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Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational study

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...

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Autores principales: Melo Filho, Jarbas, Moreira, Natália Boneti, Vojciechowski, Audrin Said, Biesek, Simone, Bento, Paulo Cesar Barauce, Gomes, Anna Raquel Silveira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Medicina / USP 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7384202/
https://www.ncbi.nlm.nih.gov/pubmed/32756821
http://dx.doi.org/10.6061/clinics/2020/e1694
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author Melo Filho, Jarbas
Moreira, Natália Boneti
Vojciechowski, Audrin Said
Biesek, Simone
Bento, Paulo Cesar Barauce
Gomes, Anna Raquel Silveira
author_facet Melo Filho, Jarbas
Moreira, Natália Boneti
Vojciechowski, Audrin Said
Biesek, Simone
Bento, Paulo Cesar Barauce
Gomes, Anna Raquel Silveira
author_sort Melo Filho, Jarbas
collection PubMed
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 ≥60 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 (p<0.05). 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.
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spelling pubmed-73842022020-08-13 Frailty prevalence and related factors in older adults from southern Brazil: A cross-sectional observational study Melo Filho, Jarbas Moreira, Natália Boneti Vojciechowski, Audrin Said Biesek, Simone Bento, Paulo Cesar Barauce Gomes, Anna Raquel Silveira Clinics (Sao Paulo) Original Article 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 ≥60 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 (p<0.05). 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. Faculdade de Medicina / USP 2020-07-27 2020 /pmc/articles/PMC7384202/ /pubmed/32756821 http://dx.doi.org/10.6061/clinics/2020/e1694 Text en Copyright © 2020 CLINICS http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.
spellingShingle Original Article
Melo Filho, Jarbas
Moreira, Natália Boneti
Vojciechowski, Audrin Said
Biesek, Simone
Bento, Paulo Cesar Barauce
Gomes, Anna Raquel Silveira
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
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_short 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
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7384202/
https://www.ncbi.nlm.nih.gov/pubmed/32756821
http://dx.doi.org/10.6061/clinics/2020/e1694
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