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10/66 ten years on – monitoring and improving health expectancy by targeting frailty among older people in middle income countries

Periodic Report Summary 2 - LIFE2YEARS1066 (10/66 ten years on – monitoring and improving health expectancy by targeting frailty among older people in middle income countries)

The LIFE2YEARS1066 project will delineate secular trends (2005-2017) in the health of older people in settings in Latin America and China, and explore the potential to enhance healthy ageing by focusing on frailty, and its impact upon Health expectancies (HE - summarising effects of morbidity and mortality, and providing evidence of direct policy-relevance on the impact of population ageing on health). Unpacking influences of socioeconomic position, chronic disease and underlying frailty on incidence of disability and care-dependence will help to identify priorities for prevention and intervention. Knowledge from the population research will be translated during the project into development of a simple practice-based multidimensional risk assessment tool, for prevention/ management of care dependence in frail older people in resource poor settings.

By the mid-term of the LIFE2YEARS1066 project we have succeeded in establishing the methodologies and procedures for what is the most technically complex and ambitious of the three waves of 10/66 Dementia Research Group surveys to date. We have obtained ethical approvals from all seven partner countries (Cuba, Dominican Republic, Puerto Rico, Venezuela, Mexico, Peru and China), sourced and delivered equipment, trained research staff, and initiated the field research in all sites other than Venezuela (Caracas), where this has had to be delayed due to the current political and economic crisis. While some sites are more advanced than others in the field research process, we are confident that we shall be able to complete the necessary work on time and on budget. We have been active in disseminating news about the project, its design and objectives in a variety of fora, and to a wide range of stakeholders (academic, clinical, civil society, policymakers and public), in the UK and Europe, N America, Latin America, India and China. While awaiting the emergence of project data in the final year of the project, we are working on analyses of existing data from the first two waves of the survey that are formative and informative of the LIFE2YEARS objectives.