Analysis of the characteristics and components for the frailty syndrome in older adults from central Chile. The PIEI-ES study (original) (raw)
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Frequency of frailty and its association with cognitive status and survival in older Chileans
Clinical interventions in aging, 2017
Age-associated brain physiologic decline and reduced mobility are key elements of increased age-associated vulnerability. To study the frequency of frailty phenotype and its association with mental health and survival in older Chileans. Follow-up of ALEXANDROS cohorts designed to study disability associated with obesity in community-dwelling people 60 years and older living in Santiago, Chile. At baseline, 2,098 (67% women) of 2,372 participants were identified as having the frailty phenotype: weak handgrip dynamometry, unintentional weight loss, fatigue/exhaustion, five chair-stands/slow walking speed and difficulty walking (low physical activity). After 10-15 years, 1,298 people were evaluated and 373 had died. Information regarding deaths was available for the whole sample. The prevalence of frailty at baseline (≥3 criteria) in the whole sample was 13.9% (women 16.4%; men 8.7%) and the pre-frailty prevalence (1-2 criteria) was 63.8% (65.0% vs 61.4%), respectively. Frailty was ass...
Frailty syndrome among elderly and associated factors: comparison of two cities
Revista Latino-Americana de Enfermagem
Objective to compare the frailty syndrome among elderly people living at home in two Brazilian cities and to identify factors related to sociodemographic and health-related variables. Method population-based cross-sectional study with 480 elderly individuals from the cities of Ribeirão Preto/SP and João Pessoa/PB, with application of the Mini Mental State Examination instruments and the Edmonton Frailty, Geriatric Depression and Lawton and Brody scales. Descriptive analysis, Chi-square test, Fisher’s test, Student’s t-test, Spermann’s correlation and Logistic regression were used. In all analyzes, the level of significance was set at p≤0.05. Results in relation to frailty, it was verified that living in Ribeirão Preto, presenting advanced age, low schooling, multiple chronic diseases, reduced cognitive status and functional capacity, besides depressive symptoms, are factors associated with the frailty syndrome, in both cities. Conclusion we identified that the frailty syndrome in th...
The journal of nutrition, health & aging, 2011
Objective: To assess the prevalence of the frailty syndrome and its associated variables among the older adult population in the province of Toledo (Spain). Methods: Data were taken from the Toledo Study for Healthy Aging, a population-based study conducted on 2,488 individuals aged 65 years and older. Study participants were selected by a two-stage random sampling from the municipal census of Toledo, covering both institutionalized and community dwelling persons from rural and urban settings. Data were collected from 2006 to 2009, and included information on social support, activities of daily living, comorbidity, physical activity, quality of life, depressive symptoms, and cognitive function. In addition, a nurse collected anthropometric data, conducted tests of physical performance (walk speed, upper and lower extremities strength, and the stand-and-sit from a chair test) and obtained a blood sample. The diagnosis of the frailty syndrome was based on the Fried criteria (weakness, low speed, low physical activity, exhaustion, and weight loss). Results: In total, 41.8% (95% confidence interval [CI] 39.4-44.2%) of the study participants were prefrail, and 8.4% (95% CI 7.1-9.8%) were frail. There were no differences in the prevalence of frailty by sex, level of education, occupation, marital status, or place of residence. The frequency of the frailty syndrome increased with age, and was higher in those with disability, depression, hip fracture and other comorbidity, such as cardiovascular disease and disorders of the central nervous system. Conclusions: The prevalence of the frailty syndrome in older Spanish adults is high and similar to that reported in other populations in the Mediterranean basin.
Cognitive Frailty as a Predictor of Mortality in Older Adults: A Longitudinal Study in Peru
Frontiers in Medicine
ObjectiveTo evaluate the role of cognitive frailty and its components as risk factors of mortality in older adults of the Centro Médico Naval (CEMENA) in Callao, Peru during 2010-2015.MethodsWe performed a secondary analysis of data from a prospective cohort that included older adults (60 years and older) treated at the CEMENA Geriatrics service between 2010–2015. Frailty was defined as the presence of three or more criteria of the modified Fried Phenotype. Cognitive impairment was assessed using the Peruvian version of the Mini Mental State Examination (MMSE), considering a score <21 as cognitive impairment. Cognitive frailty was defined as the coexistence of both. In addition, we included sociodemographic characteristics, medical and personal history, as well as the functional evaluation of each participant.ResultsWe included 1,390 older adults (mean follow-up: 2.2 years), with a mean age of 78.5 ± 8.6 years and 59.6% (n = 828) were male. Cognitive frailty was identified in 11....
Free Radical Biology and Medicine, 2012
Objective: To assess the prevalence of the frailty syndrome and its associated variables among the older adult population in the province of Toledo (Spain). Methods: Data were taken from the Toledo Study for Healthy Aging, a population-based study conducted on 2,488 individuals aged 65 years and older. Study participants were selected by a two-stage random sampling from the municipal census of Toledo, covering both institutionalized and community dwelling persons from rural and urban settings. Data were collected from 2006 to 2009, and included information on social support, activities of daily living, comorbidity, physical activity, quality of life, depressive symptoms, and cognitive function. In addition, a nurse collected anthropometric data, conducted tests of physical performance (walk speed, upper and lower extremities strength, and the stand-and-sit from a chair test) and obtained a blood sample. The diagnosis of the frailty syndrome was based on the Fried criteria (weakness, low speed, low physical activity, exhaustion, and weight loss). Results: In total, 41.8% (95% confidence interval [CI] 39.4-44.2%) of the study participants were prefrail, and 8.4% (95% CI 7.1-9.8%) were frail. There were no differences in the prevalence of frailty by sex, level of education, occupation, marital status, or place of residence. The frequency of the frailty syndrome increased with age, and was higher in those with disability, depression, hip fracture and other comorbidity, such as cardiovascular disease and disorders of the central nervous system. Conclusions: The prevalence of the frailty syndrome in older Spanish adults is high and similar to that reported in other populations in the Mediterranean basin.
Frailty phenotype criteria in centenarians: Findings from the Oporto Centenarian Study
European Geriatric Medicine, 2014
The purpose of this study is to analyze the prevalence of physical frailty and the sociodemographics, functionality and health factors associated with this syndrome in a sample of people with 100 and more years old. Methods: Data come from the ongoing population-based study, the Oporto Centenarian Study (PT100). Participants are people with 100 or more years old who lived in the Oporto Metropolitan Area (Portugal). The data collection was developed during 2013 and included demographic, social, health, functional, psychological (e.g. well-being) and cognitive domains. Phenotype frailty criteria assessment included exhaustion, weight loss, weakness, slowness and low activity. Descriptive analysis and binary logistic regression models were used for data analysis. Results: The final sample comprises 50 centenarians (mean age = 101.34, SD = 1.81; 84% female). From these, 4.0% were classified as ''robust'', 36.0% as ''prefrail'' and 60.0% as ''frail''. When analyzing the association between explanatory variables and frailty, only ADL showed a significant association with the frailty condition. A higher percentage of frail people were female (68.3%), lived in nursing homes (71.4%), were illiterate (71.9%) and had fair/poor subjective health (58.3%). Discussion: This study emphasizes the importance of physical frailty and its association with disability among the centenarian population.
Frailty in the elderly: prevalence and associated factors
Revista brasileira de enfermagem
to know the prevalence and factors associated with frailty in elderly assisted by the Centro Mais Vida de Referência em Assistência à Saúde do Idoso (Mais Vida Health Reference Center for the Elderly) in the North of Minas Gerais, Brazil. cross-sectional study, with sampling by convenience. Data collection occurred in 2015. Demographic and socioeconomic variables, morbidities, use of health services and the score of the Edmonton Frail Scale were analyzed. The adjusted prevalence ratios were obtained by multiple analysis of Poisson regression with robust variance. 360 elderly aged 65 or older were evaluated. Frailty prevalence was 47.2%. The variables associated with frailty were the following: advanced age elderly, who live without a partner, have a caregiver, present depressive symptoms, osteoarticular disease, as well as history of hospitalization and falls in the last twelve months. knowledge of factors associated with frailty allows development of health actions aimed at the eld...
Prevalence of Frailty Syndrome and Associated Risk Factors in Old Adults in Ciudad Juarez
Austinpublishinggroup, 2018
Background: In recent years the population of older adults has increased; this phenomenon leads to an increase in the diseases associated with age, among them the frailty syndrome of the elderly. This syndrome is a health problem that is sometimes not identified by the health personnel or is not given the corresponding importance. Once this disease is identified, an appropriate
Factors associated with the frailty syndrome in elderly individuals living in the urban area
Revista Latino-Americana de Enfermagem, 2014
METHODS: this cross-sectional, observational and analytical household survey was conducted with 958 elderly individuals living in the urban area. The Brazilian version of the Functional Assessment Questionnaire and Multidimensional Scales (Depression, Katz and Lawton brief geriatric versions) were used, together with the Phenotype of Frailty developed by Fried. Descriptive analysis was performed along with a bivariate and multinomial logistic regression model (p<0.05).RESULTS: a total of 313 (32.7%) non-frail elderly individuals were found in addition to 522 (55.4%) pre-frail and 128 (12.8%) frail individuals. Factors associated with pre-frailty and frailty, respectively, included: being 70├ 79 years old and 80 years old or older; using 1├ 4 medications and 5 or more; greater number of morbidities, functional disability for instrumental activities of daily life, and negative self-perception. The absence of a partner was associated with pre-frailty while hospitalization in the las...