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https://hdl.handle.net/2440/137146
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Type: | Journal article |
Title: | The Association between Metabolic Syndrome, Frailty and Disability-Free Survival in Healthy Community-dwelling Older Adults |
Author: | Ekram, A.R.M.S. Espinoza, S.E. Ernst, M.E. Ryan, J. Beilin, L. Stocks, N.P. Ward, S.A. McNeil, J.J. Shah, R.C. Woods, R.L. |
Citation: | Journal of Nutrition, Health and Aging, 2023; 27(1):1-9 |
Publisher: | Springer |
Issue Date: | 2023 |
ISSN: | 1279-7707 1760-4788 |
Statement of Responsibility: | A.R.M. Saifuddin Ekram, S.E. Espinoza, M.E. Ernst, J. Ryan, L. Beilin, N.P. Stocks, S.A. Ward, J.J. McNeil, R.C. Shah, R.L. Woods |
Abstract: | OBJECTIVES: To examine the association between metabolic syndrome (MetS) and frailty, and determine whether co-existent MetS and frailty affect disability-free survival (DFS), assessed through a composite of death, dementia or physical disability. DESIGN: Longitudinal study. SETTING AND PARTICIPANTS: Community-dwelling older adults from Australia and the United States (n=18,264) from “ASPirin in Reducing Events in the Elderly” (ASPREE) study. MEASUREMENTS: MetS was defined according to American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines (2018). A modified Fried phenotype and a deficit accumulation Frailty Index (FI) were used to assess frailty. Association between MetS and frailty was examined using multinomial logistic regression. Cox regression was used to analyze the association between MetS, frailty and DFS over a median followup of 4.7 years. RESULTS: Among 18,264 participants, 49.9% met the criteria for MetS at baseline. Participants with Mets were more likely to be prefrail [Relative Risk Ratio (RRR): 1.22; 95%Confidence Interval (CI): 1.14, 1.30)] or frail (RRR: 1.66; 95%CI: 1.32, 2.08) than those without MetS. MetS alone did not shorten DFS while pre-frailty or frailty alone did [Hazard Ratio (HR): 1.68; 95%CI: 1.45, 1.94; HR: 2.65; 95%CI:1.92, 3.66, respectively]. Co-existent MetS with pre-frailty/ frailty did not change the risk of shortened DFS. CONCLUSIONS: MetS was associated with pre-frailty or frailty in community-dwelling older individuals. Pre-frailty or frailty increased the risk of reduced DFS but presence of MetS did not change this risk. Assessment of frailty may be more important than MetS in predicting survival free of dementia or physical disability. |
Keywords: | ASPREE; deficit accumulation frailty index; dementia; disability-free survival; Fried phenotype; metabolic syndrome; physical disability |
Description: | Published online November 14, 2022 |
Rights: | © Serdi and Springer-Verlag International SAS, part of Springer Nature |
DOI: | 10.1007/s12603-022-1860-2 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/334047 http://purl.org/au-research/grants/nhmrc/1127060 http://purl.org/au-research/grants/nhmrc/1135727 |
Published version: | http://dx.doi.org/10.1007/s12603-022-1860-2 |
Appears in Collections: | Medicine publications |
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