Frailty and depressive symptoms in older adults: data from the FIBRA study - UNICAMP

Nascimento, Priscila Pascarelli Pedrico do; Batistoni, Samila Sathler Tavares; Néri, Anita Liberalesso

doi:10.1186/s41155-016-0033-9

Cited by 14 publications

(20 citation statements)

References 31 publications

(37 reference statements)

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“…Poor QOL as an indicator of risk of the presence of multiple co-occurring diseases and geriatric syndromes is relevant for planning and implementing health promotion and preventive programs for older adults, especially to direct efforts at preventing or delaying frailty status among community-dwelling older people. Considering pre-frailty as a preceding status of frailty, the prevalence and types of depressive symptoms continuously worsen with increasing severity of frailty, increasing lower positive feelings (Nascimiento et al 2016). In this regard, we demonstrate the need for a comprehensive and multidisciplinary approach aimed at preventing frailty and also the impact of depressive symptoms and, consequently, improving the QOL in older people.…”

Section: Discussionmentioning

confidence: 73%

Determinants of Quality of Life in Pre-Frail Older Adults According to Phenotypic Criteria: the VERISAUDE Study

Maseda

Lorenzo-López

Lorenzo

et al. 2017

Applied Research Quality Life

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Frailty is a dynamic clinical syndrome considered as part of an age-associated continuum of severity, including prefrailty as an intermediate frailty status with potential reversibility to robustness. The main purpose of this study was to analyse the relationship between the different domains of quality of life, functional dependence and depressive symptomatology in older adults diagnosed as pre-frail, before progression to frailty occurs. Logistic regression analyses were conducted to examine whether sex, age, level of education and scores in the Geriatric Depression Scale 15-item Short Form (GDS-SF) and the Instrumental Activities of Daily Living Lawton scale determine the worst score in the WHOQOL-BREF (World Health Organization Quality of Life) in older adults meeting one or two frailty phenotypic criteria. Depressive symptomatology (GDS-SF score) was the main determinant of poor quality of life in both groups, and in all areas of WHOQOL-BREF. Age was only associated with poor satisfaction with own health. Female sex and low educational level were linked to low physical QOL and poor self-rated health, respectively, but only in older adults meeting one frailty criterion. Association between functional status and WHOQOL-BREF scores was only found in the univariate analysis. These results underline the importance of identifying multiple aspects, but mainly the presence of depressive symptomatology, as risk factors for all dimensions of quality of life in the prefrailty process, where interventions might be targeted to reduce the progression of pre-frailty and frailty in older adults.

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Section: Discussionmentioning

confidence: 73%

Determinants of Quality of Life in Pre-Frail Older Adults According to Phenotypic Criteria: the VERISAUDE Study

Maseda

Lorenzo-López

Lorenzo

et al. 2017

Applied Research Quality Life

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“…The majority of the cross-sectional studies 12,[23][24][25][26][27][28][29][30] , longitudinal studies 11,[31][32][33][34][35][36][37][38][39] and intervention study 40 assessed older adults using screening scales for depression. The most frequently used instruments were the Center for Epidemiologic Studies-Depression (CES-D) and the Geriatric Depression Scale (GDS).…”

Section: Resultsmentioning

confidence: 99%

“…Regarding frailty assessment, the conceptual model most commonly adopted by the cross-sectional 12,23,25,28,29,[41][42][43][44][45] , longitudinal 11,[31][32][33][34]36,37,47 and intervention studies 40 was the phenotype of Fried et al 2 .…”

Section: Resultsmentioning

confidence: 99%

“…Some authors 24,28,29 noted that certain items from the depressive symptom screening scales were more related to pre-frailty conditions and the transition to frailty. St. John et al 24 investigated the gradient effect across the range of depressive symptoms measured using the CES-D scale and the association of specific symptoms with frailty.…”

Section: Specificities Of Depression In the Context Of Frailtymentioning

confidence: 99%

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Depressão e fragilidade na velhice: uma revisão narrativa das publicações de 2008-2018

Nascimento

Batistoni

2019

Interface (Botucatu)

Self Cite

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Este artigo apresenta uma revisão narrativa da literatura sobre as relações entre depressão e fragilidade em idosos. Foram selecionados 28 artigos derivados da consulta às bases de dados LILACS, MEDLINE/PubMed e SciELO, publicados na última década (2008-2018). A análise da literatura evidenciou o predomínio de medidas de rastreio para depressão e do modelo conceitual do fenótipo de fragilidade. Observou-se a variação das associações entre as condições na presença de variáveis relativas: ao sexo, à funcionalidade física, cognitiva e aos aspectos socioemocionais, marcadores biológicos, uso de antidepressivos e risco de mortalidade. Os achados corroboram o impacto combinado das duas síndromes, que refletem maiores prejuízos para a saúde, maior vulnerabilidade e um perfil de alto risco. Embora consideradas síndromes distintas, estão fortemente associadas. Ressalta-se a escassez de dados nacionais que retratem o efeito combinado dos fenômenos na população idosa brasileira.

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“…(yes or no). A score equal or greater than two was considered positive for exhaustion dimension 37 , 45 .…”

Section: Methodsmentioning

confidence: 99%

Factors associated with poor physical performance in older adults of 11 Peruvian high Andean communities

et al. 2019

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Background: Physical performance in the older adult has been extensively studied. However, only a few studies have evaluated physical performance among older adults of high Andean populations and none have studied the factors associated with it. The objective of this study was to evaluate factors associated with poor physical performance by using the Short Physical Performance Battery (SPPB) in older adults living in 11 Peruvian high Andean communities. Methods: An analytical cross-sectional study was carried out in inhabitants aged 60 or over from 11 high-altitude Andean communities of Peru during 2013-2017. Participants were categorized in two groups according to their SPPB score: poor physical performance (0-6 points) and medium/good physical performance (7-12 points). Additionally, we collected socio-demographic, medical, functional and cognitive assessment information. Poisson regression models were constructed to identify factors associated with poor physical performance. Prevalence ratio (PR) with 95% confidence intervals (95 CI%) are presented. Results: A total of 407 older adults were studied. The average age was 73.0 ± 6.9 years (range: 60-94 years) and 181 (44.5%) participants had poor physical performance (0-6 points). In the adjusted Poisson regression analysis, the factors associated with poor physical performance were: female gender (PR=1.29; 95%CI: 1.03-1.61), lack of social support (PR=2.10; 95%CI: 1.17-3.76), number of drugs used (PR=1.09; 95%CI: 1.01-1.17), urinary incontinence (PR=1.45; 95%CI: 1.16-1.82), exhaustion (PR=1.35; 95%CI: 1.03-1.75) and cognitive impairment (PR=1.89; 95%CI: 1.40-2.55). Conclusions: Almost half of the population evaluated had poor physical performance based on the SPPB. Factors that would increase the possibility of suffering from poor physical performance were: female gender, lack of social support, number of drugs used, urinary incontinence, exhaustion and cognitive impairment. Future studies with a larger sample and longitudinal follow-up are needed to design beneficial interventions for the high Andean population.

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Frailty and depressive symptoms in older adults: data from the FIBRA study - UNICAMP

Cited by 14 publications

References 31 publications

Determinants of Quality of Life in Pre-Frail Older Adults According to Phenotypic Criteria: the VERISAUDE Study

Determinants of Quality of Life in Pre-Frail Older Adults According to Phenotypic Criteria: the VERISAUDE Study

Depressão e fragilidade na velhice: uma revisão narrativa das publicações de 2008-2018

Factors associated with poor physical performance in older adults of 11 Peruvian high Andean communities

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