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Frailty and Autonomy among the Oldest Old: Evidence from the Multicenter Prospective AgeCoDe-AgeQualiDe Study

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Frailty and Autonomy among the Oldest Old: Evidence from the Multicenter Prospective AgeCoDe-AgeQualiDe Study. / Hajek, André; Brettschneider, Christian; Mallon, Tina; Kaduszkiewicz, Hanna; Wiese, Birgitt; Oey, Anke; Weyerer, Siegfried; Werle, Jochen; Pentzek, Michael; Fuchs, Angela; Röhr, Susanne; Luppa, Melanie; Weeg, Dagmar; Bickel, Horst; Heser, Kathrin; Wagner, Michael; Scherer, Martin; Maier, Wolfgang; Riedel-Heller, Steffi G; König, Hans-Helmut.

in: GERONTOLOGY, Jahrgang 67, Nr. 5, 2021, S. 591-598.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Hajek, A, Brettschneider, C, Mallon, T, Kaduszkiewicz, H, Wiese, B, Oey, A, Weyerer, S, Werle, J, Pentzek, M, Fuchs, A, Röhr, S, Luppa, M, Weeg, D, Bickel, H, Heser, K, Wagner, M, Scherer, M, Maier, W, Riedel-Heller, SG & König, H-H 2021, 'Frailty and Autonomy among the Oldest Old: Evidence from the Multicenter Prospective AgeCoDe-AgeQualiDe Study', GERONTOLOGY, Jg. 67, Nr. 5, S. 591-598. https://doi.org/10.1159/000514170

APA

Hajek, A., Brettschneider, C., Mallon, T., Kaduszkiewicz, H., Wiese, B., Oey, A., Weyerer, S., Werle, J., Pentzek, M., Fuchs, A., Röhr, S., Luppa, M., Weeg, D., Bickel, H., Heser, K., Wagner, M., Scherer, M., Maier, W., Riedel-Heller, S. G., & König, H-H. (2021). Frailty and Autonomy among the Oldest Old: Evidence from the Multicenter Prospective AgeCoDe-AgeQualiDe Study. GERONTOLOGY, 67(5), 591-598. https://doi.org/10.1159/000514170

Vancouver

Hajek A, Brettschneider C, Mallon T, Kaduszkiewicz H, Wiese B, Oey A et al. Frailty and Autonomy among the Oldest Old: Evidence from the Multicenter Prospective AgeCoDe-AgeQualiDe Study. GERONTOLOGY. 2021;67(5):591-598. https://doi.org/10.1159/000514170

Bibtex

@article{0e6b21a87f264630bde1d3bf6b225a18,
title = "Frailty and Autonomy among the Oldest Old: Evidence from the Multicenter Prospective AgeCoDe-AgeQualiDe Study",
abstract = "INTRODUCTION: There is a lack of studies examining the link between perceived autonomy and frailty among the oldest old. Therefore, our objective was to fill this gap.METHODS: Data were used from the multicenter prospective cohort study {"}Needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+){"} (AgeQualiDe; follow-up [FU] wave 9; n = 510 observations in the analytical sample). The average age was 90.3 years (SD: 2.7 years). The Canadian Study of Health and Aging (CSHA) Clinical Frailty Scale (CFS) was used to assess frailty. Socioeconomic and health-related covariates were included in our regression model. The autonomy scale developed by Schwarzer was used to assess perceived autonomy in old age.RESULTS: Adjusting for various confounders, multiple linear regressions showed that lower perceived autonomy was associated with increased levels of frailty (total sample: β = -0.13, p < 0.001; women: β = -0.14, p < 0.001; and men: β = -0.12, p < 0.001). Furthermore, lower perceived autonomy was associated with more depressive symptoms, higher cognitive impairment, and being institutionalized (except for men) in the total sample and in both sexes, but it was not significantly associated with age, sex, marital status, educational level, and social support.CONCLUSION: Findings indicate that frailty is associated with lower autonomy among the oldest old. More generally, while health-related factors were consistently associated with autonomy, sociodemographic factors (except for being institutionalized) were not associated with autonomy among the oldest old. We should be aware of the strong association between autonomy and physical as well as mental health in very old age.",
author = "Andr{\'e} Hajek and Christian Brettschneider and Tina Mallon and Hanna Kaduszkiewicz and Birgitt Wiese and Anke Oey and Siegfried Weyerer and Jochen Werle and Michael Pentzek and Angela Fuchs and Susanne R{\"o}hr and Melanie Luppa and Dagmar Weeg and Horst Bickel and Kathrin Heser and Michael Wagner and Martin Scherer and Wolfgang Maier and Riedel-Heller, {Steffi G} and Hans-Helmut K{\"o}nig",
note = "{\textcopyright} 2021 S. Karger AG, Basel.",
year = "2021",
doi = "10.1159/000514170",
language = "English",
volume = "67",
pages = "591--598",
journal = "GERONTOLOGY",
issn = "0304-324X",
publisher = "S. Karger AG",
number = "5",

}

RIS

TY - JOUR

T1 - Frailty and Autonomy among the Oldest Old: Evidence from the Multicenter Prospective AgeCoDe-AgeQualiDe Study

AU - Hajek, André

AU - Brettschneider, Christian

AU - Mallon, Tina

AU - Kaduszkiewicz, Hanna

AU - Wiese, Birgitt

AU - Oey, Anke

AU - Weyerer, Siegfried

AU - Werle, Jochen

AU - Pentzek, Michael

AU - Fuchs, Angela

AU - Röhr, Susanne

AU - Luppa, Melanie

AU - Weeg, Dagmar

AU - Bickel, Horst

AU - Heser, Kathrin

AU - Wagner, Michael

AU - Scherer, Martin

AU - Maier, Wolfgang

AU - Riedel-Heller, Steffi G

AU - König, Hans-Helmut

N1 - © 2021 S. Karger AG, Basel.

PY - 2021

Y1 - 2021

N2 - INTRODUCTION: There is a lack of studies examining the link between perceived autonomy and frailty among the oldest old. Therefore, our objective was to fill this gap.METHODS: Data were used from the multicenter prospective cohort study "Needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+)" (AgeQualiDe; follow-up [FU] wave 9; n = 510 observations in the analytical sample). The average age was 90.3 years (SD: 2.7 years). The Canadian Study of Health and Aging (CSHA) Clinical Frailty Scale (CFS) was used to assess frailty. Socioeconomic and health-related covariates were included in our regression model. The autonomy scale developed by Schwarzer was used to assess perceived autonomy in old age.RESULTS: Adjusting for various confounders, multiple linear regressions showed that lower perceived autonomy was associated with increased levels of frailty (total sample: β = -0.13, p < 0.001; women: β = -0.14, p < 0.001; and men: β = -0.12, p < 0.001). Furthermore, lower perceived autonomy was associated with more depressive symptoms, higher cognitive impairment, and being institutionalized (except for men) in the total sample and in both sexes, but it was not significantly associated with age, sex, marital status, educational level, and social support.CONCLUSION: Findings indicate that frailty is associated with lower autonomy among the oldest old. More generally, while health-related factors were consistently associated with autonomy, sociodemographic factors (except for being institutionalized) were not associated with autonomy among the oldest old. We should be aware of the strong association between autonomy and physical as well as mental health in very old age.

AB - INTRODUCTION: There is a lack of studies examining the link between perceived autonomy and frailty among the oldest old. Therefore, our objective was to fill this gap.METHODS: Data were used from the multicenter prospective cohort study "Needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+)" (AgeQualiDe; follow-up [FU] wave 9; n = 510 observations in the analytical sample). The average age was 90.3 years (SD: 2.7 years). The Canadian Study of Health and Aging (CSHA) Clinical Frailty Scale (CFS) was used to assess frailty. Socioeconomic and health-related covariates were included in our regression model. The autonomy scale developed by Schwarzer was used to assess perceived autonomy in old age.RESULTS: Adjusting for various confounders, multiple linear regressions showed that lower perceived autonomy was associated with increased levels of frailty (total sample: β = -0.13, p < 0.001; women: β = -0.14, p < 0.001; and men: β = -0.12, p < 0.001). Furthermore, lower perceived autonomy was associated with more depressive symptoms, higher cognitive impairment, and being institutionalized (except for men) in the total sample and in both sexes, but it was not significantly associated with age, sex, marital status, educational level, and social support.CONCLUSION: Findings indicate that frailty is associated with lower autonomy among the oldest old. More generally, while health-related factors were consistently associated with autonomy, sociodemographic factors (except for being institutionalized) were not associated with autonomy among the oldest old. We should be aware of the strong association between autonomy and physical as well as mental health in very old age.

U2 - 10.1159/000514170

DO - 10.1159/000514170

M3 - SCORING: Journal article

C2 - 33596575

VL - 67

SP - 591

EP - 598

JO - GERONTOLOGY

JF - GERONTOLOGY

SN - 0304-324X

IS - 5

ER -