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A study of the effect of frailty trajectories on rheumatoid arthritis
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Yan LIU1, Xin GUO1, Meng-jun TAO2, Yue HAN1, Liang XU2, Jian ZUO1, Hui YUAN1
Modern Preventive Medicine | 2025, 52(12) : 2272 - 2277
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Modern Preventive Medicine | 2025, 52(12): 2272-2277
Clinical Medicine and Prevention
A study of the effect of frailty trajectories on rheumatoid arthritis
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Yan LIU1, Xin GUO1, Meng-jun TAO2, Yue HAN1, Liang XU2, Jian ZUO1, Hui YUAN1
Affiliations
  • Wannan Medical College, Wuhu, Anhui 241002,China
Published: 2025-06-25 doi: 10.20043/j.cnki.MPM.202411446
Outline
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Objective

To explore the association between frailty status and RA through trajectory analyses, and to provide a scientific basis for targeted measures to reduce the risk of RA.

Methods

Survey data from the 2004-2018 American Health and Retirement Study (HRS) were analyzed for potential categories of frailty using growth mixture models for the three waves of data from 2004-2010. Using 2010 as the baseline, four waves of data from 2010 to 2018 were tracked to analyze the association between different frailty statuses and participants’ RA risk, and Cox proportional risk models were used to describe the associations between different frailty states and the development of RA.

Results

The baseline population totaled 3 677 individuals, including 1 337 (36.4%) males; 2 340 (63.6%) females. Four frailty trajectories were identified through growth mixture modeling, with a high frailty lowering group (10.6%), a persistent high frailty group (20.1%), a persistent low frailty group (34.0%), and a low frailty elevation group (35.3%). Analysis of Cox proportional risk regression modeling showed that, in the fully adjusted model with the low frailty elevation group as the reference, the persistent high frailty group had a 0.255-fold increased risk of developing RA 0.255-fold (HR=1.255, 95% CI: 1.001-1.576), and the risk of developing RA increased 0.422-fold in the high frailty-reduced group (HR=1.422, 95% CI: 1.071-1.888).

Conclusion

Frailty is a risk factor for RA, and the risk of developing RA is increased in the high frailty reduction group and the persistent high frailty group.

Frailty  /  Rheumatoid arthritis  /  Growth mixture modeling
Yan LIU, Xin GUO, Meng-jun TAO, Yue HAN, Liang XU, Jian ZUO, Hui YUAN. A study of the effect of frailty trajectories on rheumatoid arthritis[J]. Modern Preventive Medicine, 2025 , 52 (12) : 2272 -2277 . DOI: 10.20043/j.cnki.MPM.202411446
Year 2025 volume 52 Issue 12
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doi: 10.20043/j.cnki.MPM.202411446
  • Receive Date:2024-11-24
  • Online Date:2026-03-19
  • Published:2025-06-25
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  • Received:2024-11-24
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    Wannan Medical College, Wuhu, Anhui 241002,China
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表12种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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