Social Determinants of Frailty

Woo, Jean; Goggins, William B.; Sham, Aprille; Ho, Suzanne C.

doi:10.1159/000088705

Cited by 250 publications

(241 citation statements)

References 27 publications

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“…12 According to Morley,39 poor social conditions worsen the physiopathology of the syndrome of frailty. This statement corroborated the findings of Woo,40 who reported that an individual´s social support network (appropriate interventions) is a modifying factor for frailty.…”

Section: Discussionsupporting

confidence: 89%

Prevalence of phenotypic frailty during the aging process in a Portuguese community

Duarte

Paúl²

2015

Rev. bras. geriatr. gerontol.

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The present study is based on the conceptual model defined by Fried which explains phenotypic frailty through the presence of the following criteria: weight loss; exhaustion; low physical activity; slowness and weakness. The aim of the present study was to identify the behaviour of phenotypic frailty and outline the profile of the frail elderly person. In order to do this, a random stratified sample of 339 individuals residing in the community was obtained. A frailty protocol was developed, composed of measures related to the aging process and phenotypic frailty. The results indicated a high prevalence of this syndrome (34.9%). It occurs more frequently among women (40.9%) and at more advanced ages (60.4%). The criteria that appeared most frequently in association with frailty are low physical activity (88.9%) and slowness (86.4%). Frail elderly individuals were characterized by being widow/separated/divorced (46.7%); illiterate (71.1%); living within a family with some degree of dependence (41.6%); living in unsuitable conditions (44.9%); having limited social relations (54.2%) and not receiving social support (37.6%). It can be concluded that frailty is a prevalent condition, and that the profile of the frail individual is associated with a set of characteristics that result in greater vulnerability, which suggests possible areas of intervention to minimize and delay this syndrome.

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Section: Discussionsupporting

confidence: 89%

Prevalence of phenotypic frailty during the aging process in a Portuguese community

Duarte

Paúl²

2015

Rev. bras. geriatr. gerontol.

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“…23 In the present study, only 7% of the subjects who were considered to be frail did not have any chronic disease, and 25% of this group reported having hypertension. The frail group attended more medical visits than the non-frail group.…”

Section: And 87% In Belocontrasting

confidence: 51%

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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“…For example, an individual's wealth and the level of neighbourhood deprivation impacts on frailty and mortality but the size and direction of the impact may differ between the sexes (Gu et al, 2009;Lang et al, 2009;Major et al, 2010;Romero-Ortuno, 2014;Woo et al, 2005). Factors such as marital status, education level and social supports have all been reported to impact on male and female frailty (Andrew et al, 2008;Gorman and Read, 2006;Gu et al, 2009;Szanton et al, 2010;Woo et al, 2005).…”

Section: Accepted M Manuscriptmentioning

confidence: 99%