Frailty in community-dwelling older adults: association with adverse outcomes

Sergio Sánchez-García,1 Carmen García-Peña,2 Antoni Salvà,3 Rosalinda Sánchez-Arenas,1 Víctor Granados-García,1 Juan Cuadros-Moreno,4 Laura Bárbara Velázquez-Olmedo,5 Ángel C&...

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Autores principales:	Sánchez-García S, García-Peña C, Salvà A, Sánchez-Arenas R, Granados-García V, Cuadros-Moreno J, Velázquez-Olmedo LB, Cárdenas-Bahena Á
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Frailty Aging Limitations in daily living Falls Quality of life Social Security. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/d719f6bba60947cb8bbbbdbcc7db7e65
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spelling	oai:doaj.org-article:d719f6bba60947cb8bbbbdbcc7db7e652021-12-02T06:35:59ZFrailty in community-dwelling older adults: association with adverse outcomes1178-1998https://doaj.org/article/d719f6bba60947cb8bbbbdbcc7db7e652017-06-01T00:00:00Zhttps://www.dovepress.com/frailty-in-community-dwelling-older-adults-association-with-adverse-ou-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Sergio Sánchez-García,1 Carmen García-Peña,2 Antoni Salvà,3 Rosalinda Sánchez-Arenas,1 Víctor Granados-García,1 Juan Cuadros-Moreno,4 Laura Bárbara Velázquez-Olmedo,5 Ángel Cárdenas-Bahena1 1Epidemiology and Health Services Research Unit, Aging Area, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, 2Research Department, Instituto Nacional de Geriatría, Institutos Nacionales de Salud de México, Secretaría de Salud, 3Health and Ageing Foundation, Universitat Autònoma de Barcelona, Barcelona, España, 4Coordination of Health Education, Instituto Mexicano del Seguro Social, 5Department of Public Health and Oral Epidemiology, Facultad de Odontología, Universidad Nacional Autónoma de México, Ciudad de México, México Background: The study of frailty is important to identify the additional needs of medical long-term care and prevent adverse outcomes in community dwelling older adults. This study aimed to determine the prevalence of frailty and its association with adverse outcomes in community dwelling older adults.Methods: A cross-sectional study was carried out from April to September 2014. The population sample was 1,252 older adults (≥60 years) who were beneficiaries of the Mexican Institute of Social Security (IMSS) in Mexico City. Data were derived from the database of the “Cohort of Obesity, Sarcopenia and Frailty of Older Mexican Adults” (COSFOMA). Operationalization of the phenotype of frailty was performed using the criteria of Fried et al (weight loss, self-report of exhaustion, low physical activity, slow gait, and weakness). Adverse outcomes studied were limitation in basic activities of daily living (ADLs), falls and admission to emergency services in the previous year, and low quality of life (WHOQOL-OLD).Results: Frailty was identified in 20.6% (n=258), pre-frailty in 57.6% (n=721), and not frail in 21.8% (n=273). The association between frailty and limitations in ADL was odds ratio (OR) =2.3 (95% confidence interval [CI] 1.7–3.2) and adjusted OR =1.7 (95% CI 1.2–2.4); falls OR =1.6 (95% CI 1.2–2.1) and adjusted OR =1.4 (95% CI 1.0–1.9); admission to emergency services OR =1.9 (95% CI 1.1–3.1) and adjusted OR =1.9 (95% CI 1.1–3.4); low quality of life OR =3.4 (95% CI 2.6–4.6) and adjusted OR =2.1 (95% CI 1.5–2.9).Conclusion: Approximately 2 out of 10 older adults demonstrate frailty. This is associated with limitations in ADL, falls, and admission to emergency rooms during the previous year as well as low quality of life. Keywords: frailty, aging, limitations in daily living, falls, emergency services, quality of life, social security Sánchez-García SGarcía-Peña CSalvà ASánchez-Arenas RGranados-García VCuadros-Moreno JVelázquez-Olmedo LBCárdenas-Bahena ÁDove Medical PressarticleFrailtyAgingLimitations in daily livingFallsQuality of lifeSocial Security.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 1003-1011 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Frailty Aging Limitations in daily living Falls Quality of life Social Security. Geriatrics RC952-954.6
spellingShingle	Frailty Aging Limitations in daily living Falls Quality of life Social Security. Geriatrics RC952-954.6 Sánchez-García S García-Peña C Salvà A Sánchez-Arenas R Granados-García V Cuadros-Moreno J Velázquez-Olmedo LB Cárdenas-Bahena Á Frailty in community-dwelling older adults: association with adverse outcomes
description	Sergio Sánchez-García,1 Carmen García-Peña,2 Antoni Salvà,3 Rosalinda Sánchez-Arenas,1 Víctor Granados-García,1 Juan Cuadros-Moreno,4 Laura Bárbara Velázquez-Olmedo,5 Ángel Cárdenas-Bahena1 1Epidemiology and Health Services Research Unit, Aging Area, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, 2Research Department, Instituto Nacional de Geriatría, Institutos Nacionales de Salud de México, Secretaría de Salud, 3Health and Ageing Foundation, Universitat Autònoma de Barcelona, Barcelona, España, 4Coordination of Health Education, Instituto Mexicano del Seguro Social, 5Department of Public Health and Oral Epidemiology, Facultad de Odontología, Universidad Nacional Autónoma de México, Ciudad de México, México Background: The study of frailty is important to identify the additional needs of medical long-term care and prevent adverse outcomes in community dwelling older adults. This study aimed to determine the prevalence of frailty and its association with adverse outcomes in community dwelling older adults.Methods: A cross-sectional study was carried out from April to September 2014. The population sample was 1,252 older adults (≥60 years) who were beneficiaries of the Mexican Institute of Social Security (IMSS) in Mexico City. Data were derived from the database of the “Cohort of Obesity, Sarcopenia and Frailty of Older Mexican Adults” (COSFOMA). Operationalization of the phenotype of frailty was performed using the criteria of Fried et al (weight loss, self-report of exhaustion, low physical activity, slow gait, and weakness). Adverse outcomes studied were limitation in basic activities of daily living (ADLs), falls and admission to emergency services in the previous year, and low quality of life (WHOQOL-OLD).Results: Frailty was identified in 20.6% (n=258), pre-frailty in 57.6% (n=721), and not frail in 21.8% (n=273). The association between frailty and limitations in ADL was odds ratio (OR) =2.3 (95% confidence interval [CI] 1.7–3.2) and adjusted OR =1.7 (95% CI 1.2–2.4); falls OR =1.6 (95% CI 1.2–2.1) and adjusted OR =1.4 (95% CI 1.0–1.9); admission to emergency services OR =1.9 (95% CI 1.1–3.1) and adjusted OR =1.9 (95% CI 1.1–3.4); low quality of life OR =3.4 (95% CI 2.6–4.6) and adjusted OR =2.1 (95% CI 1.5–2.9).Conclusion: Approximately 2 out of 10 older adults demonstrate frailty. This is associated with limitations in ADL, falls, and admission to emergency rooms during the previous year as well as low quality of life. Keywords: frailty, aging, limitations in daily living, falls, emergency services, quality of life, social security
format	article
author	Sánchez-García S García-Peña C Salvà A Sánchez-Arenas R Granados-García V Cuadros-Moreno J Velázquez-Olmedo LB Cárdenas-Bahena Á
author_facet	Sánchez-García S García-Peña C Salvà A Sánchez-Arenas R Granados-García V Cuadros-Moreno J Velázquez-Olmedo LB Cárdenas-Bahena Á
author_sort	Sánchez-García S
title	Frailty in community-dwelling older adults: association with adverse outcomes
title_short	Frailty in community-dwelling older adults: association with adverse outcomes
title_full	Frailty in community-dwelling older adults: association with adverse outcomes
title_fullStr	Frailty in community-dwelling older adults: association with adverse outcomes
title_full_unstemmed	Frailty in community-dwelling older adults: association with adverse outcomes
title_sort	frailty in community-dwelling older adults: association with adverse outcomes
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/d719f6bba60947cb8bbbbdbcc7db7e65
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Frailty in community-dwelling older adults: association with adverse outcomes

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