Association of frailty with cardiovascular and all-cause mortality in community-dwelling older adults: insights from the Chinese longitudinal healthy longevity survey
2024

Frailty and Mortality in Older Chinese Adults

Sample size: 5084 publication 10 minutes Evidence: high

Author Information

Author(s): Gao Hui, Ma Qiaoli, Li Jiahai, Zhang Qinghui

Primary Institution: The First People’s Hospital of Shangqiu, Dalian Medical University, Central Hospital of Zibo, The First People’s Hospital of Qinzhou, Henan Provincial People’s Hospital

Hypothesis

Frailty is associated with increased cardiovascular and all-cause mortality in older adults.

Conclusion

Frail older adults have a significantly higher risk of cardiovascular disease and all-cause mortality.

Supporting Evidence

  • Frail older adults had a 1.94 times higher risk of CVD mortality compared to non-frail adults.
  • Frail older adults had a 1.87 times higher risk of all-cause mortality compared to non-frail adults.
  • The study included a large sample size of 5,084 older adults.

Takeaway

Being frail means older people are more likely to get very sick and die. If we can help them get stronger, we might help them live longer.

Methodology

The study used data from the Chinese Longitudinal Healthy Longevity Survey and constructed a frailty index to assess frailty status, employing multivariate Cox models to analyze mortality risk.

Potential Biases

Potential unknown confounders may have influenced the results despite using propensity score methods.

Limitations

The study's findings may not apply to younger populations or other countries, and it only considered frailty status at baseline.

Participant Demographics

Participants were older adults from China, with an average age of 85 years.

Statistical Information

P-Value

<0.001

Confidence Interval

1.43–2.63 for CVD mortality; 1.63–2.14 for all-cause mortality

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fcvm.2024.1499099

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