Factors associated with frailty in a community-dwelling population of older adults

Detalhes bibliográficos
Autor(a) principal: Cruz,Danielle Teles da
Data de Publicação: 2017
Outros Autores: Vieira,Marcel de Toledo, Bastos,Ronaldo Rocha, Leite,Isabel Cristina Gonçalves
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100295
Resumo: ABSTRACT OBJECTIVE To analyze if demographic and socioeconomic factors and factors related to health and health services are associated with frailty in community-dwelling older adults. METHODS This is a cross-sectional study with 339 older adults (60 years old or more) living in Juiz de Fora, State of Minas Gerais, Brazil, in 2015. A household survey was carried out and frailty was evaluated using the Edmonton Frail Scale. For the analysis of the factors associated with outcome, a theoretical model of determination was constructed with three hierarchical blocks: block 1 with demographic and socioeconomic characteristics, block 2 with the health of the older adult (divided into three sub-levels: 2.1 self-reported health variables, 2.2 self-perceived health variables, and 2.3 geriatric syndromes), and block 3 with characteristics related to health services. The variables were adjusted in relation to each other within each block; those with significance level ≤ 0.20 were included in the Poisson regression model and adjusted to a higher level, considering a level of significance of 5%. RESULTS The prevalence of frailty among older adults was 35.7% (95%CI 30.7–40.9). Of the total, 42.2% did not present frailty; 22.1% were apparently vulnerable. Among the frail ones, 52.9% presented mild frailty, 32.2% moderate frailty, and 14.9% severe frailty. Frailty was associated with difficulty walking, need for an auxiliary device to walk, presence of caregiver, depressive disorders, and functional dependence to perform instrumental activities of daily living. CONCLUSIONS Frailty is frequent among the older population and it is associated with health variables of the three sub-levels that make up block 2 of the theoretical hierarchical model of determination: self-reported health variables, self-perceived health variables, and geriatric syndromes.
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spelling Factors associated with frailty in a community-dwelling population of older adultsAgedFrail ElderlyAgingHealth VulnerabilityRisk FactorsHealth SurveysABSTRACT OBJECTIVE To analyze if demographic and socioeconomic factors and factors related to health and health services are associated with frailty in community-dwelling older adults. METHODS This is a cross-sectional study with 339 older adults (60 years old or more) living in Juiz de Fora, State of Minas Gerais, Brazil, in 2015. A household survey was carried out and frailty was evaluated using the Edmonton Frail Scale. For the analysis of the factors associated with outcome, a theoretical model of determination was constructed with three hierarchical blocks: block 1 with demographic and socioeconomic characteristics, block 2 with the health of the older adult (divided into three sub-levels: 2.1 self-reported health variables, 2.2 self-perceived health variables, and 2.3 geriatric syndromes), and block 3 with characteristics related to health services. The variables were adjusted in relation to each other within each block; those with significance level ≤ 0.20 were included in the Poisson regression model and adjusted to a higher level, considering a level of significance of 5%. RESULTS The prevalence of frailty among older adults was 35.7% (95%CI 30.7–40.9). Of the total, 42.2% did not present frailty; 22.1% were apparently vulnerable. Among the frail ones, 52.9% presented mild frailty, 32.2% moderate frailty, and 14.9% severe frailty. Frailty was associated with difficulty walking, need for an auxiliary device to walk, presence of caregiver, depressive disorders, and functional dependence to perform instrumental activities of daily living. CONCLUSIONS Frailty is frequent among the older population and it is associated with health variables of the three sub-levels that make up block 2 of the theoretical hierarchical model of determination: self-reported health variables, self-perceived health variables, and geriatric syndromes.Faculdade de Saúde Pública da Universidade de São Paulo2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100295Revista de Saúde Pública v.51 2017reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2017051007098info:eu-repo/semantics/openAccessCruz,Danielle Teles daVieira,Marcel de ToledoBastos,Ronaldo RochaLeite,Isabel Cristina Gonçalveseng2017-11-14T00:00:00Zoai:scielo:S0034-89102017000100295Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2017-11-14T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Factors associated with frailty in a community-dwelling population of older adults
title Factors associated with frailty in a community-dwelling population of older adults
spellingShingle Factors associated with frailty in a community-dwelling population of older adults
Cruz,Danielle Teles da
Aged
Frail Elderly
Aging
Health Vulnerability
Risk Factors
Health Surveys
title_short Factors associated with frailty in a community-dwelling population of older adults
title_full Factors associated with frailty in a community-dwelling population of older adults
title_fullStr Factors associated with frailty in a community-dwelling population of older adults
title_full_unstemmed Factors associated with frailty in a community-dwelling population of older adults
title_sort Factors associated with frailty in a community-dwelling population of older adults
author Cruz,Danielle Teles da
author_facet Cruz,Danielle Teles da
Vieira,Marcel de Toledo
Bastos,Ronaldo Rocha
Leite,Isabel Cristina Gonçalves
author_role author
author2 Vieira,Marcel de Toledo
Bastos,Ronaldo Rocha
Leite,Isabel Cristina Gonçalves
author2_role author
author
author
dc.contributor.author.fl_str_mv Cruz,Danielle Teles da
Vieira,Marcel de Toledo
Bastos,Ronaldo Rocha
Leite,Isabel Cristina Gonçalves
dc.subject.por.fl_str_mv Aged
Frail Elderly
Aging
Health Vulnerability
Risk Factors
Health Surveys
topic Aged
Frail Elderly
Aging
Health Vulnerability
Risk Factors
Health Surveys
description ABSTRACT OBJECTIVE To analyze if demographic and socioeconomic factors and factors related to health and health services are associated with frailty in community-dwelling older adults. METHODS This is a cross-sectional study with 339 older adults (60 years old or more) living in Juiz de Fora, State of Minas Gerais, Brazil, in 2015. A household survey was carried out and frailty was evaluated using the Edmonton Frail Scale. For the analysis of the factors associated with outcome, a theoretical model of determination was constructed with three hierarchical blocks: block 1 with demographic and socioeconomic characteristics, block 2 with the health of the older adult (divided into three sub-levels: 2.1 self-reported health variables, 2.2 self-perceived health variables, and 2.3 geriatric syndromes), and block 3 with characteristics related to health services. The variables were adjusted in relation to each other within each block; those with significance level ≤ 0.20 were included in the Poisson regression model and adjusted to a higher level, considering a level of significance of 5%. RESULTS The prevalence of frailty among older adults was 35.7% (95%CI 30.7–40.9). Of the total, 42.2% did not present frailty; 22.1% were apparently vulnerable. Among the frail ones, 52.9% presented mild frailty, 32.2% moderate frailty, and 14.9% severe frailty. Frailty was associated with difficulty walking, need for an auxiliary device to walk, presence of caregiver, depressive disorders, and functional dependence to perform instrumental activities of daily living. CONCLUSIONS Frailty is frequent among the older population and it is associated with health variables of the three sub-levels that make up block 2 of the theoretical hierarchical model of determination: self-reported health variables, self-perceived health variables, and geriatric syndromes.
publishDate 2017
dc.date.none.fl_str_mv 2017-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100295
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100295
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.11606/s1518-8787.2017051007098
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.source.none.fl_str_mv Revista de Saúde Pública v.51 2017
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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