Título
Frailty in community-dwelling older adults: association with adverse outcomes
Autor
Sergio Sánchez-García
María del Carmen García Peña
Antoni Salvà
ROSALINDA SANCHEZ ARENAS
VICTOR GRANADOS GARCIA
Juan Cuadros-Moreno
LAURA BARBARA VELAZQUEZ OLMEDO
Ángel Cárdenas Bahena
Nivel de Acceso
Acceso Abierto
Materias
MEDICINA Y CIENCIAS DE LA SALUD - (CTI) BIOLOGÍA Y QUÍMICA - (CTI) Fragilidad - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)]) Envejecimiento - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)]) Caídas accidentales - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)]) Servicios de salud - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)]) Calidad de vida - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)]) Seguridad social - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)]) Frailty - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)]) Aging - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)]) Accidental Falls - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)]) Health Services - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)]) Quality of Life - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)]) Social Security - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)]) Ciudad de México - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)]) Mexico City - ([Clinical Interventions in Aging (1178-1998) vol. 12 (2017)])
Resumen o descripción
Background: The study of frailty is important to identify the additional needs of medical long-term care and prevent adverse outcomes in community dwelling older adults. This study aimed to determine the prevalence of frailty and its association with adverse outcomes in community dwelling older adults.
Methods: A cross-sectional study was carried out from April to September 2014. The population sample was 1,252 older adults (≥60 years) who were beneficiaries of the Mexican Institute of Social Security (IMSS) in Mexico City. Data were derived from the database of the “Cohort of Obesity, Sarcopenia and Frailty of Older Mexican Adults” (COSFOMA). Operationalization of the phenotype of frailty was performed using the criteria of Fried et al (weight loss, self-report of exhaustion, low physical activity, slow gait, and weakness). Adverse outcomes studied were limitation in basic activities of daily living (ADLs), falls and admission to emergency services in the previous year, and low quality of life (WHOQOL-OLD).
Results: Frailty was identified in 20.6% (n=258), pre-frailty in 57.6% (n=721), and not frail in 21.8% (n=273). The association between frailty and limitations in ADL was odds ratio (OR) =2.3 (95% confidence interval [CI] 1.7–3.2) and adjusted OR =1.7 (95% CI 1.2–2.4); falls OR =1.6 (95% CI 1.2 2.1) and adjusted OR =1.4 (95% CI 1.0–1.9); admission to emergency services OR =1.9 (95% CI 1.1–3.1) and adjusted OR =1.9 (95% CI 1.1–3.4); low quality of life OR =3.4 (95% CI 2.6–4.6) and adjusted OR =2.1 (95% CI 1.5–2.9).
Conclusion: Approximately 2 out of 10 older adults demonstrate frailty. This is associated with limitations in ADL, falls, and admission to emergency rooms during the previous year as well as low quality of life.
Editor
Dovepress
Fecha de publicación
2017
Tipo de publicación
Artículo
Recurso de información
Formato
Adobe PDF
application/pdf
Fuente
Clinical Interventions in Aging (1178-1998) vol. 12 (2017)
Idioma
Inglés
Relación
https://www.dovepress.com/frailty-in-community-dwelling-older-adults-association-with-adverse-ou-peer-reviewed-fulltext-article-CIA
Repositorio Orígen
INSTITUTO NACIONAL DE GERIATRIA
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