title: [Successful aging and indicators of frailty in the elderly. Octabaix Study].
abstract: Successful aging as a process of adaptation to the optimal state is little known in older people.
  
  
  OBJECTIVE
  To describe successful aging and to analyze the factors associated with frailty in people aged 86 years.
  
  
  METHODS
  A cross-sectional study of a clinical trial at the second year of follow-up (Octabaix Study).
  
  
  METHODS
  Seven Primary Care Centers.
  
  
  METHODS
  Non-institutionalized subjects born in 1924.
  
  
  METHODS
  Data on sociodemographic, comorbidity and geriatric assessment scales were collected. Frailty was defined by the presence of 3 or more of the following criteria: muscle weakness, slow walking, weight loss, exhaustion, low physical activity. Successful aging was defined as: Barthel index >90/100 and Lobo test ≥ 24/35. Multiple regression analysis was performed.
  
  
  RESULTS
  A total of 273 patients were evaluated, 39.2% men. The prevalence of successful aging was 47.2% (129). In the unsuccessful aging, the frailty prevalence was 34.7% (50). The frailty factors associated with unsuccessful aging were low activity (OR: 7.56; 95%CI: 3.8 -14.9), weakness (OR: 6.08; 95%CI: 2.5-14.7), slowness (OR: 5.1; 95%CI: 2.8-9.5), and exhaustion (OR: 3.6; 95%CI: 1.6-8.3). The prevalence of successful aging is high in 86-year-old community-dwelling subjects. The low physical activity multiplied by seven, and muscle weakness by 6, were the factors most associated with unsuccessful aging. Therefore, incorporating screening designed to detect these two factors could improve future interventions towards more optimal aging in the community, if these results are confirmed in future studies.
authors.affiliation: Centro de Atención Primaria «El Plà» CAP-I, Sant Feliu de Llobregat, Barcelona, España. Electronic address: aferrer.cp.ics@gencat.cat.
authors.forename: Assumpta
authors.initials: A
authors.lastname: Ferrer
authors.affiliation: Unidad de Geriatría, Servicio de Medicina Interna, Hospital Universitari de Bellvitge, IDIBELL, l'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Francesc
authors.initials: F
authors.lastname: Formiga
authors.affiliation: Unitat de Suport a la Recerca de Costa de Ponent, Institut Català de la Salut, CIBER Epidemiología y Salud Pública (CIBERESP), l'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Héctor
authors.initials: H
authors.lastname: Sanz
authors.affiliation: Centro de Atención Primaria «17 de setembre», El Prat de Llobregat, Barcelona, España.
authors.forename: Elena
authors.initials: E
authors.lastname: Monserrate
authors.affiliation: Centro de Atención Primaria «Hospitalet Centre», l'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Dolors
authors.initials: D
authors.lastname: Verges
mesh_terms: D000369:Aged, 80 and over; D000375:Aging; D003430:Cross-Sectional Studies; D005260:Female; D016330:Frail Elderly; D015577:Geriatric Assessment; D006304:Health Status; D006801:Humans; D008297:Male; D015995:Prevalence
keywords: Comorbidity; Comorbilidad; Disability; Discapacidad; Fragilidad; Frailty; Octagenarios; Octogenarians