Effects of frailty and chronic diseases on quality of life in Dutch community-dwelling older adults: a cross-sectional study

Abstract

ObjectiveThe aim of this cross-sectional study was to determine the associations between frailty and multimorbidity on the one hand and quality of life on the other in community-dwelling older people.MethodsA questionnaire was sent to all people aged 70 years and older belonging to a general practice in the Netherlands; 241 persons completed the questionnaire (response rate 47.5%). For determining multimorbidity, nine chronic diseases were examined by self-report. Frailty was assessed by the Tilburg Frailty Indicator, and quality of life was assessed by the World Health Organization Quality of Life Instrument—Older Adults Module.ResultsMultimorbidity, physical, psychological, as well as social frailty components were negatively associated with quality of life. Multimorbidity and all 15 frailty components together explained 11.6% and 36.5% of the variance of the score on quality of life, respectively.ConclusionHealth care professionals should focus their interventions on the physical, psychological, and social domains of human functioning. Interprofessional cooperation between health care professionals and welfare professionals seems necessary to be able to meet the needs of frail older people.

Frailty in Parkinson’s Disease: A Systematic Review

“…One further paper was excluded at a later stage after authors were unable to provide data for PD subjects [18]. 8 papers remained for data extraction (see Table 1) [10][11][12][13][14][15][16][17]. No PD subjects (14) Full-text articles assessed for eligibility (n = 26 ) Records excluded (n = 17)…”

“…Of the 8 papers analysed, 7 were cross-sectional studies [10][11][12][13][14][15][16], and 1 a prospective cohort study [17].…”

“…The prospective cohort study included up to 74 people with PD, from having sampled a large cohorts of older people [17]. PD participants were sampled throughout the course of their disease, from those living independently in the community [10][11][12][13][14][15][16], to those with more advanced disease and comorbidity, including some residing in institutions [17].…”

Low intake of vitamins B6, C, E and folate from dietary sources may lead to a higher risk of developing frailty in older adults

“…Frailty leads to reduced quality of life, loss of function and independence, and increased morbidity and mortality 2. With an increasingly ageing population, the management of frailty poses significant challenges for health and social care services 1 2.…”

The Willingness of Community Pharmacists in Collaborative Care of Frail Elderly in Nursing Homes

“…According to a study conducted by Hamidin et al (2018), aging and chronic diseases vastly increase the risk of frailty among Malaysian community. Aging, multimorbidity, and both physical and psychosocial deterioration ended up to frailty and were negatively associated with quality of life (Renne & Gobbens 2018). The respondents also agreed that frailty is a barrier in providing healthcare treatment to the elderly patient.…”