Frailty and Risk of Falls in Community-Dwelling Older Adults Living in a Rural Setting. The Atahualpa Project

Brutto, Oscar H. Del; Mera, Robertino M.; Peinado, Carlos; Zambrano, Mauricio; Sedler, Mark J.

doi:10.14283/jfa.2019.36

Cited by 9 publications

(9 citation statements)

References 24 publications

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“…We eventually included 36 papers for this research. [4,5,8–41] The conditions in these studies and the clinical details of the patients are presented in Table 1. The search flow diagram is presented in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

“…Finally, there are 36 studies [4,5,8–41] with 58,028 people included in this systematic-review. Data extraction included the baseline characteristics of aging adults, their lifestyle habits, their accompanying diseases, and whether they had experienced falls.…”

Section: Methodsmentioning

confidence: 99%

“…Several recent studies have identified severity of frailty across various conditions, including old age, female sex, and reduced concentration and motivation. [4,5,8–41] However, high-quality systematic reviews are still in demand. Overall, we conducted this project to study the risk factors for frailty.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for frailty in older adults

Wang

2022

Medicine

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Aims: To clarify the risk factors for frailty to help doctors prevent diseases that cause weakness, through early interventions. Methods: We searched the PubMed, EMBASE, and Cochrane Library databases to identify all relevant studies using the items “frailty,” “weak,” “risk factors,” and “predictive factors” and compared their results. The aging population (≥65 years old) was divided into 2 groups, a “frailty group” and a “robust control group,” and then the characteristics, lifestyles, and comorbidities were compared. Results: We compared the influence of baseline and concomitant diseases on frailty in the elderly respectively, and the analysis of the influence of baseline on frailty found that increasing age, lower weight, female sex, living alone, low levels of exercise, polypharmacy, higher education level, smoking, drinking, malnutrition, and lower vitamin D levels were associated with aging individuals being more likely to experience frailty. The data about concomitant diseases had shown that diabetes, hearing dysfunction, cognitive impairment, poor sleep, a history of falls, pain, and depression can increase the risk of frailty among the elderly population. Conclusion: Characteristics, comorbidities, and lifestyle factors can impact the occurrence of frailty, and relevant influencing factors should be considered.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Risk factors for frailty in older adults

Wang

2022

Medicine

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“…Concerning the health-related parameters assessed, frail patients were significantly more likely to feel frequently tired and less full of energy, to have vision problems, pain [55], difficulty walking and climbing stairs [56], and to suffer a fall [57,58]. Moreover, sphincter incontinence, cardiac, vascular and respiratory diseases, as well as depression/other psychiatric disease were more prevalent among frail patients [59,60].…”

Section: Discussionmentioning

confidence: 99%

Frailty in Portuguese Older Patients From Convalescence Units: A Cross-Sectional Study

et al. 2022

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Background: Frailty is a common geriatric syndrome, associated with adverse clinical outcomes. Nevertheless, studies about frailty in continuous care units are scarce. In this way, this study aimed to assess frailty in older patients admitted in convalescence units (CUs) and analyze its association with demographic, social and clinical characteristics. Methods:This cross-sectional study included older patients admitted in eight CUs of the Integrated Continued Care National Network in Northern Portugal. Exclusion criteria were: total ≤ 11 in Glasgow coma scale, < 10 in mini-mental state examination or being unable to communicate. A comprehensive protocol was administered to assess health-related and lifestyle characteristics, comorbidity, dependence on activities of daily living (ADL), depressive and anxiety symptoms, cognition, and socio-familial risk. Frailty was assessed by Tilburg frailty indicator (TFI).Results: A sample of 165 patients was included (median age = 77; 65% female), with 80% classified as frail, mostly women (P = 0.002), widowed (P = 0.016), shorter (P = 0.005), feeling more tired (P < 0.005) and with less energy (P < 0.005). Also, these patients reported more vision problems (P = 0.006), difficulties in walking (P = 0.022) and climbing stairs (P = 0.029), pain (P = 0.004), falls (P = 0.046), non-alcohol use (P = 0.043) and non-physical activity (P = 0.032). Frail patients had a higher number of previous hospitalizations (P = 0.018), comorbidity (P = 0.006), dependence on instrumental (P < 0.001) and basic (P = 0.006; P < 0.001) ADL, depressive (P < 0.001) and anxiety (P = 0.002) symptoms. After adjusting for covariates, frailty was associated with females (adjusted odds ratio (aOR) = 4.45, P = 0.011), vascular disease (aOR = 4.40, P = 0.040), vision problems (aOR = 10.85, P < 0.001), high dependency on instrumental ADL (aOR = 0.74, P = 0.002), and depressive symptoms (aOR = 1.37, P = 0.001). Conclusions:Frailty is high among older patients in CUs, particularly in females, with vascular disease, vision problems, instrumental ADL dependence and depressive symptoms. Thus, frailty should be screened, and preventive and therapeutic measures should be considered for those at high risk, in order to minimize possible negative consequences.

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“…Among the worldwide aged population, frailty is an important health issue and is characterized by decreased physiological reserve and function across multiple physiologic systems ( 1 , 2 ). It is associated with adverse events, including falls ( 3 , 4 ), hospitalization, institutionalization ( 5 ), disability ( 6 ), lower quality of life and mortality ( 7 ). As a part of abnormal aging, frailty is a common public health problem with a prevalence of about 10% in the community-dwelling elderly population ( 1 ).…”

Section: Introductionmentioning

confidence: 99%

Incidence and predictive value of social frailty among community-dwelling older adults in Southwest China: A prospective cohort study

Sun

Tan²,

Tang³

et al. 2023

Front. Public Health

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BackgroundFew studies have focused on the incidence and correlation of social frailty (SF) with adverse health events in Southwest China. This study aims to explore the predictive value of SF for adverse health events.MethodsA 6-year prospective cohort study was employed, a total of 460 community-dwelling older adults aged 65 years and above were analyzed to provide a baseline in 2014. Participants completed two longitudinal follow-ups at 3 (2017, 426 participants involved) and 6 (2020, 359 participants involved) years later. A modified social frailty screening index was used in this study, and adverse health events such as physical frailty (PF) deterioration, disability, hospitalization, falls, and mortality were evaluated.ResultsAmong these participants in 2014, the median age was 71 years, 41.1% were male, and 71.1% were married or cohabiting, up to 112 (24.3%) of them were classified as SF. It was observed that aging (OR = 1.04, 95% CI = 1.00–1.07, P = 0.047) and having family members die in the past year (OR = 2.60, 95% CI = 0.93–7.25, P = 0.068) were risk factors of SF, whereas having a mate (OR = 0.40, 95% CI = 0.25–0.66, P = 0.000) and having family members to help with care (OR = 0.53, 95% CI = 0.26–1.11, P = 0.092) were protective factors of SF. The cross-sectional study demonstrated that SF was only significantly associated with disability (OR = 12.89, 95% CI = 2.67–62.13, P = 0.001) at wave 1. Baseline SF significantly explained the incidence of mortality at the 3-year (medium-term, OR = 4.89, 95% CI = 2.23–10.71, P = 0.000) and 6-year follow-ups (long-term, OR = 2.22, 95% CI = 1.15–4.28, P = 0.017).ConclusionSF prevalence was higher in the Chinese older population. Older adults with SF had a significantly increased incidence of mortality at the longitudinal follow-up. Consecutive comprehensive health management of SF (e.g., avoiding living alone and increasing social engagement) is urgently needed for the purposes of early prevention and multidimensional intervention in adverse health events, including disability and mortality.

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Frailty and Risk of Falls in Community-Dwelling Older Adults Living in a Rural Setting. The Atahualpa Project

Cited by 9 publications

References 24 publications

Risk factors for frailty in older adults

Risk factors for frailty in older adults

Frailty in Portuguese Older Patients From Convalescence Units: A Cross-Sectional Study

Incidence and predictive value of social frailty among community-dwelling older adults in Southwest China: A prospective cohort study

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