Frailty syndrome and socioeconomic and health characteristics among older adults
Abstract
Objective:To investigate the association of frailty syndrome with socioeconomic and health variables among older adults.
Methods:This is a cross-sectional, observational and analytical household research conducted with a sample of 1,609 urban elderly. We used: semi-structured questionnaire, scales (Katz, Lawton and shortened version of Geriatric Depression Scale) and Fragility Phenotype proposed by Fried. Descriptive analysis was performed along with a bivariate and multinomial logistic regression model (p <0.05).
Results:The prevalence of pre-frailty condition was 52.0% and the fragility corresponded to 13.6%. Pre-frailty and frailty associated factors were, respectively: age range between 70 and 79 years and 80 years or more; one to four morbidities and five or more morbidities categories; functional disability for basic and instrumental activities of daily life and depression indicative; whilst lack of a companion or income and female gender were only associated to pre-frailty.
Conclusion:The conditions of pre-frailty and frailty levels were elevated with negative effects on the health of the elderly.
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Keywords
- frail elderly
- aging
- health status
- socioeconomic factors
- health services for the aged
- activities of daily living
References
Fattori A, Santimaria MR, Alves RM, Guariento ME, Neri AL. Influence of blood pressure profile on frailty phenotype in community-dwelling elders in Brazil -FIBRA study. Arch Gerontol Geriatr. 2013; 56(2):343-49.
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001; 56(3): M146-56.
Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targenting and care. J Gerontol A Biol Sci Med Sci. 2004; 59(3):255-263.
Garcia-Garcia FJ, Gutierrez Avila G, Alfaro-Acha A, Amor Andres MS, De Los Angeles, De La Torre Lanza M, et al. The prevalence of frailty syndrome in an older population from Spain. The Toledo study for healthy aging. J Nutr Health Aging. 2011; 15(10):852-56.
Jürschik P, Nunin C, Botigué T, Escobar MA, Lavedán A, Viladrosa M. Prevalence of frailty and factors associated with frailty in the elderly population of Lleida, Spain: The FRALLE survey. Arch Gerontol Geriatr. 2012; 55(3):625-31.
Vieira RA, Guerra RO, Giacomin KC, Vasconcelos KSS, Andrade ACS, Pereira LSM, et al. Prevalência de fragilidade e fatores associados em idosos comunitários de Belo Horizonte, Minas Gerais, Brasil: dados do estudo FIBRA. Cad Saude Publica. 2013; 29(8):1631-43.
Moreira VG, Lourenço RA. Prevalence and factors associated with frailty in an older population from the city of Rio de Janeiro, Brazil: the FIBRA-RJ Study. Clinics. 2013; 68(7): 979-85.
Neri AL, Yassuda MS, Araújo LF, Eulálio MC, Cabral BE, Siqueira MEC, et al. Metodologia e perfil sociodemográfico, cognitivo e de fragilidade de idosos comunitários de sete cidades brasileiras: Estudo FIBRA. Cad Saude Publica. 2013; 29(4):778-92.
Amaral FLJS, Guerra RO, Nascimento AFF, Maciel ACC. Apoio social e síndrome da fragilidade em idosos residentes na comunidade. Cien Saude Colet. 2013; 18(6):1835-46.
Chen CY, Wu SC, Chen LJ, Lue BH. The prevalence of subjective frailty and factors associated with frailty in Taiwan. Arch Gerontol Geriatr. 2010; 50(Supl.1): S43-S47.
Presidência da República. Lei nº 10.741 de 1º de outubro de 2003, Dispõe sobre o estatuto do Idoso e dá outras providencias, Seção 1:1-5. Brasília DF: Diário Oficial da União; 2003.
Fhon JRS, Diniz MA, Leonardo KC, Kusumota L, Haas VJ, Rodrigues RAP. Síndrome de fragilidade relacionada à incapacidade funcional no idoso. Acta Paul Enferm. 2012; 25(4):589-94.
Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O mini-exame do estado mental em uma população geral: impacto da escolaridade. Arq Neuropsiquiatr. 1994; 52(1):1-7.
Lino VTS, Pereira SEM, Camacho LAB, Ribeiro Filho ST, Buksman S. Adaptação transcultural da Escala de Independência em Atividades de Vida Diária (Escala de Katz). Cad Saude Publica. 2008; 24(1):103-12.
Santos RL, Virtuoso Júnior JS. Confiabilidade da versão brasileira da escala de atividades instrumentais da vida diária. RBPS. 2008; 21(4):290-296.
Almeida OP, Almeida SA. Confiabilidade da versão brasileira da Escala de Depressão em Geriatria (GDS) versão reduzida. Arq Neuropsiquiatr. 1999; 57(2-B):421-6.
Batistoni SST, Neri AL, Cupertino APFB. Validade da escala de depressão do Center for Epidemiological Studies entre idosos brasileiros. Rev Saude Publica. 2007; 41(4):598-605.
Benedetti TRB, Mazo GZ, Barros MVG. Aplicação do questionário internacional de atividades físicas (IPAQ) para avaliação do nível de atividades físicas de mulheres idosas: validade concorrente e reprodutibilidade teste-reteste. Rev Bras Cie Mov. 2004; 12(1):25-33.
Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995; 273(5):402-7.
Sousa AC, Dias RC, Maciel AC, Guerra RO. Frailty syndrome and associated factors in community-dwelling elderly in Northeast Brazil. Arch Gerontol Geriatr 2012; 54(2):e95-e101.
Santos PHS, Fernandes MH, Casotti CA, Coqueiro RS, Carneiro JAO. Perfil de fragilidade e fatores associados em idosos cadastrados em uma Unidade de Saúde da Família. Ciênc Saude Coletiva. 2015; 20(6):1917-24.
Duarte MCS, Fernandes MGM, Rodrigues RAP, Nóbrega MML. Prevalência e fatores sociodemográficos associados à fragilidade em mulheres idosas. Rev Bras Enferm. 2013; 66(6): 901-6.
Storti LB, Fabrício-Whebe SCC, Kusumota L, Rodrigues RAP, Marques S. Fragilidade de idosos internados na clínica médica da unidade de emergência de um hospital geral terciário. Texto Contexto Enferm. 2013; 22(2): 452-49.
Szanton SL, Seplaki CL, Thorpe RJ Jr, Allen JK, Fried LP. Socioeconomic status is associated with frailty: the women’s health and aging studies. J Epidemiol Community Health. 2010; 61(1): 63-7.
Yang Y, Lee LC. Dynamics and heterogeneity in the process of human frailty and aging: evidence from the U.S. older adult population. J Gerontol B Psychol Sci Soc Sci. 2010; 65B(2): 246-55.
Alvarado BE, Zunzunegui MV, Béland F, Bamvita JM. Life course social and health conditions linked to frailty in latin american older men and women. J Gerontol A Biol Sci Med Sci. 2008; 63(12): 1399-1406.
Fernandez-Bolaños M, Otero A, Zunzunegui MV, Beland F, Alarcón T, Hoyos C, et al. Sex differences in the prevalence of frailty in a population aged 75 and older in Spain. J Am Geriatr Soc. 2008; 56(12): 2370-71.
Bastos-Barbosa RG, Ferriolli E, Coelho EB, Moriguti JC, Nobre F, Lima NK. Association of frailty syndrome in the elderly with higher blood pressure and other cardiovascular risk factors. Am J Hypertens. 2012; 25(11):1156-61.
Chang SS, Weiss CO, Xue Q, Fried LP. Patterns of comorbid inflammatory diseases in frail older women: the Women’s Health and Aging Studies I and II. J Gerontol A Biol Sci Med Sci, 2010; 65:407-13.
Silva VA, Souza KL, D’Elboux M. Urinary incontinence and the criteria of frailness among the elderly outpatients. Rev Esc Enferm USP. 2011; 45(3): 672-78.
DuBeau CE, Kuchel GA, Johnson T 2nd, Palmer MH, Wagg A. Incontinence in the frail elderly: Report from the 4th international consultation on incontinence. Neurourol Urodyn. 2010; 29(1): 165-78.
Carmo LV, Drummond LP, Arantes PMM. Avaliação do nível de fragilidade em idosos participantes de um grupo de convivência. Fisioter Pesqui. 2011; 18(1): 17-22.
Certo A, Sanchez K, Galvão A, Fernandes H. A síndrome da fragilidade nos idosos. Revisão da literatura. Actas Gerontol. 2016; 2(1):2-11.
Feng L, Nyunt MS, Feng L, Yap KB, Ng TP. Frailty predicts new and persistent depressive symptoms among community-dwelling older adults: findings from Singapore longitudinal aging study. J Am Med Dir Assoc. 2014; 15(1):76.e7-76.e12..
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