Introduction: High Body Mass Index (BMI) is associated with mortality and morbidity in the elderly. High BMI is also associated with limited physical function. Another issue faced by the elderly is frailty, frailty is associated with decreased exercise capacity, reduced muscle strength, and decreased bone mass leading to adverse health outcomes such as disability, falls, hospitalization and death. Physical frailty is highly prevalent for the elderly who is living in nursing homes. The aim of this study is to determine the association between body mass index and frailty to Activities of Daily Living (ADL) among the elderly in the nursing home. Methods: This study was conducted in 3 nursing homes in South Sulawesi. BMI and frailty were measured. Frailty was assessed by Edmonton Frail Scale (EFS), while activities of daily living was examined by Barthel Index (BI) Results: There were 30 participants, consisting of males 10 (33.3%), and females 20 (66.7%) with a median age of 72 years old, included in this study. The median BMI result was 20.4 (13.3-29.2). The median result of EFS was 5.5 (2-12). The median BI result was 92.5 (45-100). BMI have insignificant correlation with ADL (r = 0.196; p = 0.298), frailty have negative strong correlation with ADL (r = -0.738; p=0.000). Conclusion: There was no significant correlation between BMI and ADL. Otherwise, frailty and ADL have a strong correlation among the elderly in the nursing home.

Background: Frailty is described by the collective decline of multiple physiological systems and increased vulnerability to multiple stressors. It is also linked to emotional distress and mental illness, especially depression. Both frailty and depression are correlated with many harmful consequences in the elderly, including decreased quality of life, escalated utilization of health services, and elevated morbidity and mortality. Given the prominence of frailty and depression in the elderly, and the deleterious consequences when they coexist, understanding the association between these factors is essential. Aim: This study aims to analyze the association between frailty and depression among the elderly in the nursing home. Material and Methods: This research was cross-sectional, and conducted at 3 nursing homes in South Sulawesi. Frailty and depression were measured. Frailty was assessed by Edmonton Frail Scale (EFS), while depression was evaluated by Geriatric Depression Scale (GDS). The data were analyzed with the Pearson test in SPSS 25. Results: There were 27 participants, consisting of females 19 (70.3%), and males 8 (29.6%) with a mean age was 73.15±8, included in this study. The mean EFS was 5.89±3.15. The mean GDS result was 3.74±3.14. Frailty has positive strong association with depression (r=0.6, p=0.001). Conclusion: There was a strong and substantial association between frailty and depression among the elderly in the nursing home.