Frailty on the island of Ireland: evidence from the NICOLA and TILDA studies.
Background Aimed to compare the prevalence, characteristics, and associated mortality risk of frailty in Northern Ireland (NI) and the Republic of Ireland (ROI). Methods Secondary analysis of the first wave of two nationally representative cohorts, the Northern Ireland Cohort for the Longitudinal St...
| Publicado en: | European Journal of Public Health Vol. 34; no. 4; pp. 710 - 717 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178839041&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178839041 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Aug2024 vid: 34 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 178839041 178839041 178839041 10.1093/eurpub/ckae046 178839041 ppf: 710 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Frailty on the island of Ireland: evidence from the NICOLA and TILDA studies. aug: au: McKelvie, Mische-Jasmine Cruise, Sharon Ward, Mark Romero-Ortuno, Roman Kee, Frank Kenny, Rose Anne O'Reilly, Dermot O'Halloran, Aisling M affil: Centre for Public Health, Queen's University of Belfast , Belfast, UK sug: subj: Frailty Syndrome Epidemiology Frailty Syndrome Mortality Mortality Risk Factors Frail Elderly Statistics and Numerical Data Geriatric Assessment Aging Human Ireland Male Female Middle Age Aged Aged, 80 and Over Prospective Studies Secondary Analysis Descriptive Statistics Northern Ireland Confidence Intervals Prevalence Comparative Studies Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background Aimed to compare the prevalence, characteristics, and associated mortality risk of frailty in Northern Ireland (NI) and the Republic of Ireland (ROI). Methods Secondary analysis of the first wave of two nationally representative cohorts, the Northern Ireland Cohort for the Longitudinal Study of Ageing or NICOLA study (N = 8504) and the Irish Longitudinal Study on Ageing or TILDA study (N = 8504). Frailty was assessed using a harmonized accumulation deficits frailty index (FI) containing 30 items. FI scores classified individuals as non-frail (<0.10), pre-frail (0.10–0.24) and frail (≥0.25). Linkage to respective administrative data sources provided mortality information with a follow-up time of 8 years. Results The prevalence of frailty was considerably higher in NI compared with the ROI (29.0% compared with 15.0%), though pre-frailty was slightly lower (35.8% and 37.3%, respectively). Age, female sex, and lower socio-economic status were consistently associated with a higher likelihood of both pre-frailty and frailty. In the pooled analysis, both frailty and pre-frailty were higher in NI (RR = 2.68, 95% CIs 2.45, 2.94 and RR = 1.30, 95% CIs 1.21, 1.40, respectively). Frailty was associated with an increased mortality risk in both cohorts, even after full adjustment for all other characteristics, being marginally higher in TILDA than in NICOLA (HR = 2.43, 95% CIs 2.03, 2.91 vs. HR = 2.31, 95% CIs 1.90, 2.79). Conclusions Frailty is a major public health concern for both jurisdictions. Further research and monitoring are required to elucidate why there is a higher prevalence in NI and to identify factors in early life that may be driving these differences. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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