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- W4386865023 abstract "This study aims to examine temporal trends in frailty state transitions, and years spent frail, in older Swedish adults.We followed Swedish National study on Aging and Care in Kungsholmen (SNAC-K) participants from baseline (2001-2004) for 15 (median: 9.6) years. A 40-deficit frailty index (FI) was constructed to identify three frailty states: robust (FI ≤ 0.125), mild frailty (0.125 < FI ≤ 0.25), and moderate and severe frailty (FI > 0.25). Multi-state survival analyses were implemented to obtain hazard ratios for frailty state transitions, with birth year and sex as predictors. To examine temporal trends, frailty state-specific life expectancies at age 60 were forecasted for robust persons born in different years (1900, 1910, 1920, 1930, 1940), also by sex.At baseline, the 2941 participants' mean age was 75 years and 65% were women. Predicted life expectancy and time spent frail from age 60 followed an increasing trend by birth year. Hazards of transitioning from mild frailty to death (hazard ratio [HR]: 0.89; 95% confidence interval [CI]: 0.83-0.97) and moderate and severe frailty to death (HR: 0.98; 95% CI: 0.97-1.00) were lower for those born later. Women were less likely to transition from robust to mild frailty (HR: 0.81; 95% CI: 0.70-0.93), mild frailty to moderate and severe frailty (HR: 0.80; 95% CI: 0.68-0.93), and moderate and severe frailty to death (HR: 0.68; 95% CI: 0.59-0.78), but spent more time frail.Our results point to an expansion of time spent frail among older Swedish adults over time." @default.
- W4386865023 created "2023-09-20" @default.
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- W4386865023 date "2023-09-19" @default.
- W4386865023 modified "2023-09-30" @default.
- W4386865023 title "Living longer but frailer? Temporal trends in life expectancy and frailty in older Swedish adults" @default.
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- W4386865023 doi "https://doi.org/10.1093/gerona/glad212" @default.
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