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Frailty among institutionalized older people: a cross-sectional study in Natal (Brazil)

OBJECTIVE: Verify the prevalence of frailty and its associated factors in institutionalized older people. METHODS: Cross-sectional study carried out in 10 nursing homes in Natal (Brazil), between October/2013 and January/2014. All institutionalized older people 60+ that were not hospitalized, in ter...

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Autores principales: Paes de Andrade, Fabienne Louise Juvêncio, Jerez-Roig, Javier, Belém, Louise Natália Mesquita, de Lima, Kenio Costa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: HYLONOME PUBLICATIONS 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7155304/
https://www.ncbi.nlm.nih.gov/pubmed/32300718
http://dx.doi.org/10.22540/JFSF-04-051
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author Paes de Andrade, Fabienne Louise Juvêncio
Jerez-Roig, Javier
Belém, Louise Natália Mesquita
de Lima, Kenio Costa
author_facet Paes de Andrade, Fabienne Louise Juvêncio
Jerez-Roig, Javier
Belém, Louise Natália Mesquita
de Lima, Kenio Costa
author_sort Paes de Andrade, Fabienne Louise Juvêncio
collection PubMed
description OBJECTIVE: Verify the prevalence of frailty and its associated factors in institutionalized older people. METHODS: Cross-sectional study carried out in 10 nursing homes in Natal (Brazil), between October/2013 and January/2014. All institutionalized older people 60+ that were not hospitalized, in terminal state, coma or under palliative care were included in the study. The dependent variable of the study was the presence/absence of frailty, classified according to the following criteria: severe cognitive decline and/or impossibility of independent walking or being bedridden. The 5 criteria (muscular weakness, unintentional weight loss, low physical activity level, slowness and exhaustion) of Fried et al. were considered for those with preserved cognitive and walking capacity. The chi-square test or Fisher’s test and logistic regression were used for bivariate and multiple analysis, respectively. Sociodemographic, institution-related and health-related variables were also included. RESULTS: Of the 321 participating older people, 80.1% were considered frail, 16.8% pre-frail and 3.1% non-frail. The final model demonstrated association of frailty with age (OR=2.67; 95%CI 1.39-5.14; p=0.003), presence of chronic diseases (OR=10.27; 95%CI 3.42-30.90; p<0.001), systemic arterial hypertension (OR=0.11; 95%CI 0.05-0.27; p<0.001) and institutionalization due to lack of caregiver (OR=2.55; 95%CI 1.36-4.76; p=0.003) adjusted by sex and type of institution. DISCUSSION: Frailty was highly prevalent in institutionalized older people and its association with multi-factor aspects suggested that action of health services and government representations could aid in the prevention or delay of frailty onset, improving the life quality of older people.
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spelling pubmed-71553042020-04-16 Frailty among institutionalized older people: a cross-sectional study in Natal (Brazil) Paes de Andrade, Fabienne Louise Juvêncio Jerez-Roig, Javier Belém, Louise Natália Mesquita de Lima, Kenio Costa J Frailty Sarcopenia Falls Original Article OBJECTIVE: Verify the prevalence of frailty and its associated factors in institutionalized older people. METHODS: Cross-sectional study carried out in 10 nursing homes in Natal (Brazil), between October/2013 and January/2014. All institutionalized older people 60+ that were not hospitalized, in terminal state, coma or under palliative care were included in the study. The dependent variable of the study was the presence/absence of frailty, classified according to the following criteria: severe cognitive decline and/or impossibility of independent walking or being bedridden. The 5 criteria (muscular weakness, unintentional weight loss, low physical activity level, slowness and exhaustion) of Fried et al. were considered for those with preserved cognitive and walking capacity. The chi-square test or Fisher’s test and logistic regression were used for bivariate and multiple analysis, respectively. Sociodemographic, institution-related and health-related variables were also included. RESULTS: Of the 321 participating older people, 80.1% were considered frail, 16.8% pre-frail and 3.1% non-frail. The final model demonstrated association of frailty with age (OR=2.67; 95%CI 1.39-5.14; p=0.003), presence of chronic diseases (OR=10.27; 95%CI 3.42-30.90; p<0.001), systemic arterial hypertension (OR=0.11; 95%CI 0.05-0.27; p<0.001) and institutionalization due to lack of caregiver (OR=2.55; 95%CI 1.36-4.76; p=0.003) adjusted by sex and type of institution. DISCUSSION: Frailty was highly prevalent in institutionalized older people and its association with multi-factor aspects suggested that action of health services and government representations could aid in the prevention or delay of frailty onset, improving the life quality of older people. HYLONOME PUBLICATIONS 2019-06-01 /pmc/articles/PMC7155304/ /pubmed/32300718 http://dx.doi.org/10.22540/JFSF-04-051 Text en Copyright: © 2019 Hylonome Publications http://creativecommons.org/licenses/by-nc-sa/4.0 All published work is licensed under Creative Commons Attribution NonCommercial - ShareAlike 4.0 International
spellingShingle Original Article
Paes de Andrade, Fabienne Louise Juvêncio
Jerez-Roig, Javier
Belém, Louise Natália Mesquita
de Lima, Kenio Costa
Frailty among institutionalized older people: a cross-sectional study in Natal (Brazil)
title Frailty among institutionalized older people: a cross-sectional study in Natal (Brazil)
title_full Frailty among institutionalized older people: a cross-sectional study in Natal (Brazil)
title_fullStr Frailty among institutionalized older people: a cross-sectional study in Natal (Brazil)
title_full_unstemmed Frailty among institutionalized older people: a cross-sectional study in Natal (Brazil)
title_short Frailty among institutionalized older people: a cross-sectional study in Natal (Brazil)
title_sort frailty among institutionalized older people: a cross-sectional study in natal (brazil)
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7155304/
https://www.ncbi.nlm.nih.gov/pubmed/32300718
http://dx.doi.org/10.22540/JFSF-04-051
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