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  1. Home
  3. Secular Trends In Frailty Among Community-dwelling 75-95-year-old Cohorts Over Three Decades In Helsinki, Finland.
  1. Home
  3. Secular Trends In Frailty Among Community-dwelling 75-95-year-old Cohorts Over Three Decades In Helsinki, Finland.

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Secular trends in frailty among community-dwelling 75-95-year-old cohorts over three decades in Helsinki, Finland.

Kaisu H Pitkälä1,2, Ulla L Aalto3, Hanna-Maria Roitto1,2,3

  • 1Department of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland.

Age and Ageing
|August 14, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Frailty in older adults has declined over three decades, particularly in men and those younger than 95. This trend suggests improved health and functioning in aging populations.

Keywords:
cohort comparisoncommunity-dwelling older adultsfrailtyolder peoplesecular trends

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Area of Science:

  • Gerontology and Public Health
  • Longitudinal Aging Studies
  • Health Status Assessment

Background:

  • Frailty Index (FI) is a key measure of health and well-being in older adults.
  • Tracking changes in frailty over time is crucial for understanding population aging.
  • This study investigates frailty trends in men and women aged 75-95 over 30 years.

Purpose of the Study:

  • To examine longitudinal trends in frailty among older adults.
  • To compare frailty changes across different age groups and sexes.
  • To assess the impact of societal changes on the health of aging populations.

Main Methods:

  • Utilized data from the Helsinki Ageing Study (1989-2019).
  • Employed repeated cross-sectional postal surveys of community-dwelling individuals aged 75, 80, 85, 90, and 95.
  • Calculated Frailty Index (FI) using a consistent set of 36 items across cohorts.

    • Main Results:

    • Mean Frailty Index (FI) showed variation across survey years (0.22 in 1989 to 0.23 in 2019).
    • After adjusting for age and sex, the 2019 cohort exhibited the lowest FI.
    • Frailty decreased significantly more in men than women, particularly in those aged 75-90.

    Conclusions:

    • Frailty prevalence has decreased in community-dwelling individuals aged 75-90 over recent decades.
    • This positive trend was not observed in the 95-year-old cohort.
    • Findings have significant implications for health policies addressing increasing longevity.