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Frailty and health risks in an agricultural population, Chile 2014–2017

dc.contributor.authorBustamante-Ara N.
dc.contributor.authorVillarroel L.
dc.contributor.authorParedes F.
dc.contributor.authorHuidobro A.
dc.contributor.authorFerreccio C.
dc.date.accessioned2020-09-02T22:13:37Z
dc.date.available2020-09-02T22:13:37Z
dc.date.issued2019
dc.identifier10.1016/j.archger.2019.01.012
dc.identifier.citation82, , 114-119
dc.identifier.issn01674943
dc.identifier.urihttps://hdl.handle.net/20.500.12728/3812
dc.descriptionBackground: Aging presents an emerging health and social challenge. We report the prevalence of frailty, its association with chronic diseases and the risk of hospitalization or death within 29 months. Methods: Cross-sectional and prospective study. From 2014 to 2017, we examined frailty in an agricultural population in Chile. We enrolled 619 individuals aged 60–74 years from the Maule Cohort. Measured frailty prevalence, based the presence of ≥3 of the five factors (unintentional weight loss, weakness, slowness, self-reported exhaustion, low physical activity). We explored chronic diseases as predictors of frailty with multinomial regression models (sex, age, and schooling adjusted), and the risk of hospitalization and mortality by frailty status, with Cox regression models and Kaplan-Meier survival curves. Results: 6% of participants were frail; women had higher prevalence of frailty (8.2%) than men (2.3%, <0.001). Diabetes was a risk factor of frailty (Relative Risk Ratio: 3.91; 95% CI: 1.84–8.32). The incidence of hospitalization was 32% in frail (Hazard Ratio, HR: 3.68; 95% CI: 1.77–7.63), 16% in pre-frail (HR: 1.91; 95% CI: 1.19–3.08) and 9% in robust participants. Among the participants, men had higher risk of hospitalization than women (7.1 and 4.1 per 1000 person-month, p = .014). In all mortality was higher among men than women (1.0 and 0.2 per 1000 person-month, p = .031). Conclusions: In this agricultural population, diabetes was main chronic disease as risk factor of frailty. Frail older adults had higher risk of hospitalization than robust people, and especially men, had higher risk of adverse health event in a short-term. © 2019
dc.language.isoen
dc.publisherElsevier Ireland Ltd
dc.subjectDiabetes
dc.subjectFrailty
dc.subjectHealthy aging
dc.subjectHospitalization
dc.subjectadult
dc.subjectage
dc.subjectaged
dc.subjectagricultural population
dc.subjectagriculture
dc.subjectArticle
dc.subjectbody weight loss
dc.subjectChile
dc.subjectchronic disease
dc.subjectcohort analysis
dc.subjectcontrolled study
dc.subjectcross-sectional study
dc.subjectdiabetes mellitus
dc.subjectdisease association
dc.subjecteducational status
dc.subjectexhaustion
dc.subjectfemale
dc.subjectfrailty
dc.subjecthealth hazard
dc.subjecthealth status
dc.subjecthigh risk population
dc.subjecthospitalization
dc.subjecthuman
dc.subjectincidence
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmortality risk
dc.subjectphysical activity
dc.subjectphysical performance
dc.subjectpopulation research
dc.subjectprevalence
dc.subjectpriority journal
dc.subjectprospective study
dc.subjectrisk assessment
dc.subjectrisk factor
dc.subjectrural population
dc.subjectself report
dc.subjectsex
dc.subjectslowness
dc.subjectsurvival time
dc.subjectweakness
dc.subjectagriculture
dc.subjectchronic disease
dc.subjectfrailty
dc.subjecthospitalization
dc.subjectmiddle aged
dc.subjectprevalence
dc.subjectrural population
dc.subjecttime factor
dc.subjectAged
dc.subjectAgriculture
dc.subjectChronic Disease
dc.subjectCross-Sectional Studies
dc.subjectFemale
dc.subjectFrailty
dc.subjectHospitalization
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPrevalence
dc.subjectProspective Studies
dc.subjectRural Population
dc.subjectTime Factors
dc.titleFrailty and health risks in an agricultural population, Chile 2014–2017
dc.typeArticle


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