Frailty, depression, and quality of life: a study with elderly caregivers

Melo, Letícia Alves de; Jesus, Isabela Thaís Machado de; Orlandi, Fabiana de Souza; Gomes, Grace Angélica de Oliveira; Zazzetta, Marisa Silvana; Brito, Tábatta Renata Pereira de; Santos-Orlandi, Ariene Angelini dos

doi:10.1590/0034-7167-2018-0947

Cited by 8 publications

(4 citation statements)

References 33 publications

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“…A study with caregivers (>18 years of age) of older adults with Alzheimer's disease found that depressive symptoms were among the variables that exerted a mediating effect on the association between caregiver burden and neuropsychiatric symptoms, such that depressive symptoms may constitute an explanatory variable to understanding the subjective perception of burden 47 . The association between depressive symptoms and caregiver burden in the present study is in agreement with findings reported in studies involving caregivers of older adults in general [19][20][21]47 as well as older caregivers of older adults 48 .…”

Section: Discussionsupporting

confidence: 92%

Sociodemographic, clinical, and psychosocial factors associated with burden in older caregivers: a cross-sectional study

Pavarini

Bregola

Luchesi

et al. 2023

Dement. neuropsychol.

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The task of caring can negatively affect the physical and mental health; therefore, it is important to understand which factors are associated with burden in older caregivers of older adults. Objective: This study aimed to explore sociodemographic, clinical, and psychosocial factors associated with burden in older caregivers of older adults. Methods: This is a cross-sectional study developed with 349 older caregivers who were registered at a Family Health Unit of a city in the state of São Paulo, Brazil. Household interviews were conducted and data were collected on the sociodemographic (profile, family income), clinical (self-reported pain, sleep, frailty), and psychosocial (burden, family functioning, depressive symptoms, stress) characteristics of the caregivers as well as dependence on activities of daily living and cognition in the care recipients. Results: Women predominated in the sample (76.5%) and mean age was 69.5 years. The mean burden score was 18.06 points, with 47.9% above the cutoff of 16 points, denoting excessive burden. The bivariate model revealed associations between burden and financial insufficiency, family dysfunction, difficulty sleeping, pain, perceived stress, depressive symptoms, frailty, and multimorbidity among the caregivers as well as worse functional and cognitive performance in the care recipients. The controlled model revealed an association between burden and depressive symptoms (β=16.75; 95%CI 1.80–31.68). Conclusions: We identified an association between burden and depressive symptoms, underscoring the need for the planning and implementation of specific actions directed at caregivers in order to minimize the impact on health and to improve the quality of life.

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Section: Discussionsupporting

confidence: 92%

Sociodemographic, clinical, and psychosocial factors associated with burden in older caregivers: a cross-sectional study

Pavarini

Bregola

Luchesi

et al. 2023

Dement. neuropsychol.

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“…As compared to younger people, older people have a higher tendency to become frail, which may be due to their increased risks of having chronic diseases like diabetes mellitus, hypertension, and dyslipidemia [4]. Further, Kojima and colleagues [5] found that smoking had a positive relationship with frailty, and another study reported a positive relationship between depression and frailty [6]. Contradictory findings have been reported regarding the relationship between gender and frailty.…”

Section: Introductionmentioning

confidence: 99%

The Role of Traditional Obesity Parameters in Predicting Frailty among Coronary Artery Disease Patients Undergoing Cardiac Catheterization

Hayajneh

Alhusban

Rababa

2022

International Journal of Clinical Practice

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Background. Obesity has been reported to be associated with frailty and coronary artery disease (CAD). Objective. The present study aimed to investigate the role of the seven traditional obesity parameters body mass index (BMI), waist-height ratio (WHtR), waist-hip ratio (WHR), body adiposity index (BAI), body shape index (BSI), waist circumference (WC), and hip circumference (HC) in the prediction of frailty among CAD patients undergoing cardiac catheterization. Design. A secondary data analysis was conducted. Setting. Three main hospitals were located at the northern and middle regions of Jordan. Participants. 220 hospitalized patients undergoing cardiac catheterization were recruited. Measurements. The traditional obesity parameters were measured using an anthropometric tape and weight scale and frailty was measured using the Tilburg Frailty Indicator (TFI). Data were analyzed using bivariate Pearson’s correlation and forward linear regression analysis. Results. Total cholesterol, HC, triglycerides, age, random blood sugar, and WC had significant positive associations with and were predictors of frailty ( p < 0.05 ). The model of the seven predictors explained 32.4% of the variance in frailty ( p = 0.02 ). Conclusion. The incidence of frailty can be predicted by the increase in total cholesterol, HC, triglycerides, age, random blood sugar, and WC. The results of this study may help healthcare providers, including nurses, to identify the factors that could lead to frailty among CAD patients undergoing cardiac catheterization.

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“…On the other hand, frail older adults may also present depressive symptoms in the presence of multimorbidity and possible functional limitations that may arise. 18 Older caregivers with cognitive impairment had a higher proportion of frailty than those without cognitive impairment. Scholars have dedicated themselves to investigating a new condition conceptualized as cognitive frailty, identified based on cognitive impairment related to the criteria of frailty syndrome without the diagnosis of neurodegenerative diseases.…”

Section: Discussionmentioning

confidence: 98%

Frailty is associated with sociodemographic and health factors and related to the care context of older caregivers: a Brazilian cross-sectional study

et al. 2023

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BACKGROUND: The task of caring can arise suddenly without guidance or support, resulting in psychological tension and health impairment, which can culminate in the development of frailty. OBJECTIVE: To analyze the relationship between frailty and sociodemographic and health aspects related to the care context of older caregivers. DESIGN AND SETTING: A cross-sectional study was conducted on 65 older caregivers registered in family health units in the interior of the state of São Paulo. METHODS: The participants were interviewed individually using the following instruments: a characterization questionnaire, Fried's frailty phenotype, Zarit Burden's Interview, Mini-Mental State Examination, Geriatric Depression Scale, Katz Index, and Lawton Scale. In addition, the following statistical tests were applied: Pearson's chi-squared test, Fisher's exact test, and Mann-Whitney test. A significance level of 5% was considered to be statistically significant. RESULTS: Women who took care of their spouses predominated without prior training or the help of other people. Most of the patients were pre-frail (72.3%). Frailty was significantly related to marital status (P = 0.016), depressive symptoms (P = 0.029), cognitive decline (P = 0.029), the degree of kinship (P = 0.015), and burden (P = 0.004). CONCLUSION: Older caregivers without a partner, with severe depressive symptoms and cognitive changes, who cared for their parents, and had higher levels of burden, presented a higher proportion of frailty.

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Frailty, depression, and quality of life: a study with elderly caregivers

Cited by 8 publications

References 33 publications

Sociodemographic, clinical, and psychosocial factors associated with burden in older caregivers: a cross-sectional study

Sociodemographic, clinical, and psychosocial factors associated with burden in older caregivers: a cross-sectional study

The Role of Traditional Obesity Parameters in Predicting Frailty among Coronary Artery Disease Patients Undergoing Cardiac Catheterization

Frailty is associated with sociodemographic and health factors and related to the care context of older caregivers: a Brazilian cross-sectional study

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