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Sex Differences in Frailty Incidence in Greek Community-Dwelling Older People: The HELIAD Study.
J Frailty Aging. 2022; 11(3):250-255.JF

Abstract

BACKGROUND

Previous frailty studies found higher prevalence of frailty in female than in male participants. This was mainly attributed to the fact that compared to men, women show increased longevity. Recent studies have reported that the observed difference between sexes applies irrespectively of the age of older people.

OBJECTIVES

To provide data on sex differences in incident frailty by applying both phenotypic and multi-domain frailty measures in the same population of Greek community-dwelling older people.

DESIGN

Longitudinal study.

SETTING

Data were drawn from the Hellenic longitudinal Investigation of Aging and Diet (HELIAD), a population-based, multidisciplinary study designed to estimate the prevalence and incidence of dementia in the Greek population.

PARTICIPANTS

1104 participants aged 65 year and above were included in this longitudinal study. This incidence cohort was re-evaluated after a mean follow-up period of 3.04±0.90 years.

MEASUREMENTS

Frailty was operationalized using 5 different definitions in the same population: the Fried Frailty Phenotype (FFP) definition, the FRAIL Scale, the Frailty Index (FI), the Tilburg Frailty Indicator (TFI) and the Groningen Frailty Index (GFI). Frailty incidence was calculated a) for the whole sample, b) separately for men and women and c) after both age and sex stratification.

RESULTS

Age and sex stratification revealed that irrespective of age and frailty measurement, women showed higher incidence rates of frailty than men. Specifically, frailty seems to be a condition concerning women >65 years old, but when it comes to men, it is more frequent in those aged more than 75 years old. Finally, in relation to overall frailty incidence and comparing our results to previous studies, we detected a lower frailty incidence in the Greek population.

CONCLUSIONS

Differences between the two sexes indicate that when exploring the factors that are related to frailty, studies should provide data disaggregated for men and women.

Authors+Show Affiliations

Scarmeas Nikolaos, MD, PhD, Vasilisis Sofias 72, Athens, Athens, Greece, 115 28, Phone: + 30 2107289310, Fax: + 30 2107289310, Email: ns257@cumc.columbia.edu.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

35799429

Citation

Geronikola, N, et al. "Sex Differences in Frailty Incidence in Greek Community-Dwelling Older People: the HELIAD Study." The Journal of Frailty & Aging, vol. 11, no. 3, 2022, pp. 250-255.
Geronikola N, Zalonis I, Ntanasi E, et al. Sex Differences in Frailty Incidence in Greek Community-Dwelling Older People: The HELIAD Study. J Frailty Aging. 2022;11(3):250-255.
Geronikola, N., Zalonis, I., Ntanasi, E., Charisis, S., Kosmidis, M. H., Anastasiou, C. A., Dardiotis, E., Hadjigeorgiou, G., Megalou, M., Velonakis, G., Karavasilis, E., Gargalionis, A. N., Patas, K., Piperidi, A., Chatzipanagiotou, S., Sakka, P., Paraskevas, G., Yannakoulia, M., & Scarmeas, N. (2022). Sex Differences in Frailty Incidence in Greek Community-Dwelling Older People: The HELIAD Study. The Journal of Frailty & Aging, 11(3), 250-255. https://doi.org/10.14283/jfa.2022.39
Geronikola N, et al. Sex Differences in Frailty Incidence in Greek Community-Dwelling Older People: the HELIAD Study. J Frailty Aging. 2022;11(3):250-255. PubMed PMID: 35799429.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sex Differences in Frailty Incidence in Greek Community-Dwelling Older People: The HELIAD Study. AU - Geronikola,N, AU - Zalonis,I, AU - Ntanasi,E, AU - Charisis,S, AU - Kosmidis,M H, AU - Anastasiou,C A, AU - Dardiotis,E, AU - Hadjigeorgiou,G, AU - Megalou,M, AU - Velonakis,G, AU - Karavasilis,E, AU - Gargalionis,A N, AU - Patas,K, AU - Piperidi,A, AU - Chatzipanagiotou,S, AU - Sakka,P, AU - Paraskevas,G, AU - Yannakoulia,M, AU - Scarmeas,N, PY - 2022/7/8/entrez PY - 2022/7/9/pubmed PY - 2022/7/12/medline KW - Sex differences KW - frailty KW - incidence KW - phenotypic and multi-domain measures SP - 250 EP - 255 JF - The Journal of frailty & aging JO - J Frailty Aging VL - 11 IS - 3 N2 - BACKGROUND: Previous frailty studies found higher prevalence of frailty in female than in male participants. This was mainly attributed to the fact that compared to men, women show increased longevity. Recent studies have reported that the observed difference between sexes applies irrespectively of the age of older people. OBJECTIVES: To provide data on sex differences in incident frailty by applying both phenotypic and multi-domain frailty measures in the same population of Greek community-dwelling older people. DESIGN: Longitudinal study. SETTING: Data were drawn from the Hellenic longitudinal Investigation of Aging and Diet (HELIAD), a population-based, multidisciplinary study designed to estimate the prevalence and incidence of dementia in the Greek population. PARTICIPANTS: 1104 participants aged 65 year and above were included in this longitudinal study. This incidence cohort was re-evaluated after a mean follow-up period of 3.04±0.90 years. MEASUREMENTS: Frailty was operationalized using 5 different definitions in the same population: the Fried Frailty Phenotype (FFP) definition, the FRAIL Scale, the Frailty Index (FI), the Tilburg Frailty Indicator (TFI) and the Groningen Frailty Index (GFI). Frailty incidence was calculated a) for the whole sample, b) separately for men and women and c) after both age and sex stratification. RESULTS: Age and sex stratification revealed that irrespective of age and frailty measurement, women showed higher incidence rates of frailty than men. Specifically, frailty seems to be a condition concerning women >65 years old, but when it comes to men, it is more frequent in those aged more than 75 years old. Finally, in relation to overall frailty incidence and comparing our results to previous studies, we detected a lower frailty incidence in the Greek population. CONCLUSIONS: Differences between the two sexes indicate that when exploring the factors that are related to frailty, studies should provide data disaggregated for men and women. SN - 2260-1341 UR - https://www.unboundmedicine.com/medline/citation/35799429/Sex_Differences_in_Frailty_Incidence_in_Greek_Community_Dwelling_Older_People:_The_HELIAD_Study_ DB - PRIME DP - Unbound Medicine ER -