Prevalence of the geriatric syndromes and frailty in older men living in the community: The C oncord H ealth and A geing in M en P roject

AIM: To describe the age at which the geriatric syndromes and frailty become common in community-dwelling men. METHODS: The Concord Health and Ageing in Men Project involves a population-based sample of 1705 community-dwelling men aged 70 and over from a defined geographic region in Sydney. Data were obtained by physical performance tests, clinical examinations, and questionnaire to determine the prevalence of the following conditions by five-year age group. RESULTS: Poor mobility, recurrent falls, urinary incontinence, dementia and frailty phenotype were all uncommon (less than 10%) in men in their 70s, but the prevalence of each of these conditions exceeded 10% in men aged 85-89. The prevalence of Frailty Index-defined frailty, multimorbidity, polypharmacy and instrumental activities of daily living dependence was constantly high in all age groups. CONCLUSIONS: The different health-care needs of the 'old old' aged 85 years and older should be accounted for in health service planning.