Table 4 Association between Fried Frailty Phenotypes and gray matter integrity by sex. Ref, Reference; β, standardized beta coefficients; CI, confidence interval; sGMV, subcortical gray matter volume. Model 1 was unadjusted. Model 2 was adjusted for age, center, and intracranial volume. Model 3 was further adjusted for cohabitation, educational attainment, perceived social support scores, sleep duration, smoking status (men only), alcohol consumption, type 2 diabetes mellitus, hypertension, Korean version of the mini-mental state examination, waist circumference, and total cholesterol. Smoking status was unadjusted in the women’s group due to influential points. The false discovery rate test using the Benjamini-Hochberg procedure was applied to fully-adjusted p-values (bold text) in all five markers of the structural brain integrity.
SBI (in z-score) | Men (N=700) | Women (N=1357) | ||||||
|---|---|---|---|---|---|---|---|---|
β (95% CI) | β (95% CI) | |||||||
Robust (n=336) | Pre-frail (n=327) | Frail (n=37) | P for trend | Robust (n=583) | Pre-frail (n=684) | Frail (n=90) | P for trend | |
sGMV (mm3) | ||||||||
Model 1 | Ref | −0.16 (−0.31 to 0.002) | −0.46 (−0.82 to −0.11) | 0.010 | Ref | −0.12 (−0.23 to −0.02) | −0.38 (−0.59 to −0.17) | 0.025 |
Model 2 | Ref | −0.11 (−0.27 to 0.04) | −0.35 (−0.70 to −0.01) | 0.046 | Ref | −0.07 (−0.17 to 0.03) | −0.18 (−0.39 to 0.02) | 0.083 |
Model 3 | Ref | −0.09 (−0.25 to 0.07) | −0.34 (−0.69 to 0.01) | 0.055 | Ref | −0.07 (−0.18 to 0.03) | −0.18 (−0.39 to 0.03) | 0.098 |
Thalamus (mm3) | ||||||||
Model 1 | Ref | −0.08 (−0.23 to 0.07) | −0.71 (−1.05 to −0.37) | <0.001 | Ref | −0.10 (−0.20 to −0.002) | −0.47 (−0.66 to −0.27) | <0.001 |
Model 2 | Ref | 0.03 (−0.08 to 0.13) | −0.38 (−0.62 to −0.14) | 0.002 | Ref | −0.03 (−0.10 to 0.03) | −0.13 (−0.27 to 0.002) | 0.054 |
Model 3 | Ref | 0.04 (−0.07 to 0.15) | −0.36 (−0.60 to −0.12) | 0.003 | Ref | −0.02 (−0.09 to 0.05) | −0.11 (−0.24 to 0.03) | 0.135 |
Caudate nucleus (mm3) | ||||||||
Model 1 | Ref | 0.14 (−0.01 to 0.29) | −0.03 (−0.37 to 0.30) | 0.839 | Ref | 0.12 (0.02 to 0.23) | 0.24 (0.03 to 0.46) | 0.024 |
Model 2 | Ref | 0.12 (−0.02 to 0.26) | 0.04 (−0.27 to 0.34) | 0.823 | Ref | 0.07 (−0.02 to 0.15) | 0.18 (−0.002 to 0.36) | 0.053 |
Model 3 | Ref | 0.14 (−0.01 to 0.28) | 0.08 (−0.24 to 0.39) | 0.632 | Ref | 0.05 (−0.04 to 0.14) | 0.15 (−0.04 to 0.33) | 0.128 |
Putamen (mm3) | ||||||||
Model 1 | Ref | −0.07 (−0.23 to 0.09) | −0.49 (−0.84 to −0.13) | 0.008 | Ref | −0.05 (−0.15 to 0.04) | −0.29 (−0.48 to −0.09) | 0.004 |
Model 2 | Ref | 0.03 (−0.11 to 0.16) | −0.22 (−0.51 to 0.08) | 0.148 | Ref | −0.002 (−0.08 to 0.08) | −0.04 (−0.20 to 0.13) | 0.671 |
Model 3 | Ref | 0.04 (−0.09 to 0.18) | −0.22 (−0.51 to 0.08) | 0.159 | Ref | −0.01 (−0.10 to 0.07) | −0.04 (−0.22 to 0.13) | 0.609 |
Globus pallidus (mm3) | ||||||||
Model 1 | Ref | −0.02 (−0.19 to 0.14) | −0.55 (−0.91 to −0.18) | 0.003 | Ref | −0.10 (−0.20 to 0.01) | −0.29 (−0.49 to −0.08) | 0.006 |
Model 2 | Ref | 0.05 (−0.10 to 0.19) | −0.36 (−0.67 to −0.05) | 0.023 | Ref | −0.05 (−0.14 to 0.04) | −0.08 (−0.27 to 0.11) | 0.397 |
Model 3 | Ref | 0.06 (−0.09 to 0.20) | −0.37 (−0.68 to −0.05) | 0.024 | Ref | −0.04 (−0.13 to 0.06) | −0.04 (−0.23 to 0.16) | 0.707 |
Subthalamic nucleus (mm3) | ||||||||
Model 1 | Ref | −0.04 (−0.20 to 0.12) | −0.57 (−0.92 to −0.21) | 0.002 | Ref | −0.09 (−0.19 to 0.02) | −0.44 (−0.64 to −0.23) | <0.001 |
Model 2 | Ref | 0.08 (−0.06 to 0.22) | −0.28 (−0.59 to 0.04) | 0.083 | Ref | −0.003 (−0.09 to 0.09) | −0.12 (−0.31 to 0.06) | 0.184 |
Model 3 | Ref | 0.10 (−0.05 to 0.24) | −0.23 (−0.55 to 0.08) | 0.148 | Ref | 0.01 (−0.08 to 0.10) | −0.10 (−0.29 to 0.09) | 0.313 |
Hippocampus (mm3) | ||||||||
Model 1 | Ref | −0.27 (−0.43 to −0.10) | −0.92 (−1.29 to −0.56) | <0.001 | Ref | −0.23 (−0.33 to −0.13) | −0.73 (−0.93 to −0.52) | <0.001 |
Model 2 | Ref | −0.10 (−0.23 to 0.04) | −0.51 (−0.81 to −0.21) | 0.001 | Ref | −0.10 (−0.19 to −0.02) | −0.28 (−0.45 to −0.11) | 0.002 |
Model 3 | Ref | −0.09 (−0.22 to 0.05) | −0.47 (−0.78 to −0.17) | 0.002 | Ref | −0.07 (−0.16 to 0.01) | −0.23 (−0.40 to −0.05) | 0.012 |