The prevalence of frailty and related factors in community-dwelling Turkish elderly according to modified Fried Frailty Index and FRAIL scales

Akın, Sibel; Mazıcıoğlu, Mumtaz M.; Mucuk, Salime; Göçer, Şemsinnur; Şafak, Elif Deni̇z; Arguvanli, Sibel; Öztürk, Ahmet

doi:10.1007/s40520-015-0337-0

Cited by 66 publications

(66 citation statements)

References 22 publications

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“…Physically frail adults (SPPB grade 3) had a higher adjusted risk of FoF compared to less physically frail adults. Contrary to the findings of the present study, a population-based study on 906 community-dwelling older Turkish adults (71.5 ± 5.6 years; 50.6% female) indicated that physical frailty assessed with Fried et al's scale was not associated with FoF in the multivariate model [23].…”

Section: Discussioncontrasting

confidence: 99%

Fear of falling and physical performance among older Czech adults

Kurková¹,

Kisvetrová²,

Horváthová³

et al. 2020

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A -Study Design, B -Data Collection, C -Statistical Analysis, D -Data Interpretation, E -Manuscript Preparation, F -Literature search, G -Funds CollectionBackground. The fear of falling (FoF) refers to a lack of self-confidence that normal activities can be performed without falling. FoF represents an important psychological factor at an older age.Objectives. This study aimed to analyse the factors associated with FoF in a sample of community-dwelling older Czech adults. Material and methods. A cross-sectional study was performed in 2017-2018. The Falls Efficacy Scale-International and the Short Physical Performance Battery were completed by 349 older adults with (n = 140) and without (n = 209) dementia. Fisher's exact test, analysis of variance and logistic regression models were used for statistical analyses. Results. Cognitive impairment, age and physical frailty were significantly associated with higher FoF. In three models of linear regression, associations between FoF and physical frailty were found. The first model demonstrated that physically frail older adults had a higher adjusted risk of FoF compared to less physically frail individuals [odds ratio (OR) = 11.91; 95% confidence interval (CI): 7.17-19.78]. In the second model, high FoF was discovered in physically frail adults age ≥ 80 (OR = 11.41; 95% CI: 6.50-20.04) and women (OR = 1.97; 95% CI: 1.08-3.59). In the final adjusted model, physically frail older adults had a higher FoF compared to less physically frail adults (OR = 10.02; 95% CI: 4.24-23.70), and higher education lowered the FoF score (OR = 0.57; 95% CI: 0.34-0.96; p = 0.034).Conclusions. The multivariate analysis demonstrated that being physically frail was the main risk factor for high FoF, followed by the female gender. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/). Kurková P, Kisvetrová H, Horváthová M, Tomanová J, Bretšnajdrová M, Herzig R. Fear of falling and physical performance among older Czech adults. Fam Med Prim Care Rev 2020; 22(1): 32-35, doi: https://doi.

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Section: Discussioncontrasting

confidence: 99%

Fear of falling and physical performance among older Czech adults

Kurková¹,

Kisvetrová²,

Horváthová³

et al. 2020

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“…Advanced age, lower education level (lower than university level), dementia, depression, poorer nutritional status, poorer activities of daily living, falls, lower handgrip strength were shown to be strongly and independently associated factors for frailty in our study. These results support the findings in the literature (6)(7)(8)(20)(21)(22)(23)(24)(25).…”

Section: Discussionsupporting

confidence: 92%

“…In our study, the prevalence of frailty of older adults in the geriatric outpatient clinic was similar to the frailty rates in European countries, lower than the Physical Medicine and Rehabilitation outpa- tient clinics patients and higher than older people living in the rural area in Turkey (5,7).…”

Section: Discussionsupporting

confidence: 79%

“…Frailty prevalence varies considerably among the diverse populations and group of patients (4,5). Although there are some studies identifying the related factors of frailty in different groups of the older population (5)(6)(7)(8), determining frailty prevalence and its correlates in community dwelled older adults attending to the outpatient clinic is of importance for raising the awareness and highlighting the importance of managing frailty in clinical practice. Moreover, further supporting comprehensive studies explaining the relationship between frailty and geriatric syndromes and other conditions are needed.…”

Section: Introductionmentioning

confidence: 99%

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Frailty and Its Correlates in Older Adults: A Challenging and Preventable Geriatric Syndrome

Varan¹,

Kılıç²,

Doğrul³

et al. 2020

Erciyes Med J

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Objective: Frailty syndrome, defined as increased vulnerability to stressors, is an important cause of the negative health consequences of older adults. Defining related factors and struggling with these factors can be an important way for the prevention of frailty. This study aims to investigate the related factors of frailty using comprehensive geriatric assessment in community dwelled older adults attended the geriatric medicine outpatient clinic. Materials and Methods: A total of 1001 patients aged 65 years and over were included in this study. Demographical characteristics, chronic illnesses, medications, were evaluated and recorded. Comprehensive geriatric assessment and anthropometric measurements were performed for each patient. The frailty status of patients was determined using the Edmonton frailty scale (EFS) and Fried's frailty index (FFI). The rate of frailty and associated factors were examined. Results: Frailty rate was detected as 15.4% and 11.8% according to the FFI and EFS, respectively. Advanced age, educational status lower than university level, having dementia, depression, diabetes mellitus, coronary artery disease, higher malnutrition risk, lower activities of daily living scores, lower handgrip strength and absence of hyperlipidemia were the independently associated factors of frailty by FFI or EFS. Conclusion: Frailty is a common geriatric syndrome that has interaction with other geriatric syndromes and cardiovascular diseases. Most of the related factors of frailty are reversible or preventable. A comprehensive assessment is essential for the prevention of frailty.

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“…Based on the identification of the factors associated with the fear of falling in the older adult, it is possible to get an overview that can help in the development of actions aimed not only at the target audience but also actions involving health professionals who deal with the older adult, their relatives and caregivers (8)(9) . The relevance of the study is based on the premise that knowledge about the factors associated with fear of falls is crucial, since falls of the older adult are an important public health problem and one of the main causes of mental health and QoL impairment in this population (1) .…”

Section: Introductionmentioning

confidence: 99%