Physical Frailty and Risk of Needing Long-Term Care in Community-Dwelling Older Adults: A 6-Year Prospective Study in Japan

Chen, S.; Honda, Takanori; Narazaki, Kenji; Chen, T.; Kishimoto, Hiro; Kumagai, Shuzo

doi:10.1007/s12603-019-1242-6

Cited by 21 publications

(23 citation statements)

References 23 publications

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“…In the risk of LTC needs, being pre-frail and frail increased by 1.5- and 2-fold compared with robust patients at baseline respectively. 17 These estimates were lower than our study. A possible reason for this may include the different tools for assessing LTC needs and frailty status, and differences in the educational levels of the participants.…”

Section: Discussioncontrasting

confidence: 78%

Relationship between frailty and long-term care needs in Chinese community-dwelling older adults: a cross-sectional study

et al. 2022

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ObjectivesOur study aimed to investigate the relationship between the severity of frailty and the long-term care (LTC) needs of older adults from Chinese communities.DesignA cross-sectional study.SettingThree Chinese community health centres. All data were collected by trained researchers through face-to-face collection.ParticipantsWe surveyed a total of 540 older residents who aged 60 or older from community in Guangzhou, China.MeasuresThe Chinese version of the Tilburg frailty indicator was used to assess the frailty status of participants. LTC needs was evaluated by Integrated Home Care Services Questionnaire. Using non-adjusted and multivariate adjusted logistic regression analysis to evaluate frailty and LTC needs, then smoothed plots, threshold effect analysis and P for trend were used to further investigate the relationship between them.ResultsThe prevalence of frailty was 45.2% among the 540 older adults enrolled (aged 70.4±8.3 years; 65.7% females). 27% had higher LTC needs, which increased to 65.1% for individuals with frailty. Logistic regression analysis showed that frailty was strongly associated with LTC needs (OR 3.06, 95% CI 2.06 to 4.55, p<0.01). In the multivariate model, after adjusting for demographic characteristics, economic situation, activities of daily living and comorbidities, frailty remained significantly associated with LTC needs (OR 2.32, 95% CI 1.39 to 3.88, p<0.01). The smoothed plots showed a nearly linear relationship between frailty and LTC needs. Threshold effect analysis showed that every point increase in frailty, the score of LTC needs increased 1.3 points. The IQR to regroup individuals with frailty. Compared with the first quartile (scores ≤2), the incidence of LTC needs increased with the frailty status (p value for trend <0.01).ConclusionThere is a linear relationship between frailty and LTC needs. With the increasing degree of frailty, the LTC needs of older adults dramatically increases.

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Section: Discussioncontrasting

confidence: 78%

Relationship between frailty and long-term care needs in Chinese community-dwelling older adults: a cross-sectional study

et al. 2022

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“…Frail older people are at higher risk of needing long-term care (LTC) ( 6 ). At the moment, Indonesia is in the process of developing LTC service for elderly population with significant loss of capacity.…”

Section: Introductionmentioning

confidence: 99%

Frailty and Its Associated Risk Factors: First Phase Analysis of Multicentre Indonesia Longitudinal Aging Study

et al. 2021

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Background: National long-term care development requires updated epidemiological data related to frailty. We aimed to find the prevalence of frailty and its associated factors among Indonesian elderly.Methods: We conducted first-phase cross-sectional analysis of Indonesia Longitudinal Aging Study (INALAS) data collected from community-dwelling outpatients aged 60 years and older without acute illness in nine geriatric service care centres. Descriptive, bivariate and multivariate analyses were conducted.Results: Among 908 elderly in this study, 15.10% were robust, 66.20% were pre-frail, and 18.70% were frail. Functional dependence was associated with frailty among Indonesian elderly (OR 5.97, 95% CI 4.04–8.80). Being depressed and at risk for malnutrition were also associated with frailty with OR 2.54, 95% CI 1.56–4.12, and OR 2.56, 95% CI 1.68–3.90, respectively. Prior history of fall (OR 1.77, 95% CI 1.16–2.72) and hospitalization (OR 1.46, 95% CI 0.97–2.20) in the previous 12 months were associated with frailty. There is also significant association between poly pharmacy and frailty (OR 2.42, 95% CI 1.50–3.91).Conclusion: Approximately one in five Indonesian community-dwelling elderly was frail. Frailty is associated with functional dependence, being at risk for malnutrition or being malnourished, depression, history of fall, history of hospitalization, and poly pharmacy. There may be bidirectional relationships between the risk factors and frailty. The development of long-term care in Indonesia should be considered, without forcing the elderly who need it.

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“…Physical frailty includes low gait speed, weakness, exhaustion, low physical activity, and weight loss; as these domains are interrelated, a decline in one tends to drive a decline in another [2]. Physical frailty increases the risk of long-term care needs, falls, premature mortality, hospitalization, and disability [1,3,4]. Consequently, maintaining and improving overall health is important to preventing frailty and the associated consequences.…”

Section: Introductionmentioning

confidence: 99%

Association between Physical Frailty Subdomains and Oral Frailty in Community-Dwelling Older Adults

Komatsu

Nagai

Hirabayashi

et al. 2021

IJERPH

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This cross-sectional study aimed to demonstrate the association between physical frailty subdomains and oral frailty. This study involved community-dwelling older adults (aged ≥65 years). Physical frailty was assessed with the Japanese version of the Cardiovascular Health Study criteria. Oral frailty was defined as limitations in at least three of six domains. Logistic regression analysis was used to analyze the association between physical frailty risk and oral frailty. In addition, we examined the association between physical frailty subdomains (gait speed, grip strength, exhaustion, low physical activity, and weight loss) and oral frailty. A total of 380 participants were recruited for this study. Overall, 18% and 14% of the participants were at risk of physical frailty and had oral frailty, respectively. Physical frailty risk (odds ratio (OR) = 2.40, 95% confidence interval (CI): 1.22–4.75, p = 0.012) was associated with oral frailty in multivariate analysis. In secondary analysis, among physical frailty subdomains, gait speed (OR = 0.85, 95% CI: 0.73–0.97, p = 0.019) was associated with oral frailty. The present findings suggest that physical frailty is closely related to oral frailty. Among physical frailty subdomains, decreased gait speed in particular is an important indicator related to the development of oral frailty.

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Physical Frailty and Risk of Needing Long-Term Care in Community-Dwelling Older Adults: A 6-Year Prospective Study in Japan

Cited by 21 publications

References 23 publications

Relationship between frailty and long-term care needs in Chinese community-dwelling older adults: a cross-sectional study

Relationship between frailty and long-term care needs in Chinese community-dwelling older adults: a cross-sectional study

Frailty and Its Associated Risk Factors: First Phase Analysis of Multicentre Indonesia Longitudinal Aging Study

Association between Physical Frailty Subdomains and Oral Frailty in Community-Dwelling Older Adults

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