The Association of Race With Frailty

The Cardiovascular Health Study

Calvin H Hirsch, Melissa L. Anderson, Anne Newman, Willem Kop, Sharon Jackson, John Gottdiener, Russell Tracy, Linda P. Fried

Research output: Contribution to journalArticle

81 Citations (Scopus)

Abstract

Purpose: Frailty, which has been conceptualized as a state of decreased physiologic reserve contributing to functional decline, has a prevalence among older African Americans that is twice that in older whites. This study assesses the independent contribution of race to frailty. Methods: We evaluated 786 African-American and 4491 white participants of the Cardiovascular Health Study (CHS). Frailty is defined as meeting three or more of five criteria derived from CHS measures: lowest quintile for grip strength, self-reported exhaustion, unintentional weight loss of 10 lbs or greater in 1 year, slowest quintile for gait speed, and lowest quintile for physical activity. Controlling for age, sex, comorbidity, socioeconomic factors, and race, multinomial logistic regression estimated the odds ratio (OR) of prefrail (one or two criteria) to not frail and frail to not frail. Results: Among African Americans, 8.7% of men and 15.0% of women were frail compared with 4.6% and 6.8% of white men and women, respectively. In adjusted models, nonobese African Americans had a fourfold greater odds of frailty compared with whites. The increased OR of frailty associated with African-American race was less pronounced among those who were obese or disabled. Conclusion: African-American race is associated independently with frailty.

Original languageEnglish (US)
Pages (from-to)545-553
Number of pages9
JournalAnnals of Epidemiology
Volume16
Issue number7
DOIs
StatePublished - Jul 2006

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African Americans
Health
Odds Ratio
Hand Strength
Comorbidity
Weight Loss
Logistic Models
Exercise

Keywords

  • Aging
  • Blacks
  • Disabled Persons
  • Frail Elderly
  • Whites

ASJC Scopus subject areas

  • Medicine(all)
  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Hirsch, C. H., Anderson, M. L., Newman, A., Kop, W., Jackson, S., Gottdiener, J., ... Fried, L. P. (2006). The Association of Race With Frailty: The Cardiovascular Health Study. Annals of Epidemiology, 16(7), 545-553. https://doi.org/10.1016/j.annepidem.2005.10.003

The Association of Race With Frailty : The Cardiovascular Health Study. / Hirsch, Calvin H; Anderson, Melissa L.; Newman, Anne; Kop, Willem; Jackson, Sharon; Gottdiener, John; Tracy, Russell; Fried, Linda P.

In: Annals of Epidemiology, Vol. 16, No. 7, 07.2006, p. 545-553.

Research output: Contribution to journalArticle

Hirsch, CH, Anderson, ML, Newman, A, Kop, W, Jackson, S, Gottdiener, J, Tracy, R & Fried, LP 2006, 'The Association of Race With Frailty: The Cardiovascular Health Study', Annals of Epidemiology, vol. 16, no. 7, pp. 545-553. https://doi.org/10.1016/j.annepidem.2005.10.003
Hirsch, Calvin H ; Anderson, Melissa L. ; Newman, Anne ; Kop, Willem ; Jackson, Sharon ; Gottdiener, John ; Tracy, Russell ; Fried, Linda P. / The Association of Race With Frailty : The Cardiovascular Health Study. In: Annals of Epidemiology. 2006 ; Vol. 16, No. 7. pp. 545-553.
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