<p>Taiwan is experiencing rapid population aging, particularly in rural agricultural regions. While frailty has been widely studied in older adults, evidence among late-middle-aged populations remains limited. This study aimed to examine the prevalence of frailty and its associated factors among community-dwelling late-middle-aged adults in a rural county in Taiwan. A cross-sectional study was conducted among 2486 adults aged 50–64&#xa0;years residing in Chiayi County, Taiwan, between January and November 2022. Frailty was assessed using the Study of Osteoporotic Fractures (SOF) index. Ordinal logistic regression was applied to examine the associations between sociodemographic characteristics, physical status, lifestyle factors, and psychological status with frailty levels. The mean age of participants was 57.3 ± 4.3&#xa0;years, and 58.1% were women. The prevalence of pre-frailty was 19.4% (482/2,486), and frailty was 2.8% (69/2,486). In the final model, living with others (OR = 0.64, 95% CI: 0.45–0.92), higher education level (OR = 0.87, 95% CI: 0.79–0.95), and normal handgrip strength were associated with lower odds of frailty, whereas emotional distress (OR = 3.11, 95% CI: 2.33–4.14) and suicidal ideation (OR = 2.09, 95% CI: 1.30–3.34) were associated with higher odds of frailty. Frailty and pre-frailty were present among community-dwelling late-middle-aged adults in this rural setting. The sociodemographic, physical, and psychological factors were associated with frailty. These findings provide preliminary insights that may inform future screening strategies and hypothesis-generating research in similar populations.</p>

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Frailty and its associated factors among community-dwelling late-middle-aged adults in a rural county in Taiwan: a cross-sectional study

  • Su-Yen Chen,
  • Shu-He Huang,
  • Sheng-Ju Chan,
  • Wen-Hua Chao,
  • Ting-Ting Lee

摘要

Taiwan is experiencing rapid population aging, particularly in rural agricultural regions. While frailty has been widely studied in older adults, evidence among late-middle-aged populations remains limited. This study aimed to examine the prevalence of frailty and its associated factors among community-dwelling late-middle-aged adults in a rural county in Taiwan. A cross-sectional study was conducted among 2486 adults aged 50–64 years residing in Chiayi County, Taiwan, between January and November 2022. Frailty was assessed using the Study of Osteoporotic Fractures (SOF) index. Ordinal logistic regression was applied to examine the associations between sociodemographic characteristics, physical status, lifestyle factors, and psychological status with frailty levels. The mean age of participants was 57.3 ± 4.3 years, and 58.1% were women. The prevalence of pre-frailty was 19.4% (482/2,486), and frailty was 2.8% (69/2,486). In the final model, living with others (OR = 0.64, 95% CI: 0.45–0.92), higher education level (OR = 0.87, 95% CI: 0.79–0.95), and normal handgrip strength were associated with lower odds of frailty, whereas emotional distress (OR = 3.11, 95% CI: 2.33–4.14) and suicidal ideation (OR = 2.09, 95% CI: 1.30–3.34) were associated with higher odds of frailty. Frailty and pre-frailty were present among community-dwelling late-middle-aged adults in this rural setting. The sociodemographic, physical, and psychological factors were associated with frailty. These findings provide preliminary insights that may inform future screening strategies and hypothesis-generating research in similar populations.