Table 2.
Aggregation of System Abnormalities and Joint Association With Frailty. (A) Multisystem Deficit Profile: Conditional Probabilities of Meeting Deficit Criteria Within Latent Classes (N = 704) and (B) Independent Association of Class 2 Cluster of 2.9 System Abnormalities, on Average, With Frailty (compared with class 1 cluster with 1.3 system abnormalities)*
A | ||||
1-Class Model |
2-Class Model |
|||
System | Measure | Class 1 | Class 1 | Class 2 |
Prevalences of abnormal level of each measure | ||||
Anemia | Hemoglobin <12 g/dL | 0.131 | 0.071 | 0.267 |
Inflammation | IL-6 >4.6 pg/mL | 0.253 | 0.153 | 0.485 |
Endocrine | IGF-1 <74.3 ng/mL | 0.174 | 0.137 | 0.257 |
DHEA-S <0.215 mcg/mL | 0.244 | 0.217 | 0.307 | |
Glucose tolerance | Hemoglobin A1c ≥6.5% | 0.234 | 0.192 | 0.329 |
Micronutrient | ≥2 micronutrient deficits | 0.225 | 0.188 | 0.311 |
Body composition | Skinfold thickness <17 mm | 0.247 | 0.211 | 0.328 |
Fine motor speed | Purdue Pegboard >31.9 s | 0.237 | 0.089 | 0.577 |
Class prevalence (%) | 100 | 69.6 | 30.4 | |
Mean number of systems abnormal | 1.7 | 1.3 | 2.9 | |
Model fit statistics | LR chi square | 293.5 (p < .01) | 244.1 (p = .19) | |
AIC | 5,573.9 | 5,534.1 | ||
BIC | 5,685.0 | 5,557.6 | ||
B | ||||
Frail vs Nonfrail OR (95% CI) | ||||
Age | 1.15 (1.04–1.28)† | |||
Black race | 1.75 (0.92–3.31) | |||
Education (y) | 0.81 (0.74–0.89)† | |||
Number of diseases‡ | 2.42 (1.89–3.10)† | |||
Multiple (ie, class 2) vs isolated abnormalities (ie, class 1) | 2.59 (1.22–5.52)§ |
Notes: AIC = Akaike information criterion; BIC = Bayesian information criterion; CI = confidence interval; LR= Likelihood Ratio; OR = odds ratio.
Results of polytomous multinomial logistic regression based on repeated generation of “pseudo” classes of multisystem impairments using posterior latent class probabilities.
p value <.01.
Number of adjudicated “definite” chronic conditions of 11: coronary artery disease (angina pectoris and/or myocardial infarction), congestive heart failure; peripheral arterial disease; stroke; pulmonary disease; hip fracture; diabetes mellitus; osteoarthritis of the knee, hip, and hand; rheumatoid arthritis; Parkinson’s disease; and cancer.
p value<.05.