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Spousal Concordance of Physical Frailty in Older Korean Couples
Marital status is an important risk factor for physical frailty. However, there are limited data on spousal concordance of physical frailty among married couples. Here, we evaluate the spousal concordance of frailty as defined by the Fried frailty phenotype and specific phenotype components that con...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344744/ https://www.ncbi.nlm.nih.gov/pubmed/32630401 http://dx.doi.org/10.3390/ijerph17124574 |
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author | Kang, Suah Kim, Miji Won, Chang Won |
author_facet | Kang, Suah Kim, Miji Won, Chang Won |
author_sort | Kang, Suah |
collection | PubMed |
description | Marital status is an important risk factor for physical frailty. However, there are limited data on spousal concordance of physical frailty among married couples. Here, we evaluate the spousal concordance of frailty as defined by the Fried frailty phenotype and specific phenotype components that contribute to this association. Data on 315 married couples (630 individuals) aged between 70 and 84 years were obtained from the Korean Frailty and Aging Cohort Study (KFACS). Multivariate logistic regressions were used for the analysis. After adjusting for covariates (age, body mass index, education, house ownership, comorbidity, cognition, depressive symptoms, cohabitation with adult children for both partners), a husband’s frailty was positively associated with his wife’s frailty (odds ratio (OR) 3.34, 95% confidence interval (CI) 1.04–10.73, p < 0.05), and a wife’s frailty was significantly associated with her husband’s frailty (OR 4.62, 95% CI 1.31–16.33, p < 0.05), indicating a greater effect of the frailty status of the spouse among women than among men. Among the five components of the Fried frailty phenotype, weight loss, slowness, and exhaustion were the main contributing factors to the spousal association for frailty. In conclusion, having a frail spouse is a strong and independent risk factor for frailty among community-living older adults. |
format | Online Article Text |
id | pubmed-7344744 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-73447442020-07-09 Spousal Concordance of Physical Frailty in Older Korean Couples Kang, Suah Kim, Miji Won, Chang Won Int J Environ Res Public Health Article Marital status is an important risk factor for physical frailty. However, there are limited data on spousal concordance of physical frailty among married couples. Here, we evaluate the spousal concordance of frailty as defined by the Fried frailty phenotype and specific phenotype components that contribute to this association. Data on 315 married couples (630 individuals) aged between 70 and 84 years were obtained from the Korean Frailty and Aging Cohort Study (KFACS). Multivariate logistic regressions were used for the analysis. After adjusting for covariates (age, body mass index, education, house ownership, comorbidity, cognition, depressive symptoms, cohabitation with adult children for both partners), a husband’s frailty was positively associated with his wife’s frailty (odds ratio (OR) 3.34, 95% confidence interval (CI) 1.04–10.73, p < 0.05), and a wife’s frailty was significantly associated with her husband’s frailty (OR 4.62, 95% CI 1.31–16.33, p < 0.05), indicating a greater effect of the frailty status of the spouse among women than among men. Among the five components of the Fried frailty phenotype, weight loss, slowness, and exhaustion were the main contributing factors to the spousal association for frailty. In conclusion, having a frail spouse is a strong and independent risk factor for frailty among community-living older adults. MDPI 2020-06-25 2020-06 /pmc/articles/PMC7344744/ /pubmed/32630401 http://dx.doi.org/10.3390/ijerph17124574 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Kang, Suah Kim, Miji Won, Chang Won Spousal Concordance of Physical Frailty in Older Korean Couples |
title | Spousal Concordance of Physical Frailty in Older Korean Couples |
title_full | Spousal Concordance of Physical Frailty in Older Korean Couples |
title_fullStr | Spousal Concordance of Physical Frailty in Older Korean Couples |
title_full_unstemmed | Spousal Concordance of Physical Frailty in Older Korean Couples |
title_short | Spousal Concordance of Physical Frailty in Older Korean Couples |
title_sort | spousal concordance of physical frailty in older korean couples |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344744/ https://www.ncbi.nlm.nih.gov/pubmed/32630401 http://dx.doi.org/10.3390/ijerph17124574 |
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