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Association of altitude and frailty in Chinese older adults

Using a cumulative frailty index model

Bibliographic Data

ID22089911
AuthorsYongfei Dong (0009-0003-1290-1156, Soochow University), Hongmei Ma (0000-0002-3646-3694, Qinghai Provincial Peoples Hospital), Hao Sun (0000-0002-4563-5363, Soochow University), Yuemei Li (0000-0002-5936-2415, Qinghai Provincial Peoples Hospital), Xiaofang Li (0000-0002-0604-849X, Qinghai Provincial Peoples Hospital), Shiqin Pan (0000-0002-5634-2865, Qinghai Provincial Peoples Hospital), Caixia Li (0000-0002-8170-432X, Qinghai Provincial Peoples Hospital), Songbai Liu (0000-0002-3920-1032, Suzhou Vocational Health College), Zaixiang Tang (0000-0003-4981-3347, Soochow University, corresponding author), Lirong Li (0000-0001-5129-0122, Suzhou Vocational Health College, corresponding author)
Year2024
Volume12
Pages1321580-1321580
Publication date2024-03-06
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1321580
PMID38510346
OpenAlexW4392515755
LanguageEN
Citations received1
References cited42

Objective: The population is aging exponentially and the resulting frailty is becoming increasingly evident. We aimed to explore the association between altitude and frailty, and to identify associated factors for frailty. Methods: This is a community-based cross-sectional survey. 1,298 participants aged ≥60 years from three different altitudes were included in the study. To quantify frailty, we constructed a frailty index (FI) and a frailty score (FS). The FI was divided into non-frailty, prefrailty, and frailty. The Odds Ratios and confidence intervals (ORs, 95%CIs) were used to evaluate the association between altitude and FI and FS in multivariate ordinal logistic regression and linear regression. Results: for trend <0.001). Multivariate ordinal logistic regression analysis revealed an association between altitude and frailty, OR = 1.91 (95% CI: 1.38-2.64) in mid-high altitude and 2.49 (95% CI:1.40-4.45) in high altitude. The same trend of association was found in the univariate analysis. The FS increased by 1.69 (95% CI: 0.78-2.60) at mid-high altitude and 3.24 (95%CI:1.66-4.81) at high altitude compared to medium altitude. Conclusion: The study indicates that high altitude exposure is an associated factor for frailty in older adults. This association become stronger with higher altitudes. As a result, it is essential to conduct early frailty screening for residents living at high altitudes

Confidence interval · Effects of high altitude on humans · Environmental health · Frailty Index · Logistic regression · Multivariate analysis · Multivariate statistics · Odds · Odds ratio · Population · Statistics · Demography · Frailty in Older Adults · High Altitude and Hypoxia · Mathematics · Medicine · Nutrition and Health in Aging · Gerontology · Internal Medicine

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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