Frailty and incidence of activities of daily living disability among older Mexican Americans.
OBJECTIVE
To examine the association between frailty status and incidence of disability among non-disabled older Mexican Americans.


METHODS
A 10-year prospective cohort study.


METHODS
A total of 1645 non-institutionalized Mexican Americans aged 67 years and older from the Hispanic Established Population for the Epidemiological Study of the Elderly (H-EPESE), who reported no limitation in activities of daily living at baseline.


METHODS
Frailty was defined as meeting 3 or more of the following components: (i) unintentional weight loss of > 2.26 kg; (ii) weakness (lowest 20% in hand grip strength); (iii) self-reported exhaustion; (iv) slow walking speed; and (v) low physical activity level. Socio-demographic factors, Mini Mental State Examination, medical conditions, body mass index, and self-reported activities of daily living were obtained.


RESULTS
Of the 1645 non-disabled subjects at baseline, 820 (50%) were not frail, 749 (45.7%) were pre-frail, and 71 (4.3%) were frail. The hazard ratio of activities of daily living disability at 10-year follow-up for pre-frail subjects was 1.32 (95% confidence interval 1.10-1.58) and 2.42 (95% confidence interval 70-3.46) for frail subjects compared with not frail subjects. This association remained statistically significant after controlling for potential confounding factors at baseline.


CONCLUSIONS
Pre-frail and frail status in older Mexican Americans was associated with an increased risk of activities of daily living disability over a 10-year period among non-disabled subjects.
Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX 77555-0460, USA. soalsnih@utmb.edu
Soham
S
Al Snih
James E
JE
Graham
Laura A
LA
Ray
Rafael
R
Samper-Ternent
Kyriakos S
KS
Markides
Kenneth J
KJ
Ottenbacher
D000368:Aged; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D016330:Frail Elderly / Q000523:psychology; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008297:Male; D017058:Mexican Americans; D011446:Prospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D015431:Weight Loss / Q000502:physiology