Prevalence and Correlates of Frailty in Urban and Rural Populations in Latin America, China, and India: A 10/66 Population-Based Survey

Authors

  • Juan de Jesús Llibre Rodríguez Facultad de Ciencias Médicas Finlay Albarran Universidad de Ciencias Médicas de La Habana https://orcid.org/0000-0002-8215-3160
  • Matthew Prina
  • Daisy Acosta
  • Mariella Guerra
  • Yueqin Huang
  • Ivonne Z. Jimenez-Velásquez
  • Aquiles Salas
  • Ana Luisa Sosa
  • A.T. Jotheeswaran
  • Martin J. Prince

Keywords:

frailty, prevalence, risk factors, aging

Abstract

Introduction. There have been few cross-national studies of the prevalence of the frailty phenotype conducted in low or middle income countries. Objectives: The aim is to study the variation in prevalence and correlates of frailty in rural and urban sites in Latin America, India and China.
Methods. Cross-sectional door-to-door population-based surveys were conducted in eight urban areas and four rural ones in eight countries: Cuba, Dominican Republic, Puerto Rico, Venezuela, Peru, Mexico, China, and India. We assessed walking speed, exhaustion, weight loss, and low physical activity. Therefore, frailty phenotype was defined based on two or more criteria.
Results. 17,031 adults at age 65 or more were surveyed. Overall frailty prevalence was 15.2% (95% CI 14,6-15,7%). Controlling for age, gender and education, frailty was positively associated with old age, female sex, lower socioeconomic status, physical impairments, stroke, depression, dementia, disability and dependence, and high healthcare costs. There was substantial variation in the prevalence of frailty, and its indicators across sites studied in Latin America, India and China. Culture and other contextual factors significantly impact on the assessment of frailty even utilizing the usual questionnaires and physical performance-based measuring.

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Author Biography

Juan de Jesús Llibre Rodríguez, Facultad de Ciencias Médicas Finlay Albarran Universidad de Ciencias Médicas de La Habana

Profesor Titular y Jefe del Grupo de Investigación de  Alzheimer dela Universidad de Ciencias Médicas de La Habana. Es fundador y Presidente de la Sección Cubana de enfermedad de Alzheimer desde 1996. Graduado de Doctor en Medicina en 1983 y de Especialista en Medicina Interna en 1987; ha recibido entrenamiento en Medicina Geriátrica, Deterioro Cognitivo y Demencias, Salud Mental y en Epidemiología. Concluyó  su  PhD enla Universidad Médica de la Habanaen 1998,  un Segundo Doctorado en Epidemiología en el Instituto de Psiquiatría, King College de Londres en 2012 y el grado superior de  Doctor en Ciencias,  en 2014.

Es miembro Titular de la Academia de Ciencias de Cuba.

El Dr. Llibre Rodríguez coordina varios estudios sobre salud mental y física en adultos mayores, incluido el estudio 10/66 y la Maestría  y el Diplomado Nacional en Demencias dela Universidad MedicadeLa Habana.

 

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Published

2020-10-09

How to Cite

Llibre Rodríguez, J. de J., Prina, M., Acosta, D., Guerra, M., Huang, Y., Jimenez-Velásquez, I. Z., … Prince, M. J. (2020). Prevalence and Correlates of Frailty in Urban and Rural Populations in Latin America, China, and India: A 10/66 Population-Based Survey. Anales De La Academia De Ciencias De Cuba, 10(3), e795. Retrieved from https://revistaccuba.sld.cu/index.php/revacc/article/view/795

Issue

Vol. 10 No. 3 (2020): septiembre-diciembre

Section

Biomedical sciences

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