PREVALENCE OF FRAILTY IN TAIWANESE ELDERLY: A COMPARISON OF TAIWAN URBAN AND RURAL AREAS

W. Wu, S.C. Hu
2017 Innovation in aging  
Frailty has begun to draw attention in recent years because it predicts adverse health outcomes for aging populations. However, the prevalence of frailty in Taiwan is not yet completely confirmed. This study aimed to compare the different prevalence of frailty among Taiwanese older adults in two areas: urban and rural. Methods: Data were obtained from Taiwan Longitudinal Study in Aging (TLSA) 2003. After excluding those who living in long-term care institutions and unknown living area, a total
more » ... ving area, a total of 2,653 older adults (aged ≥ 65 years, 48% female, 41% urban residents) was recruited as the study sample. Frailty index (FI) was constructed by Rockwood's multiple-deficits approach, and the presence of 36 criteria from 3 dimensions was used: 16 of chronic disease history, 5 of functional assessment, and 15 of geriatric syndromes. The FI was calculated as the proportion of the number of deficits, and a cut point of ≥ 0.25 will be defined as frail. Results: Among all the participants, 1,109 (42%) were classified as frail; over a half were female and 43% were from rural area. Without doubt, prevalence of frailty increased with age in two areas. Compared with genders, female always had higher prevalence than male in three age strata, and the highest was over 85-year female rural population (n = 108, 83.72%, FI mean = 0.27). Conclusions: This comparison illustrated the different frailty and severity among gender, age, and area in Taiwan.
doi:10.1093/geroni/igx004.1395 fatcat:evibauftnveghoznnyqzpz2dwe