Gender Differences in the Relationship Between Marital Status and the Development of Frailty: A Swedish Longitudinal Population-Based Study

Trevisan, Caterina; Grande, Giulia; Vetrano, Davide Liborio; Maggi, Stefania; Sergi, Giuseppe; Welmer, Anna‐Karin; Rizzuto, Debora

doi:10.1089/jwh.2019.8095

Cited by 12 publications

(10 citation statements)

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“…In previous studies that identified the gender differences in frailty, cognitive decline (Gifford et al, 2019) and dietary consumption (Xu, Inglis, & Parker, 2021) were associated with frailty in females, not in males. In contrast, marital status (Trevisan et al, 2020) and smoking (Wang et al, 2013) were related to frailty in males but not in females. However, more research is needed to investigate the association between the FI and gender‐specific mortality and to identify effective gender‐specific interventions in the Korean population.…”

Section: Discussionmentioning

confidence: 93%

Frailty index and gender‐specific mortality in Korean adults: Findings from the Korean Longitudinal Study of Aging (2006–2018)

Baek

Min

2022

Journal of Advanced Nursing

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Aims To examine the predictive ability of the frailty index in estimating gender‐specific mortality in a population of Korean adults. Design A descriptive and prospective longitudinal design. Methods Data were used from the Korean Longitudinal Study of Aging conducted from 2006 through 2018. A total of 10,254 adults aged 45–98 years at baseline were included. A 41‐item deficit accumulation frailty index was measured, based on multi‐domain assessment such as self‐rating of health, physical condition, mental status, cognitive function, activities of daily living, instrumental activities of daily living and chronic conditions. We categorized the frailty index into robust (≤0.10), prefrail (0.10–0.25) and frail (≥0.25). Cox's proportional hazards regression analysis was employed to determine the association between the frailty index and all‐cause mortality. Results A total of 4705 individuals (45.9%) were categorized as robust, 4178 (40.7%) as prefrail and 1371 (13.4%) as frail. The frailty index increased with age, and females were found to have a higher frailty index than males. The survival probabilities were significantly lower in older adults (aged ≥65) compared with adults and significantly lower in males compared with females. Compared with the robust group, the risk of mortality in the prefrail and frail groups was 1.37 and 2.57 times higher, respectively. The association between frailty status and all‐cause mortality was similar in adults and older adults, while the hazard ratios were higher in frail group of males than that of females. Conclusion The frailty index had a predictive ability for all‐cause mortality with respect to age and sex. Impact Using a frailty index among community‐dwelling adults could be beneficial to support healthcare providers in early detection of individuals with frailty and facilitate the development of more effective interventions for reducing mortality.

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Section: Discussionmentioning

confidence: 93%

Frailty index and gender‐specific mortality in Korean adults: Findings from the Korean Longitudinal Study of Aging (2006–2018)

Baek

Min

2022

Journal of Advanced Nursing

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“…Our result was consistent with Progetto Veneto Anziani; frailty was found to be 3.84 times greater in single males and 1.43 times higher in widowed men than in married men. The lack and loss of a partner, particularly in men, may increase the development of frailty compared to those with a partner because having a partner might improve their lifestyle, nutritional condition, and health behaviors [ 63 , 64 ]. Recently, the meta-analysis of marital status and frailty also indicated that there was no significant difference in findings between men and woman [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

Guava Fruit and Acacia pennata Vegetable Intake Association with Frailty of Older Adults in Northern Thailand

et al. 2022

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As Thailand moves toward an aging society, frailty has become a concern amongst northern Thai elderly. The causes of frailty are multifactorial and include genetic, environmental, and socio-economic factors; diet is of particular interest. A cross-sectional study was conducted from September to October 2017 to investigate what kind of diets normally consumed by 350 Thai elders were associated with frailty using a questionnaire and frailty determination by Fried’s phenotype followed by phytochemical analyses of the diets. The multivariable logistic regression analysis demonstrated a significant positive association between certain foods and lower frailty. Guava fruit and Acacia pennata vegetable consumption had lower odds of frailty, which were 0.52 times (95% CI 0.28–0.96, p = 0.037) and 0.42 times (95% CI 0.21–0.83, p = 0.012) when adjusted for the potential confounders. The phytochemical analyses of guava fruit showed a significantly higher amount of total flavonoids (p < 0.001), total phenolic compounds (p = 0.002), and antioxidant capacity, including DPPH (p < 0.001), ABTS (p < 0.001), and FRAP (p = 0.002) when compared to those of banana. Acacia pennata vegetable contained a significantly higher amount of total phenolic compounds (p = 0.012) when compared to those of lettuce. These findings may assist in health promotion programs of frailty prevention by encouraging an increase in consumption of either guava fruit or Acacia pennata vegetable among Thai elderly.

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“…There is a sex difference in the effects of marriage. Trevisan et al reported that marital status influences frailty development differently in women and men [ 28 , 29 ]. Unmarried men were at a higher risk of frailty than married men, while a similar trend was not observed in female patients.…”

Section: Discussionmentioning

confidence: 99%

Lack of an association between marital status and survival in patients receiving stereotactic body radiotherapy for early-stage non-small-cell lung cancer

et al. 2022

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Marital status has been proposed as a promising prognostic factor in many malignancies, including non-small-cell lung cancer (NSCLC). However, its prognostic value is still unclear for individual non-surgical treatments for stage I NSCLC. This study investigated the prognostic value of marital status in patients with early-stage NSCLC treated with stereotactic body radiotherapy (SBRT). Patients with early-stage NSCLC treated with SBRT between January 2003 and March 2014 at our institute were enrolled, and marital status at the time of SBRT was investigated. Propensity score matching (PSM) was applied to reduce potential selection bias between the married and unmarried groups. Two hundred and forty patients (median age 77 years; 152 married, 87 unmarried) were analyzed. The unmarried included higher proportions of the elderly, women, never smokers, and those with decreased pulmonary function compared to the married. PSM identified 53 matched pairs of married and unmarried patients, with no significant difference in patient background parameters. The 5-year overall survival (OS) was 52.8% and 46.9% in the married and unmarried groups, respectively (P = 0.26). There was no significant difference in NSCLC death or non-NSCLC death between the two groups (P = 0.88 and 0.30, respectively). There was no significant difference in OS between married and unmarried male patients (n = 85, 5-year OS, 52.6% vs. 46.0%; P = 0.42) and between married and unmarried female patients (n = 21, 54.5% vs. 50.0%; P = 0.44). In conclusion, marital status was not associated with OS in patients receiving SBRT for early-stage NSCLC.

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Gender Differences in the Relationship Between Marital Status and the Development of Frailty: A Swedish Longitudinal Population-Based Study

Cited by 12 publications

References 58 publications

Frailty index and gender‐specific mortality in Korean adults: Findings from the Korean Longitudinal Study of Aging (2006–2018)

Frailty index and gender‐specific mortality in Korean adults: Findings from the Korean Longitudinal Study of Aging (2006–2018)

Guava Fruit and Acacia pennata Vegetable Intake Association with Frailty of Older Adults in Northern Thailand

Lack of an association between marital status and survival in patients receiving stereotactic body radiotherapy for early-stage non-small-cell lung cancer

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