Frailty Index in Europeans: Association with determinants of health

• Published in: Geriatrics & gerontology international Vol. 14; no. 2; pp. 420 - 429
• Main Author: Romero-Ortuno, Roman
• Format: Journal Article
• Language: English
• Published: Japan Blackwell Publishing Ltd 01.04.2014
• Subjects: Age groups; Aged; Aged, 80 and over; Cross-Sectional Studies; epidemiological factors; Europe; Female; frail elderly; Frail Elderly - statistics & numerical data; Frailty; Gender differences; Geriatric Assessment; Geriatrics; Health Status; Humans; Male; Middle Aged; Risk Factors; severity of illness index; sex differences; Socioeconomic Factors; socioeconomic status; Europe; frail elderly; epidemiological factors; severity of illness index; socioeconomic status; sex differences
• ISSN: 1444-1586; 1447-0594
• DOI: 10.1111/ggi.12122

Aim The Frailty Index (FI) summarizes differences in health status within individuals, and the determinants of health drive that variability. The aim of the present study was to investigate the influence of education, income, smoking, alcohol intake and parental longevity on the FI variability in subjects of the same chronological age group. Methods Analyses were based on a 40‐item FI based on the first wave of the Survey of Health, Aging and Retirement in Europe (SHARE, http://www.share‐project.org/), including 29 905 participants aged ≥50 years from 12 countries. For each sex, the sample was divided into age categories (50s, 60s, 70s, 80s and ≥90), and FI quartiles within age categories were calculated. Multivariate ordinal regressions were computed to assess the relative contribution of the health determinants on the FI quartiles in each age group. Results In women, the most significant multivariate predictors were years of education (odds ratios [OR] around 0.9), and difficulties making ends meet (OR between 1.8 and 2.1). In men, the most significant multivariate predictors were years of education (OR around 0.9), difficulties making ends meet (OR between 1.6 and 2.1), mother's age at death (OR under 1), and father's age at death (OR under 1). Conclusions Consistently with the literature, education and income explained, in both sexes, cross‐sectional variability in FI in subjects of the same chronological age group. The influence of parental longevity seemed to be greater in men, which mirrors previous studies showing that genetic factors might have a higher impact on longevity in men. Geriatr Gerontol Int 2014; 14: 420–429.