daily living (ADL) and instrumental ADL (IADL) disability among community-dwelling Chinese older adults. METHOD...

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Autores principales: Xu, Weihao, Li, Ya-Xi, Hu, Yixin, Wu, Chenkai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106588/
https://www.ncbi.nlm.nih.gov/pubmed/32228463
http://dx.doi.org/10.1186/s12877-020-01519-6
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author Xu, Weihao
Li, Ya-Xi
Hu, Yixin
Wu, Chenkai
author_facet Xu, Weihao
Li, Ya-Xi
Hu, Yixin
Wu, Chenkai
author_sort Xu, Weihao
collection PubMed
description BACKGROUNDS: Little is known about the role of frailty in the recovery process of disability among older adults. We examined the association between frailty and recovery from activities of daily living (ADL) and instrumental ADL (IADL) disability among community-dwelling Chinese older adults. METHODS: Data were from the China Health and Retirement Longitudinal Study. Three waves were used. Participants ≥60 years, had frailty assessment at baseline, and had incident disability in ADL or IADL in 2013, and had disability assessment in 2015 were included. Recovery from ADL and IADL disability were used as outcome measure. Multivariable logistic regression was used to evaluate the potential association between frailty and recovery from ADL or IADL. RESULTS: We included 516 and 598 participants in the ADL and IADL analysis, respectively. In total, 237 participants recovered from ADL disability and 293 recovered from IADL disability. Nearly half of the non-frail persons recovered from ADL disability, while less than one-quarter of the frail persons had recovery. Over half of the non-frail persons had IADL disability recovery, while only 30% of the frail recovered. After adjustment, the odds of recovery from ADL disability were 59% (95% confidence interval [CI]: 1, 83%) lower among frail participants than those who were non-frail; the odds of recovery from IADL disability were 52% lower among frail persons than those who were non-frail and the association did not reach statistical significance. CONCLUSIONS: Frailty is an independent predictor of poor recovery from disability among nondisabled community-dwelling older adults in China.
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spelling pubmed-71065882020-04-01 Association of Frailty with recovery from disability among community-dwelling Chinese older adults: China health and retirement longitudinal study Xu, Weihao Li, Ya-Xi Hu, Yixin Wu, Chenkai BMC Geriatr Research Article BACKGROUNDS: Little is known about the role of frailty in the recovery process of disability among older adults. We examined the association between frailty and recovery from activities of daily living (ADL) and instrumental ADL (IADL) disability among community-dwelling Chinese older adults. METHODS: Data were from the China Health and Retirement Longitudinal Study. Three waves were used. Participants ≥60 years, had frailty assessment at baseline, and had incident disability in ADL or IADL in 2013, and had disability assessment in 2015 were included. Recovery from ADL and IADL disability were used as outcome measure. Multivariable logistic regression was used to evaluate the potential association between frailty and recovery from ADL or IADL. RESULTS: We included 516 and 598 participants in the ADL and IADL analysis, respectively. In total, 237 participants recovered from ADL disability and 293 recovered from IADL disability. Nearly half of the non-frail persons recovered from ADL disability, while less than one-quarter of the frail persons had recovery. Over half of the non-frail persons had IADL disability recovery, while only 30% of the frail recovered. After adjustment, the odds of recovery from ADL disability were 59% (95% confidence interval [CI]: 1, 83%) lower among frail participants than those who were non-frail; the odds of recovery from IADL disability were 52% lower among frail persons than those who were non-frail and the association did not reach statistical significance. CONCLUSIONS: Frailty is an independent predictor of poor recovery from disability among nondisabled community-dwelling older adults in China. BioMed Central 2020-03-30 /pmc/articles/PMC7106588/ /pubmed/32228463 http://dx.doi.org/10.1186/s12877-020-01519-6 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Xu, Weihao
Li, Ya-Xi
Hu, Yixin
Wu, Chenkai
Association of Frailty with recovery from disability among community-dwelling Chinese older adults: China health and retirement longitudinal study
title Association of Frailty with recovery from disability among community-dwelling Chinese older adults: China health and retirement longitudinal study
title_full Association of Frailty with recovery from disability among community-dwelling Chinese older adults: China health and retirement longitudinal study
title_fullStr Association of Frailty with recovery from disability among community-dwelling Chinese older adults: China health and retirement longitudinal study
title_full_unstemmed Association of Frailty with recovery from disability among community-dwelling Chinese older adults: China health and retirement longitudinal study
title_short Association of Frailty with recovery from disability among community-dwelling Chinese older adults: China health and retirement longitudinal study
title_sort association of frailty with recovery from disability among community-dwelling chinese older adults: china health and retirement longitudinal study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106588/
https://www.ncbi.nlm.nih.gov/pubmed/32228463
http://dx.doi.org/10.1186/s12877-020-01519-6
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