Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link

Disclaimer: Early release articles are not considered as final versions. Any changes will be reflected in the online version in the month the article is officially released.

Volume 32, Number 6—June 2026

Research

Association of Frailty and Frailty Trajectory with Risk for Respiratory Infectious Diseases

Jin Yang1, Hao Yan1, Huan Chen, Dan Liu, Zhihao Li, and Chen MaoComments to Author 
Author affiliation: School of Public Health, Southern Medical University, Guangzhou, China; National Institute of Health Data Science of China, Southern Medical University, Guangzhou

Main Article

Table 1

Baseline characteristics of participants in the first and final assessment of physical frailty in a study of association of frailty and frailty trajectory with risk for RIDs*

Characteristics First assessment
Final assessment
Frail, n = 9,075 Prefrail,
n = 144,734
Nonfrail,
n = 269,882
p value† Frail,
n = 409
Prefrail,
n = 8,350
Nonfrail,
n = 8,089
p value†
Mean follow-up, y (SD)
12.29 (3.34)
13.02 (2.64)
13.37 (2.25)
<0.001

8.96 (2.33)
9.50 (1.59)
9.69 (1.44)
<0.001
Mean age, y (SD)
57.86 (7.63)
56.96 (8.08)
55.97 (8.09)
<0.001

62.40 (7.52)
62.10 (7.29)
60.36 (7.46)
<0.001
Sex <0.001 <0.001
M 3,327 (36.7) 62,077 (42.9) 127,389 (47.2) 169 (41.3) 3,950 (47.3) 4,144 (51.2)
F
5,748 (63.3)
82,657 (57.1)
142,493 (52.8)


240 (58.7)
4,400 (52.7)
3,945 (48.8)

Ethnicity <0.001 <0.001
White 7,793 (85.9) 133,415 (92.2) 259,028 (96.0) 389 (95.1) 8,122 (97.3) 7,927 (98.0)
Another race
1,282 (14.1)
11,319 (7.8)
10,854 (4.0)


20 (4.9)
228 (2.7)
162 (2.0)

Education <0.001 <0.001
High 1,398 (15.4) 41,353 (28.6) 99,556 (36.9) 106 (25.9) 3,505 (42.0) 3,868 (47.8)
Intermediate 4,061 (44.7) 73,466 (50.8) 135,111 (50.1) 219 (53.5) 4,056 (48.6) 3,688 (45.6)
Low
3,616 (39.8)
29,915 (20.7)
35,215 (13.0)


84 (20.5)
789 (9.4)
533 (6.6)

Smoking status <0.001 <0.001
Never 4,229 (46.6) 76,799 (53.1) 154,029 (57.1) 209 (51.1) 4,909 (58.8) 4,944 (61.1)
Previous 3,047 (33.6) 50,681 (35.0) 91,828 (34.0) 156 (38.1) 2,918 (34.9) 2,676 (33.1)
Current
1,799 (19.8)
17,254 (11.9)
24,025 (8.9)


44 (10.8)
523 (6.3)
469 (5.8)

Alcohol status <0.001 <0.001
Never 1,060 (11.7) 8,211 (5.7) 8,440 (3.1) 30 (7.3) 320 (3.8) 220 (2.7)
Previous 1,025 (11.3) 6,629 (4.6) 6,649 (2.5) 37 (9.0) 275 (3.3) 184 (2.3)
Current
6,990 (77.0)
129,894 (89.7)
254,793 (94.4)


342 (83.6)
7,755 (92.9)
7,684 (95.0)

Mean (SD) Townsend deprivation index
0.74 (3.59)
−0.93 (3.24)
−1.66 (2.88)
<0.001

−0.54 (3.44)
−1.91 (2.75)
−2.27 (2.53)
<0.001
Mean (SD) sleep duration, h/d
6.81 (2.22)
7.07 (1.37)
7.15 (1.08)
<0.001

6.97 (2.19)
7.22 (1.16)
7.21 (0.99)
<0.001
Mean (SD) cumulative dietary risk factor score
5.29 (1.45)
4.99 (1.42)
4.91 (1.38)
<0.001

5.29 (1.38)
4.88 (1.33)
4.87 (1.32)
<0.001
Mean (SD) PM2.5, μg/m3
10.34 (1.11)
10.07 (1.06)
9.93 (1.04)
<0.001

10.26 (1.13)
10.01 (1.06)
9.92 (1.02)
<0.001
Mean (SD) NO2, μg/m3
29.28 (7.69)
27.33 (7.64)
26.23 (7.56)
<0.001

28.02 (6.97)
26.35 (6.92)
25.71 (6.72)
<0.001
Mean (SD) NO, μg/m3
48.91 (16.56)
45.24 (15.86)
43.19 (15.28)
<0.001

47.05 (14.94)
43.78 (14.63)
42.46 (13.87)
<0.001
BMI category‡ <0.001 <0.001
Underweight 62 (0.7) 758 (0.5) 1,184 (0.4) 3 (0.7) 36 (0.4) 46 (0.6)
Normal weight 1,369 (15.1) 36,742 (25.4) 100,907 (37.4) 68 (16.8) 2,577 (31.1) 3,481 (43.6)
Overweight 2,728 (30.1) 60,162 (41.6) 118,895 (44.1) 131 (32.4) 3,664 (44.2) 3,369 (42.2)
Obese
4,916 (54.2)
47,072 (32.5)
48,896 (18.1)


202 (50.0)
2,013 (24.3)
1,096 (13.7)

RIDs <0.001 <0.001
N 6,882 (75.8) 125,900 (87.0) 246,801 (91.4) 337 (82.4) 7,695 (92.2) 7,627 (94.3)
Y 2,193 (24.2) 18,834 (13.0) 23,081 (8.6) 72 (17.6) 655 (7.8) 462 (5.7)

*Values are no. (%) except as indicated. Data are from UK Biobank (https://www.ukbiobank.ac.uk) during 2006–2010 for the first assessment and during 2012–2013 for the final assessment. BMI, body mass index; PM2.5, particulate matter <2.5 mm; NO, nitrogen oxide; NO2, nitrogen dioxide; RIDs, respiratory infectious diseases. †Calculated by analysis of variance, Kruskal-Wallis H, or χ2 test. p<0.05 considered statistically significant. ‡Underweight <18.5 kg/m2; normal weight, 18.5 kg/m2 to <25 kg/m2; overweight, 25 kg/m2 to <30 kg/m2; obese, >30 kg/m2.

Main Article

1These first authors contributed equally to this article.

Page created: April 22, 2026
Page updated: May 18, 2026
Page reviewed: May 18, 2026
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external