%0 Journal Article
%T Frailty trajectories and determinants in Chinese older adults: A longitudinal study.
%A Du J
%A Zhang M
%A Zeng J
%A Han J
%A Duan T
%A Song Q
%A Yang J
%A Wu Y
%J Geriatr Nurs
%V 59
%N 0
%D 2024 Jul 11
%M 39002503
%F 2.525
%R 10.1016/j.gerinurse.2024.06.015
%X <B>OBJECTIVE: </B>This study aimed to enrich the research on frailty trajectories by using FRAIL scale and frailty index (FI), and analyze the determinants of the different trajectories in older Chinese.<BR><B>METHODS: </B>2268 older adults from the Chinese Longitudinal Healthy Longevity Survey were included. The FRAIL scale was constructed from 5 items and FI was constructed from 39 deficits. Latent Class Trajectory Model was used to depict frailty trajectories. Lasso - logistic model was applied to exploration of influencing factors.<BR><B>RESULTS: </B>Four FRAIL trajectories and three FI trajectories were identified. Women, smoking, illiteracy, more than two chronic diseases, and poor instrumental activities of daily living (all p < 0.05) were associated with frailty trajectories, regardless of the frailty instrument employed.<BR><B>CONCLUSIONS: </B>Frailty trajectories of older Chinese adults are diverse and they are influenced by different frailty measurement tools. Long-term assessment and management of frailty are recommended as routine care in community healthcare centers.