Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/173656 |
Resumo: | OBJECTIVES: To determine the prevalence of frailty and the association of sociodemographic characteristics, clinical aspects, and functional capacity with the frailty status of community-dwelling older adults from Curitiba, Southern Brazil. METHODS: This cross-sectional observational study included 1,716 participants aged X60 years. Frailty was assessed using the Fried phenotype indicators of weakness, exhaustion, low activity, slowness, and weight loss. Sociodemographic characteristics, clinical aspects, and functional capacity and functionality were evaluated and compared between the sexes and the different frailty statuses (non-frail, prefrail, and frail). Multinomial logistic regression models were used to identify associations (po0.05). RESULTS: A high prevalence of frailty (15.8%) and prefrailty (65.3%) were observed, and both were higher in female than in male individuals. The most predominant frailty criterion was weakness, followed by exhaustion. Compared with the non-frail elderly, the prefrail and frail elderly were older in age and presented more health problems, greater dependency for basic and instrumental activities of daily living, and reduced lower extremity strength performance and functional mobility. The highest proportion of illiterate individuals, individuals with 1-4 years of education, widowed individuals, polypharmacy, and possible cognition problems and diseases were seen in the frail elderly group. Moreover, the risk of being prefrail and frail was higher in those who were older and had more health problems, higher body mass index, and reduced lower extremity strength performance. Greater calf circumference and independence in activities of daily living were protective factors for prefrailty and frailty. Furthermore, lower functional mobility increased the chances of being frail. CONCLUSIONS: The prevalence of frailty was more pronounced in female than in male individuals, mainly because of a decline in force. Prefrailty was 4 times more prevalent than frailty, and the presence of health problems and reduced functional capacity increased the chances of being prefrail and frail. |
id |
USP-19_b5a96be2a50df3de2edfe8019761be87 |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/173656 |
network_acronym_str |
USP-19 |
network_name_str |
Clinics |
repository_id_str |
|
spelling |
Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational studyFrail ElderlyPrevalenceEvaluationOBJECTIVES: To determine the prevalence of frailty and the association of sociodemographic characteristics, clinical aspects, and functional capacity with the frailty status of community-dwelling older adults from Curitiba, Southern Brazil. METHODS: This cross-sectional observational study included 1,716 participants aged X60 years. Frailty was assessed using the Fried phenotype indicators of weakness, exhaustion, low activity, slowness, and weight loss. Sociodemographic characteristics, clinical aspects, and functional capacity and functionality were evaluated and compared between the sexes and the different frailty statuses (non-frail, prefrail, and frail). Multinomial logistic regression models were used to identify associations (po0.05). RESULTS: A high prevalence of frailty (15.8%) and prefrailty (65.3%) were observed, and both were higher in female than in male individuals. The most predominant frailty criterion was weakness, followed by exhaustion. Compared with the non-frail elderly, the prefrail and frail elderly were older in age and presented more health problems, greater dependency for basic and instrumental activities of daily living, and reduced lower extremity strength performance and functional mobility. The highest proportion of illiterate individuals, individuals with 1-4 years of education, widowed individuals, polypharmacy, and possible cognition problems and diseases were seen in the frail elderly group. Moreover, the risk of being prefrail and frail was higher in those who were older and had more health problems, higher body mass index, and reduced lower extremity strength performance. Greater calf circumference and independence in activities of daily living were protective factors for prefrailty and frailty. Furthermore, lower functional mobility increased the chances of being frail. CONCLUSIONS: The prevalence of frailty was more pronounced in female than in male individuals, mainly because of a decline in force. Prefrailty was 4 times more prevalent than frailty, and the presence of health problems and reduced functional capacity increased the chances of being prefrail and frail.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2020-08-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/clinics/article/view/17365610.6061/clinics/2020/e1694Clinics; Vol. 75 (2020); e1694Clinics; v. 75 (2020); e1694Clinics; Vol. 75 (2020); e16941980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/173656/162760https://www.revistas.usp.br/clinics/article/view/173656/162761Copyright (c) 2020 Clinicsinfo:eu-repo/semantics/openAccessMelo Filho, JarbasMoreira, Natália BonetiVojciechowski, Audrin SaidBiesek, SimoneBento, Paulo Cesar BarauceGomes, Anna Raquel Silveira2020-08-14T19:54:55Zoai:revistas.usp.br:article/173656Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2020-08-14T19:54:55Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational study |
title |
Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational study |
spellingShingle |
Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational study Melo Filho, Jarbas Frail Elderly Prevalence Evaluation |
title_short |
Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational study |
title_full |
Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational study |
title_fullStr |
Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational study |
title_full_unstemmed |
Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational study |
title_sort |
Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational study |
author |
Melo Filho, Jarbas |
author_facet |
Melo Filho, Jarbas Moreira, Natália Boneti Vojciechowski, Audrin Said Biesek, Simone Bento, Paulo Cesar Barauce Gomes, Anna Raquel Silveira |
author_role |
author |
author2 |
Moreira, Natália Boneti Vojciechowski, Audrin Said Biesek, Simone Bento, Paulo Cesar Barauce Gomes, Anna Raquel Silveira |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Melo Filho, Jarbas Moreira, Natália Boneti Vojciechowski, Audrin Said Biesek, Simone Bento, Paulo Cesar Barauce Gomes, Anna Raquel Silveira |
dc.subject.por.fl_str_mv |
Frail Elderly Prevalence Evaluation |
topic |
Frail Elderly Prevalence Evaluation |
description |
OBJECTIVES: To determine the prevalence of frailty and the association of sociodemographic characteristics, clinical aspects, and functional capacity with the frailty status of community-dwelling older adults from Curitiba, Southern Brazil. METHODS: This cross-sectional observational study included 1,716 participants aged X60 years. Frailty was assessed using the Fried phenotype indicators of weakness, exhaustion, low activity, slowness, and weight loss. Sociodemographic characteristics, clinical aspects, and functional capacity and functionality were evaluated and compared between the sexes and the different frailty statuses (non-frail, prefrail, and frail). Multinomial logistic regression models were used to identify associations (po0.05). RESULTS: A high prevalence of frailty (15.8%) and prefrailty (65.3%) were observed, and both were higher in female than in male individuals. The most predominant frailty criterion was weakness, followed by exhaustion. Compared with the non-frail elderly, the prefrail and frail elderly were older in age and presented more health problems, greater dependency for basic and instrumental activities of daily living, and reduced lower extremity strength performance and functional mobility. The highest proportion of illiterate individuals, individuals with 1-4 years of education, widowed individuals, polypharmacy, and possible cognition problems and diseases were seen in the frail elderly group. Moreover, the risk of being prefrail and frail was higher in those who were older and had more health problems, higher body mass index, and reduced lower extremity strength performance. Greater calf circumference and independence in activities of daily living were protective factors for prefrailty and frailty. Furthermore, lower functional mobility increased the chances of being frail. CONCLUSIONS: The prevalence of frailty was more pronounced in female than in male individuals, mainly because of a decline in force. Prefrailty was 4 times more prevalent than frailty, and the presence of health problems and reduced functional capacity increased the chances of being prefrail and frail. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-08-14 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/173656 10.6061/clinics/2020/e1694 |
url |
https://www.revistas.usp.br/clinics/article/view/173656 |
identifier_str_mv |
10.6061/clinics/2020/e1694 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/173656/162760 https://www.revistas.usp.br/clinics/article/view/173656/162761 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 75 (2020); e1694 Clinics; v. 75 (2020); e1694 Clinics; Vol. 75 (2020); e1694 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222765175799808 |