{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:40:04Z","timestamp":1787496004618,"version":"build-2736575974"},"reference-count":68,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T00:00:00Z","timestamp":1675382400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>Frailty is an elderly people phenomenon; however, younger adults with comorbidities may show a higher trajectory of frailty toward older age. The frailty status of middle\u2010aged patients with axial spondyloarthritis (axSpA) remains little researched. We aimed to identify frailty status and to investigate the association of clinical, sociodemographic, and psychosocial factors with frailty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included 114 patients aged between 40 and 65\u2009years. The patients were classified as frail, pre\u2010frail, and robust according to Fried's phenotype and the Kihon Checklist (KCL). Physical function, quality of life, depression, anxiety, and disease\u2010related factors were assessed. Between\u2010group comparisons and multinomial logistic regression analysis were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Frailty and pre\u2010frailty prevalences were 20.2% and 49.1% for Fried's phenotype and 36.0% and 33.3% for the KCL. Frail adults had impaired physical function and increased disease activity compared to pre\u2010frail and robust patients. Adjusted multinomial logistic regression analysis revealed that disease activity (odds ratio [OR]\u00a0=\u00a01.62, 95% CI\u00a0=\u00a01.12\u20102.34) and Short Physical Performance Battery (OR\u00a0=\u00a00.32, 95% CI\u00a0=\u00a00.18\u20100.56) were associated with Fried's phenotype\u2010determined frailty. Disease activity (OR\u00a0=\u00a01.91, 95% CI\u00a0=\u00a01.11\u20103.26), Bath Ankylosing Spondylitis Functional Index (OR\u00a0=\u00a02.70, 95% CI\u00a0=\u00a01.56\u20104.67), and depression (OR\u00a0=\u00a01.55, 95% CI\u00a0=\u00a01.18\u20102.02) were associated with the KCL determined frailty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Frailty and pre\u2010frailty are commonly detected in middle\u2010aged individuals with axSpA. Our findings highlight a possible need for frailty screening and preventive programs targeting middle\u2010aged axSpA patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1756-185x.14591","type":"journal-article","created":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T22:35:53Z","timestamp":1675463753000},"page":"519-530","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Identifying frailty and its associated factors in patients with axial spondyloarthritis"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5207-1893","authenticated-orcid":false,"given":"\u00d6zg\u00fcl","family":"\u00d6zt\u00fcrk","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Ac\u0131badem Mehmet Ali Ayd\u0131nlar University  Istanbul 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