BACKGROUND: Little is known about frailty in institutionalized older adults, and there are few longitudinal studies on this topic. OBJECTIVES: To determine the prevalence and attributes of frailty in institutionalized Spanish older adults. DESIGN: Cross-sectional analysis of basal data of a concurrent cohort study. SETTING: Two nursing homes, Vasco Núñez de Balboa and Paseo de la Cuba, in Albacete, Spain. PARTICIPANTS: 331 institutionalized adults older than 65 years. MEASUREMENTS: Frailty was defined by the presence of 3 or more Fried criteria and prefrailty by the presence of 1 or 2: unintentional weight loss, low energy, exhaustion, slowness, and low physical activity. Covariables were sociodemographic, anthropometric, functional, cognitive, affective and of comorbidity. Hospitalization, emergency visits and falls in the 6 previous months was recorded. Differences between non-frail and prefrail as one group and frail participants were analyzed using χ(2) tests, t-Student and logistic regression. RESULTS: Mean age 84.1 (SD 6.7), with 209 (65.1%) women. 68.8% were frail, 28.4% pre-frail, 2.8% non-frail, and in 2.2% three criteria were not available to determine frailty status. Women were more frequently frail than men (77.1% vs. 22.9%; p<0.001), and frail participants were older (85.1 vs. 82.3; p<0.001) than non-frail ones. Female sex (OR 2.7 95%CI 1.2-6.2), Barthel index (OR 2.2 95%CI 1.2-4.4), depression risk (OR 2.2 95%CI 1.0-4.9) and Short Physical Performance Battery scores (0.7 95%CI 0.6-0.8) were independently associated with frailty status. Frailty had a non-significant association with hospitalization (OR 1.9 95%CI 0.8-4.5) and emergency visits (OR 1.5 95%CI 0.7-3.2) in the previous 6 months. CONCLUSION: In a cohort of institutionalized older adults the prevalence of frailty was 68.8% and was associated with adverse health geriatric outcomes.
BACKGROUND: Little is known about frailty in institutionalized older adults, and there are few longitudinal studies on this topic. OBJECTIVES: To determine the prevalence and attributes of frailty in institutionalized Spanish older adults. DESIGN: Cross-sectional analysis of basal data of a concurrent cohort study. SETTING: Two nursing homes, Vasco Núñez de Balboa and Paseo de la Cuba, in Albacete, Spain. PARTICIPANTS: 331 institutionalized adults older than 65 years. MEASUREMENTS: Frailty was defined by the presence of 3 or more Fried criteria and prefrailty by the presence of 1 or 2: unintentional weight loss, low energy, exhaustion, slowness, and low physical activity. Covariables were sociodemographic, anthropometric, functional, cognitive, affective and of comorbidity. Hospitalization, emergency visits and falls in the 6 previous months was recorded. Differences between non-frail and prefrail as one group and frail participants were analyzed using χ(2) tests, t-Student and logistic regression. RESULTS: Mean age 84.1 (SD 6.7), with 209 (65.1%) women. 68.8% were frail, 28.4% pre-frail, 2.8% non-frail, and in 2.2% three criteria were not available to determine frailty status. Women were more frequently frail than men (77.1% vs. 22.9%; p<0.001), and frail participants were older (85.1 vs. 82.3; p<0.001) than non-frail ones. Female sex (OR 2.7 95%CI 1.2-6.2), Barthel index (OR 2.2 95%CI 1.2-4.4), depression risk (OR 2.2 95%CI 1.0-4.9) and Short Physical Performance Battery scores (0.7 95%CI 0.6-0.8) were independently associated with frailty status. Frailty had a non-significant association with hospitalization (OR 1.9 95%CI 0.8-4.5) and emergency visits (OR 1.5 95%CI 0.7-3.2) in the previous 6 months. CONCLUSION: In a cohort of institutionalized older adults the prevalence of frailty was 68.8% and was associated with adverse health geriatric outcomes.
Authors: Rebecca J Kamil; Joshua Betz; Becky Brott Powers; Sheila Pratt; Stephen Kritchevsky; Hilsa N Ayonayon; Tammy B Harris; Elizabeth Helzner; Jennifer A Deal; Kathryn Martin; Matthew Peterson; Suzanne Satterfield; Eleanor M Simonsick; Frank R Lin Journal: J Aging Health Date: 2015-10-05
Authors: S Eyigor; Y G Kutsal; E Duran; B Huner; N Paker; B Durmus; N Sahin; G M Civelek; K Gokkaya; A Doğan; R Günaydın; F Toraman; T Cakir; D Evcik; A Aydeniz; A G Yildirim; P Borman; M Okumus; E Ceceli Journal: Age (Dordr) Date: 2015-05-07
Authors: Qian-Li Xue; Jing Tian; Linda P Fried; Rita R Kalyani; Ravi Varadhan; Jeremy D Walston; Karen Bandeen-Roche Journal: Am J Epidemiol Date: 2016-05-05 Impact factor: 4.897
Authors: Ana Maria Teixeira; José Pedro Ferreira; Eef Hogervorst; Margarida Ferreira Braga; Stephan Bandelow; Luís Rama; António Figueiredo; Maria João Campos; Guilherme Eustáquio Furtado; Matheus Uba Chupel; Filipa Martins Pedrosa Journal: Front Public Health Date: 2016-06-27