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Self-Rated Health and Frailty in Older Adults from the Population-Based Three-City Bordeaux Cohort

Abstract : Introduction: This study aimed to investigate whether self-rated health (SRH) predict frailty and its components among community dwellers aged 75 years and older. Methods: We ran a cross-sectional and prospective analysis from 643 and 379 participants of the Bordeaux Center (France) of the Three-City Study, respectively. We assessed SRH using a single question with 5 response options. We defined frailty as having at least 3 out of the following 5 criteria: weight loss, exhaustion, slowness, weakness, and low energy expenditure. We used multivariate logistic regression and Cox proportional hazard models. Results: At baseline, poor SRH was significantly associated with frailty (odds ratio = 5.2; 95% confidence interval [CI]: 2.9-9.5) and its components except for weakness. In the prospective analysis on nonfrail participants, poor SRH was associated with the 4-year risk of slowness (hazard ratio [HR] = 1.7; 95% CI: 1.1-2.6) but not with that of frailty (HR = 1.6; 95% CI: 0.9-2.9) or the other components. Conclusions: In a French cohort of community dwellers aged 75 years or older, poorer SRH was associated with concomitant frailty and 70% higher risk of slowness over 4 years.

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https://hal.archives-ouvertes.fr/hal-03460858
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Submitted on : Wednesday, December 1, 2021 - 10:40:29 AM
Last modification on : Tuesday, December 21, 2021 - 2:50:04 PM

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Sophie Pilleron, Melanie Le Goff, Soufiane Ajana, Catherine Helmer, Karine Peres, et al.. Self-Rated Health and Frailty in Older Adults from the Population-Based Three-City Bordeaux Cohort. Gerontology, Karger, 2021, ⟨10.1159/000518864⟩. ⟨hal-03460858⟩

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