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MULTIPLE SOMATIC SYMPTOMS AND FRAILTY: CROSS-SECTIONAL STUDY IN JAPANESE COMMUNITY-DWELLING ELDERLY PEOPLE

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Introduction and Objective; Physical frailty is relevant to adverse outcomes, but appropriate procedures for screening populations with frailty is lacking. We hypothesized that frailty is associated with multiple somatic symptoms because frail elderly people might have several somatic symptoms attributed to deterioration of multiple organs. We aimed to examine the association between multiple somatic symptoms and frailty. Methods; We conducted a cross-sectional study and enrolled 1818 (659 men and 1159 women) participants aged ≥60 years from Japanese community dwellers. Frailty was defined as the Fried frailty phenotype as follows: unintentional weight loss, weakness, exhaustion, slowness, and low physical activity level. Sixteen subjective somatic symptoms were assessed and the number of symptoms was counted. Results and Conclusions; The prevalence of frailty phenotypes was 2.4%, 34.9%, and 62.7% in frail, pre-frail, and non-frail phenotypes, respectively. More than 2 somatic symptoms were significantly associated with the frail phenotype (odds ratio [OR] 6.20, 95% confidence interval [95% CI] 2.95, 13.03, p