Epidemiological status and associated factors of frailty and pre-frailty in older adults with asthma in China: A national cross-sectional study

Frontiers in Public Health

Public Health

Qiu-xia Zhang¹  Hua Wang²  Ying-ying Li²  Na Jia²  Xin Qi²  Di-shan Wu²  Ling-bing Meng²  Jian-yi Li²  Xue-zhai Zeng²  Hui Li²  De-ping Liu²  Jing Shi³  Jia-bin Hu⁴  Xing Hu⁴  Juan Li⁵  Chi Zhang⁶ 

[1] China Research Center on Ageing, Beijing, China;Department of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China;Department of Geriatrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China;Health Service Department of the Guard Bureau of the Joint Staff Department, Beijing, China;Institute of Psychology, Chinese Academy of Sciences, Beijing, China;The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing, China;

关键词: asthma;    China;    frailty;    older adults;    pre-frailty;    prevalence;   

DOI  :  10.3389/fpubh.2023.1136135

 received in 2023-01-02, accepted in 2023-02-10,  发布年份 2023

来源: Frontiers

【 摘 要 】

ObjectiveThere are few studies on the prevalence and factors associated with frailty and pre-frailty in older adults with asthma worldwide. The aim of this study was to examine the epidemiological status and factors associated with frailty and pre-frailty in older adults with asthma in China.Research design and methodsData were obtained from the Sample Survey of Aged Population in Urban and Rural China in 2015, a nationwide cross-sectional survey covering 224,142 older people aged 60 years or older in 31 provinces/autonomous regions/municipalities in mainland China. We performed frailty and pre-frailty assessments using the frailty index, and the diagnosis of asthma in the older adults was self-reported based on the history of the physician's diagnosis.ResultsNine thousand four hundred sixteen older adults with asthma were included in the study. The age-sex standardized prevalence of frailty and pre-frailty in Chinese older adults with asthma was 35.8% (95% CI 34.8%−36.7%) and 54.5% (95% CI 53.5%−55.5%). Multinomial logistic regression analysis showed that increased age, female, illiteracy, living alone, poor economic status, ADL disability, comorbid chronic diseases, previous hospitalization in the past year, and residence in northern China were associated with frailty and pre-frailty in older adults with asthma.ConclusionThe prevalence of frailty and pre-frailty in Chinese older adults with asthma is very high, and assessment of frailty should become routine in the management of older adults with asthma. Appropriate public health prevention strategies based on identified risk factors for frailty in older adults with asthma should be developed to reduce the burden of frailty in Chinese older adults with asthma.

【 授权许可】

Unknown   
Copyright © 2023 Zeng, Meng, Jia, Shi, Zhang, Li, Hu, Hu, Li, Wu, Li, Qi, Wang, Zhang, Li and Liu.