A MULTIDIMENSIONAL APPROACH OF FRAILTY IN THE GENERAL POPULATION—THE DOETINCHEM COHORT STUDY Article Swipe

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Gerontology Cohort Cohort study Population Cognition Medicine Psychology Demography Psychiatry Environmental health Sociology Pathology Internal medicine

L. Rietman , Sandra van Oostrom , Daphne van der A , H. Susan J. Picavet , Manon Lette , Monique Verschuren , Sanne de Bruin , Annemieke M. W. Spijkerman ·

YOU? · · 2017 · Open Access · · DOI: https://doi.org/10.1093/geroni/igx004.399 · OA: W2731830507

Accumulation of problems in physical, psychological, cognitive, or social functioning is characteristic for frail individuals. This study explored which sociodemographic and lifestyle factors, life events and health characteristics were associated with these four frailty domains. The study sample included 4019 men and women (aged 40–81 years) examined in 2008–2012 of the Doetinchem Cohort Study. About 17% of the population was frail at one or more domains, with limited overlap between the frailty domains. Being physically active was consistently associated with a lower risk of being frail on each of the four domains. Short or long sleep duration was associated with a higher risk of being physically, psychologically, and socially frail. In conclusion, considering multiple frailty domains is important because the majority of frail people were frail on one domain of frailty only. Lifestyle factors including physical activity, smoking and sleep duration were cross-sectionnally associated with multiple domains of frailty.