Associations between frailty syndrome and sociodemographic characteristics in long-lived individuals of a community

Abstract

Objective:investigating the association between frailty syndrome and sociodemographic characteristics in long-lived individuals of a community. Method:a cross-sectional study with a proportional stratified sample consisting of 243 long-lived individuals. A structured instrument, scales and tests that comprise evaluating frailty were applied for data collection. Univariate and multivariate analyzes were performed by logistic regression (p<0.05) by Statistica 10(r) software and Odds Ratio (95% Confidence Interval) were calculated for the predictive models. Results:of the 243 long-lived individuals evaluated, 36 (14.8%) were frail, 55 (63.8%) were pre-frail and 52 (21.4%) were not frail. A predominance of females (n=161; 66.3%), widows/widowers (n=158; 65%), who lived with family members (n=144; 59.3%) and in a self-reported satisfactory financial situation (n=108; 44.5%) was observed. A significant association was found between the demographic variable of age (p=0.043) and frailty syndrome. The best predictor model for the syndrome included the variables: gender, age and household companion. Conclusion:the variable of age contributed most to the fragilization process of long-lived individuals residing in the community. It is essential that gerontological nursing care contemplates early detection of this syndrome, considering age as being indicative of care needs.

Cross-cultural adaptation and validation of the PRISMA-7 scale for European Portuguese

“…Frailty is an age-associated biological syndrome with multisystem down-dysregulation, reduced physiological reserves [7][8][9][10][11] and capacity to maintain homeostasis [1,[12][13][14][15][16][17], loss of cognitive function [18], functional decline [5,6], increased risk of being institutionalised [19] and vulnerability to stressors [9-11, 13-15, 20], risk of falls, disability, dependence [4,18], activity limitations, imminent death, hospitalisation, prolonged recovery and relapse [1,8,16,19,[21][22][23][24][25]. Frail older patients present a long clinical course of disease with intermittent episodes of decline and experiencing a lack of coping strategies when dealing with change and disruptions [2,19].…”

“…Frailty is more prevalent in developing countries and is associated with socio-demographic variables, such as gender and age [14]. The incidence of frailty increases with age, lower education and income, poor health, multimorbidity and disability and is higher in women and in Afro-Americans [11].…”

Redução da força de preensão manual entre idosos longevos

“…A baixa escolaridade pode impactar de maneira negativa a saúde dos longevos expressos no acesso: às informações e serviços, aos recursos financeiros e às oportunidades de emprego. 17 Dessa forma, a baixa renda e escolaridade podem ser desafiadoras para os cuidados em saúde, como disponibilidade limitada à alimentação adequada, aos serviços de saúde e à prática de exercícios físicos, 17 predispondo o idoso à redução da FPM, 24 morbidades e limitações funcionais. 17 Também se verificou em pesquisas nacionais 15,17,25 e internacional 19 maiores percentuais de longevos viúvos.…”

Physical frailty prediction model for the oldest old

“…For gerontological nursing, the elaboration of a physical frailty prediction model contributes to a greater objectivity in the screening of the oldest old 33 . This is the fastest growing age group in the world; they have characteristics different from younger older adults and are often excluded from scientific studies.…”