{Reference Type}: Journal Article
{Title}: Frailty trajectories and determinants in Chinese older adults: A longitudinal study.
{Author}: Du J;Zhang M;Zeng J;Han J;Duan T;Song Q;Yang J;Wu Y;
{Journal}: Geriatr Nurs
{Volume}: 59
{Issue}: 0
{Year}: 2024 Jul 11
{Factor}: 2.525
{DOI}: 10.1016/j.gerinurse.2024.06.015
{Abstract}: <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.