Linking early life risk factors to frailty in old age: evidence from the China Health and Retirement Longitudinal Study.

Abstract:

BACKGROUND:exposures in childhood and adolescence may impact the development of diseases and symptoms in late life. However, evidence from low- and middle-income countries is scarce. In this cross-sectional study, we examined the association of early life risk factors with frailty amongst older adults using a large, nationally representative cohort of community-dwelling Chinese sample. METHODS:we included 6,806 participants aged $\ge$60 years from the China Health and Retirement Longitudinal Study. We measured 13 risk factors in childhood or adolescence through self-reports, encompassing six dimensions (education, family economic status, nutritional status, domestic violence, neighbourhood and health). We used multinomial regression models to examine the association between risk factors and frailty. We further calculated the absolute risk difference for the statistically significant factors. RESULTS:persons with higher personal and paternal education attainment, better childhood neighbourhood quality and better childhood health status had lower risk of being frail in old age. Severe starvation in childhood was associated with higher risk of prefrailty. The risk differences of being frail were 5.6% lower for persons with a high school or above education, 1.5% lower for those whose fathers were literate, 4.8% lower for the highest neighbourhood quality and 2.9% higher for worse childhood health status compared to their counterparts. CONCLUSIONS:unfavorable socioeconomic status and worse health condition in childhood and adolescence may increase the risk of late-life frailty amongst Chinese older adults.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Li Y,Xue QL,Odden MC,Chen X,Wu C

doi

10.1093/ageing/afz160

subject

Has Abstract

pub_date

2020-02-27 00:00:00

pages

208-217

issue

2

eissn

0002-0729

issn

1468-2834

pii

5707456

journal_volume

49

pub_type

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