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Older Men Living with Spouse and Older Women Living with Spouse and Children Have Lower Frailty Prevalence: The Korean Frailty and Aging Cohort Study (KFACS)

Annals of Geriatric Medicine and Research 2020년 24권 3호 p.204 ~ 210
심형진, 김선영, 김미지, 김병성, 정은진, 이영주, 원장원,
소속 상세정보
심형진 ( Shim Hyeong-Jin ) - Kyung Hee University Medical Center Department of Family Medicine
김선영 ( Kim Sun-Young ) - Kyung Hee University College of Medicine Department of Family Medicine
김미지 ( Kim Mi-Ji ) - Kyung Hee University College of Medicine Department of Biomedical Science and Technology
김병성 ( Kim Byung-Sung ) - Kyung Hee University College of Medicine Department of Family Medicine
정은진 ( Jeong Eun-Jin ) - Kyung Hee University Medical Center Department of Family Medicine
이영주 ( Lee Young-Ju ) - Kyung Hee University Medical Center Department of Family Medicine
원장원 ( Won Chang-Won ) - Kyung Hee University Medical Center Department of Family Medicine

Abstract


Background: In older adults, the risk of frailty is higher among those who are unmarried than among those who are married. However, no study has reported about the relationship between cohabitation status and frailty.

Methods: This cross-sectional study included 2,128 community-dwelling adults aged between 70 and 84 years who underwent interviews and physical function assessments for the Korean Frailty and Aging Cohort Study. The definition of frailty was derived from the Fried frailty phenotype. Cohabitation was categorized as “living alone”, “with spouse only”, “with children only”, and “with spouse and children”.

Results: The mean age was 76 years, and 46.3% of the adults were men. After adjusting for age, education, income, nutritional status, alcohol, smoking history, Geriatric Depression Scale, Mini-Mental State Examination, Korean Activities of Daily Living, Korean Instrumental Activities of Daily Living, urinary incontinence, and polypharmacy, the odds ratios of frailty were 0.323 (95% confidence interval [CI], 0.137?0.763; p<0.001) and 1.089 (95% CI, 0.671?1.769; p=0.730) for men and women living with a spouse, respectively. The odds ratios of frailty were 0.329 (95% CI, 0.117?0.927; p=0.035) and 0.332 (95% CI, 0.123?0.891; p=0.029) for men and women living with spouse and children, respectively.

Conclusion: Men living with a spouse or with a spouse and children had a lowered prevalence of frailty, and women living with a spouse and children together had a lowered prevalence of frailty.

키워드

Aged; Family; Frailty; Korean; Spouses

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