Table 2.
Nine-Year Mortality and Incident IADL and ADL Difficulty in the CHS Original Cohort
Outcome | Sample Size; Incidence Rate (per 100 person-years) | Physical Frailty Phenotype | Frailty Index | ||||||
---|---|---|---|---|---|---|---|---|---|
Crude Hazard Ratio | Adjusted Hazard Ratioa | Crude Hazard Ratio | Adjusted Hazard Ratio | ||||||
(95% CI) | (95% CI) | (95% CI) | (95% CI) | ||||||
p Value | p Value | p Value | p Value | ||||||
Prefrail | Frail | Prefrail | Frail | Prefrail | Frail | Prefrail | Frail | ||
Mortality | Overall | 1.80 | 3.99 | 1.46 | 2.25 | 1.31 | 1.99 | 1.12 | 1.38 |
(n = 4,793) | (1.63–1.99) | (3.41–4.65) | (1.32–1.63) | (1.89–2.67) | (1.19–1.45) | (1.70–2.32) | (1.00–1.24) | (1.15–1.66) | |
4.01 | <.001b | <.001 | <.001 | <.001 | <.001 | <.001 | .043 | <.001 | |
Subsetc | 1.80 | 3.80 | 1.45 | 2.23 | 1.31 | 1.69 | 1.11 | 1.28 | |
(n = 4,720) | (1.63–2.00) | (3.19–4.51) | (1.31–1.62) | (1.84–2.69) | (1.19–1.45) | (1.42–2.02) | (1.00–1.24) | (1.04–1.56) | |
3.93 | <.001 | <.001 | <.001 | <.001 | <.001 | <.001 | .048 | .017 | |
IADL | Overall | 2.46 | 9.27 | 1.94 | 4.95 | 1.85 | 3.69 | 1.55 | 2.63 |
(n = 4,579) | (2.10–2.88) | (7.46–11.52) | (1.64–2.28) | (3.88–6.30) | (1.59–2.15) | (2.97–4.58) | (1.32–1.83) | (2.04–3.39) | |
2.01 | <.001 | <.001 | <.001 | <.001 | <.001 | <.001 | <.001 | <.001 | |
Subset | 2.46 | 8.24 | 1.94 | 4.50 | 1.85 | 2.93 | 1.55 | 2.21 | |
(n = 4,535) | (2.10–2.88) | (6.49–10.45) | (1.64–2.28) | (3.46–5.84) | (1.59–2.15) | (2.30–3.74) | (1.32–1.82) | (1.68–2.91) | |
1.95 | <.001 | <.001 | <.001 | <.001 | <.001 | <.001 | <.001 | <.001 | |
ADL | Overall | 2.42 | 9.33 | 1.95 | 4.71 | 1.89 | 4.56 | 1.58 | 3.02 |
(n = 4,623) | (2.00–2.93) | (7.26–12.00) | (1.60–2.38) | (3.55–6.26) | (1.58–2.27) | (3.56–5.83) | (1.30–1.92) | (2.25–4.04) | |
1.36 | <.001 | <.001 | <.001 | <.001 | <.001 | <.001 | <.001 | <.001 | |
Subset | 2.42 | 7.94 | 1.94 | 4.30 | 1.90 | 3.53 | 1.57 | 2.58 | |
(n = 4,571) | (2.00–2.93) | (6.00–10.50) | (1.59–2.36) | (3.16–5.85) | (1.58–2.28) | (2.67–4.67) | (1.29–1.91) | (1.87–3.55) | |
1.30 | <.001 | <.001 | <.001 | <.001 | <.001 | <.001 | <.001 | <.001 |
Notes: ADL = activities of daily living; CI = confidence interval; IADL = instrumental activities of daily living.
aAdjusted by age, race, gender, Mini-Mental State Examination score, Geriatric Depression Scale score (≥14), and number of diseases (modeled by cubic spline with three knots at the 10th, 20th, and 90th percentile). bp Value. cAfter excluding participants classified as frail by both the physical frailty phenotype and the frailty index.