Prevalence of the geriatric syndromes and frailty in older men living in the community: The Concord Health and Ageing in Men Project

Australas J Ageing. 2016 Dec;35(4):255-261. doi: 10.1111/ajag.12310. Epub 2016 Mar 11.

Abstract

Aim: To describe the age at which the geriatric syndromes and frailty become common in community-dwelling men.

Methods: The Concord Health and Ageing in Men Project involves a population-based sample of 1705 community-dwelling men aged 70 and over from a defined geographic region in Sydney. Data were obtained by physical performance tests, clinical examinations, and questionnaire to determine the prevalence of the following conditions by five-year age group.

Results: Poor mobility, recurrent falls, urinary incontinence, dementia and frailty phenotype were all uncommon (less than 10%) in men in their 70s, but the prevalence of each of these conditions exceeded 10% in men aged 85-89. The prevalence of Frailty Index-defined frailty, multimorbidity, polypharmacy and instrumental activities of daily living dependence was constantly high in all age groups.

Conclusions: The different health-care needs of the 'old old' aged 85 years and older should be accounted for in health service planning.

Keywords: frailty; geriatric syndrome; older men; prevalence.

MeSH terms

  • Accidental Falls*
  • Activities of Daily Living
  • Age Distribution
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging*
  • Comorbidity
  • Dementia / diagnosis
  • Dementia / drug therapy
  • Dementia / epidemiology*
  • Frail Elderly*
  • Geriatric Assessment / methods
  • Health Services Needs and Demand
  • Humans
  • Independent Living
  • Male
  • Men's Health*
  • Mobility Limitation*
  • Needs Assessment
  • New South Wales / epidemiology
  • Physical Examination
  • Polypharmacy
  • Prevalence
  • Psychiatric Status Rating Scales
  • Recurrence
  • Sex Factors
  • Surveys and Questionnaires
  • Syndrome
  • Urinary Incontinence / diagnosis
  • Urinary Incontinence / drug therapy
  • Urinary Incontinence / epidemiology*