Frailty among community‐dwelling elderly <scp>M</scp>exican people: Prevalence and association with sociodemographic characteristics, health state and the use of health services

Sánchez-García, Sergio; Sánchez-Arenas, Rosalinda; García-Peña, Carmen; Rosas-Carrasco, Óscar; Ávila-Fuñes, José Alberto; Ruiz-Arregui, Liliana; Juárez‐Cedillo, Teresa

doi:10.1111/ggi.12114

Cited by 113 publications

(129 citation statements)

References 36 publications

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“…Regarding marital status, the condition of having no mate, being single, widowed or divorced was also associated with frailty. Pre-frailty condition was associated with the absence of a mate in a study carried out with elderly residents of the urban area of Uberaba, Minas Gerais (18) , a similar result to the one found in the pre-frail and frail Mexican elderly (19) . It is known that the condition of frailty is multidimensional and such findings underline the need to better understand determination of social factors connected with frailty in the elderly.…”

Section: Discussionsupporting

confidence: 72%

Frailty in the elderly: prevalence and associated factors

et al. 2017

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Objective: to know the prevalence and factors associated with frailty in elderly assisted by the Centro Mais Vida de Referência em Assistência à Saúde do Idoso (Mais Vida Health Reference Center for the Elderly) in the North of Minas Gerais, Brazil. Method: cross-sectional study, with sampling by convenience. Data collection occurred in 2015. Demographic and socioeconomic variables, morbidities, use of health services and the score of the Edmonton Frail Scale were analyzed. The adjusted prevalence ratios were obtained by multiple analysis of Poisson regression with robust variance. Results: 360 elderly aged 65 or older were evaluated. Frailty prevalence was 47.2%. The variables associated with frailty were the following: advanced age elderly, who live without a partner, have a caregiver, present depressive symptoms, osteoarticular disease, as well as history of hospitalization and falls in the last twelve months. Conclusion: knowledge of factors associated with frailty allows development of health actions aimed at the elderly. Descriptors: Elderly; Frail elderly; Health Vulnerability; Health of the Elderly; Public Health. RESUMO Objetivo: conhecer a prevalência e fatores associados à fragilidade em idosos assistidos pelo Centro Mais Vida de Referência em Assistência à Saúde do Idoso ao norte de Minas Gerais, Brasil. Método: estudo transversal, com amostragem por conveniência. A coleta de dados ocorreu em 2015. Analisaram-se variáveis demográfi cas e socioeconômicas, morbidades, utilização de serviços de saúde e o escore da Escala de Fragilidade de Edmonton. As razões de prevalências ajustadas foram obtidas por análise múltipla de regressão de Poisson com variância robusta. Resultados: foram avaliados 360 idosos com idade igual ou superior a 65 anos. A prevalência de fragilidade foi 47,2%. As variáveis associadas à fragilidade foram: idosos longevos, que vivem sem companheiro(a), possuem cuidador, apresentam sintomas depressivos, doença osteoarticular, bem como história de internação e de quedas nos últimos 12 meses. Conclusão: o conhecimento dos fatores associados à fragilidade permite que ações de saúde destinadas a idosos possam ser desenvolvidas. Descritores: Idoso; Idoso Fragilizado; Vulnerabilidade em Saúde; Saúde do Idoso; Saúde Coletiva. RESUMENObjetivo: identifi car la prevalencia y los factores asociados a la fragilidad en ancianos asistidos por el Centro Mais Vida, programa de Asistencia a la Salud del Anciano en el norte de Minas Gerais, Brasil. Método: estudio transversal, con muestreo por conveniencia. Se recolectaron los datos en el 2015. Se evaluaron las variables demográfi cas y socioeconómicas, comorbilidades, utilización de servicios de salud y el puntaje de la Escala de fragilidad de Edmonton. Se empleó el análisis múltiple de regresión de Poisson con varianza robusta para obtener las tasas de prevalencias ajustadas. Resultados: se evaluaron a 360 ancianos de más de 65 años de edad. Un 47,2% fue la tasa de prevalencia de fragilidad. Las variables asociadas a la fragilidad fueron:Rev B...

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Section: Discussionsupporting

confidence: 72%

Frailty in the elderly: prevalence and associated factors

et al. 2017

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“…In the literature, other studies have also detected an association between cognitive impairment and frailty, which were carried out at different contexts, such as: United States of America (22) ; Brazil (23) ; Canada (24) and Mexico (25) .…”

Section: Discussionmentioning

confidence: 99%

Elderly who take care of elderly: a study on the Frailty Syndrome

et al. 2017

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Objective: Identifying prevalence of frailty in elderly caregivers inserted in a high social vulnerability context and its correlation with sociodemographic and health aspects. Method: Descriptive, correlational and cross-sectional study. Forty elderly caregivers were evaluated with: questionnaire for caregiver characterization, Mini Mental State Examination, Katz Index, Lawton instrumental activities of daily living scale, Geriatric Depression Scale and the frailty phenotype proposed by Fried. Interviews were conducted at their residences and scheduled in advance. All ethical precautions were observed. Data were analyzed with the Stata statistical program version 11.0. Results: 10% of elderly caregivers were frail. There was a signifi cant correlation between frailty and sex, instrumental activities of daily living and cognition. Conclusion: Female caregivers, partially dependent individuals regarding instrumental activities of daily living and with worse cognitive state deserve a special attention from health services. Descriptors: Caregivers; Fragile Elderly; Geriatric Nursing; Social Vulnerability; Family Health. RESUMO Objetivo: Identifi car a prevalência de fragilidade em cuidadores idosos inseridos em contexto de alta vulnerabilidade social e sua correlação com aspectos sociodemográfi cos e de saúde. Método: Estudo descritivo, correlacional, transversal. Foram avaliados 40 cuidadores idosos utilizando-se: questionário para caracterização do cuidador, Mini Exame do Estado Mental, Índice de Katz, Escala de atividades instrumentais de vida diária de Lawton, Escala de Depressão Geriátrica e o fenótipo de fragilidade proposto por Fried. As entrevistas foram realizadas no domicílio, sendo previamente agendadas. Todos os cuidados éticos foram observados. Os dados foram analisados com apoio do pacote estatístico Stata versão 11.0. Resultados: 10,0% dos cuidadores idosos eram frágeis. Houve correlação signifi cativa entre fragilidade e: sexo, atividades instrumentais de vida diária e cognição. Conclusão: Cuidadoras do sexo feminino, indivíduos parcialmente dependentes em relação às atividades instrumentais de vida diária e com pior estado cognitivo merecem especial atenção dos serviços de saúde. Descritores: Cuidadores; Idoso Fragilizado; Enfermagem Geriátrica; Vulnerabilidade Social; Saúde da Família. RESUMENObjetivo: Identifi car la existencia de la fragilidad en ancianos cuidadores en un contexto de elevada vulnerabilidad social y su correlación con aspectos sociodemográfi cos y sanitarios. Método: Estudio descriptivo, correlacional, transversal. Se evaluaron a cuarenta ancianos cuidadores empleando: un cuestionario para conocer el cuidador, el Miniexamen del Estado Mental, el Índice de Katz, la Escala de actividades instrumentales de la vida diaria de Lawton, la Escala de depresión geriátrica y el fenotipo de fragilidad, de Fried. Se realizaron las entrevistas en las residencias con fecha y horario agendado. Se observaron todos los cuidados éticos. Se evaluaron los datos mediante el software Stata, ve...

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“…2,3,[6][7][8][9][10] Studies conducted both in Brazil and in other countries have reported different prevalence rates, ranging from 6.9% to 40.6% among frail elderly individuals and 46.3% to 60.1% among prefrail individuals. 2,4,[11][12][13][14] In this regard, frailty syndrome should be targeted by earlier investigations and interventions, given its impact on elderly individuals, their families and society as a whole. 1 Despite recent initiatives, there are few Brazilian studies assessing this condition, and interventions that reduce the impact of this syndrome are still insufficient.…”

Section: Introductionmentioning

confidence: 99%

Frailty syndrome in an independent urban population in Brazil (FIBRA study): a cross-sectional populational study

et al. 2016

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CONTEXT AND OBJECTIVE: Frailty is a multifactorial syndrome. The aim of this study was to determine the prevalence and characteristics of frailty syndrome in an elderly urban population. DESIGN AND SETTING: Cross-sectional study carried out at the homes of a randomized sample representing the independent elderly individuals of Ribeirão Preto, Brazil. METHODS: Sociodemographic characteristics, clinical data and criteria of the frailty phenotype were obtained at the subjects' homes; 385 individuals were evaluated. Frailty was defined based on detection of weight loss, exhaustion, weakness, slowness and low physical activity level. Individuals with three or more of these characteristics were classified as frail and those with one or two as pre-frail. Specific cutoff points for weakness, slowness and low physical activity level were calculated. RESULTS: The participants' mean age was 73.9 ± 6.5 years, and 64.7% were women. 12.5% had lost weight over the last year; 20.5% showed exhaustion, 17.1% slowness, 24.4% low physical activity level and 20.5% weakness. 9.1% were considered frail and 49.6% pre-frail. Frail subjects were older, attended more medical visits, had a higher chance of hospitalization within the last 12 months and had more cerebrovascular events, diabetes, neoplasms, osteoporosis and urinary and fecal incontinence. CONCLUSION: In this independent elderly population, there were numerous frail and pre-frail individuals. Frailty syndrome was associated with high morbidity. Cutoff points for weakness, slowness and low physical activity level should be adjusted for the population under study. It is essential to identify frail and pre-frail older individuals for appropriate interventions. RESUMO

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Frailty among community‐dwelling elderly Mexican people: Prevalence and association with sociodemographic characteristics, health state and the use of health services

Abstract: The results suggest that older age, disability, comorbidity, cognitive impairment and depression could have an influence role in frailty.

Cited by 113 publications

References 36 publications

Frailty in the elderly: prevalence and associated factors

Frailty in the elderly: prevalence and associated factors

Elderly who take care of elderly: a study on the Frailty Syndrome

Frailty syndrome in an independent urban population in Brazil (FIBRA study): a cross-sectional populational study

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