Associations between frailty, sociodemographic characteristics and quality‐of‐life among community‐dwelling older adults: A cross‐sectional study

Xu, Lijuan; Lan, Xuefen; Lou, Yan; Engström, Maria

doi:10.1002/nop2.1494

Cited by 3 publications

(1 citation statement)

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“…A longitudinal correlative study was conducted from 2020 to 2022 as part of a research project on community-dwelling older people's health (Xu, Lan, et al, 2022).…”

Section: Designmentioning

confidence: 99%

Sleep quality, frailty and overall health among community‐dwelling older people: A longitudinal study

Tao

Lou

et al. 2023

Journal of Advanced Nursing

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AimsThe aims of the study were to describe sleep quality among community‐dwelling older people; determine the association between sleep quality (total and multidimensional), frailty and overall health; study frailty as a mediator in the association between sleep quality and overall health.DesignThis longitudinal, correlative study used data from 2020 to 2022.MethodsA total of 181 community‐dwelling older people in a city in Southeast China were assessed twice. Sleep quality was measured using the Pittsburgh Sleep Quality Index at Time 1 (year 2020); frailty was measured using the FRAIL scale, and overall health was measured using the EuroQol visual analogue scale at Time 1 and 2 (1 year later). Associations and indirect effects were examined using linear regression analyses using the PROCESS Macro (Model 4).ResultsPoor sleep quality (higher scores) was associated with increased frailty over time (total scale), as well as subjective sleep quality, sleep duration, sleep efficiency and daytime dysfunction. Mediation analyses indicated that frailty change had an indirect effect on the association between sleep quality total score Time (T) 1 and overall health T2 and between the dimensions subjective sleep quality, sleep duration, sleep efficiency and daytime dysfunction and overall health. All analyses were adjusted for age, multimorbidity and overall health T1.ConclusionsPoor sleep quality is a common problem associated with poor overall health after 1 year, and the progression of frailty mediates this association.ImpactThe findings provide a better understanding of the association between sleep quality and overall health and elucidate the mediating effect of frailty. Regular screening and effective treatment by healthcare providers for sleep problems and frailty in older people are necessary to improve their overall health and enhance healthy ageing.Patient or Public ContributionParticipants in the study provided the data used for all data analysis in the manuscript. Patient or public were not involved in data analysis, interpretation or manuscript preparation. Staff in the community health centre helped with data collection.

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“…A longitudinal correlative study was conducted from 2020 to 2022 as part of a research project on community-dwelling older people's health (Xu, Lan, et al, 2022).…”

Section: Designmentioning

confidence: 99%

Sleep quality, frailty and overall health among community‐dwelling older people: A longitudinal study

Tao

Lou

et al. 2023

Journal of Advanced Nursing

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Associations between frailty, sociodemographic characteristics and quality‐of‐life among community‐dwelling older adults: A cross‐sectional study

Lan

Lou

et al. 2022

Nursing Open

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Population ageing is a growing phenomenon worldwide (WHO, 2021).In China, approximately 19% of the total population was aged 60 years or older in 2020 (Ministry of Civil Affairs of the People's Republic of China, 2021). Ageing populations also have an increased prevalence of frailty. In turn, frailty is associated with lower qualityof-life (QOL) (Kojima et al., 2016). High QOL is an important indicator of successful ageing (Choi et al., 2017) and an important outcome of nursing practice; thus, it is important to improve understanding of the associations between frailty, sociodemographic factors and QOL among community-dwelling older adults. | BACKG ROU N DFrailty is characterized by decreased energy reserves and stress resistance and increased vulnerability to adverse outcomes such as

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On the Relationship Between Frailty, Nutritional Status, Depression and Quality of Life Among Older People

Kasa,

Traynor,

Lee

et al. 2024

Int J Older People Nursing

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BackgroundFrailty is a multidimensional geriatric syndrome associated with physical, psychological and social changes. There is a paucity of research on frailty in Sub‐Saharan African (SSA) countries, especially Ethiopia.ObjectivesTo assess the initial correlations among frailty, nutritional status, depression and QOL (quality of life) in a group of older people in Ethiopia who are later enrolled in a study examining the effects of a nurse‐led community intervention on frailty and related health outcomes.MethodsData from 68 community‐dwelling individuals 60 years of age, or over, were collected. Frailty was measured using the Amharic version of the Tilburg Frailty Indicator. The statistical analysis included Spearman's rank correlation coefficient for degrees of association, Mann–Whitney U‐test for variables with two categories and Kruskal–Wallis for variables with three or more categories.ResultsThe mean frailty score for participants was 7.3 (±1.9). Participants with higher frailty scores had lower nutritional status (rs = −0.46, p < 0.01). There was a statistically significant relationship (positive) between frailty scores and depression (rs = 0.39, p < 0.01). Depressed (Md = 9, n = 23) and non‐depressed frail older people (Md = 7, n = 45) showed a significant difference in their overall frailty score, U = 330.50, z = −2.49, p = 0.01, r = 0.30. There was an inverse significant association between the level of frailty across different domains in the QOL: physical (rs = −0.44, p < 0.01), psychological (rs = −0.45, p < 0.01), social relations (rs = −0.29, p < 0.05) and environmental (rs = −0.47, p < 0.01).ConclusionThe findings from this study were consistent with those from across middle‐income and high‐income countries.Implications for PracticeThis research indicates that older people living in communities who are identified as frail often suffer from a poor nutritional status, depression and reduced QOL. It suggests that healthcare professionals in Sub‐Saharan countries would benefit from recognising the frailty in this population, and developing interventions aimed at enhancing nutrition, mental health and overall well‐being.

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Associations between frailty, sociodemographic characteristics and quality‐of‐life among community‐dwelling older adults: A cross‐sectional study

Cited by 3 publications

References 41 publications

Sleep quality, frailty and overall health among community‐dwelling older people: A longitudinal study

Sleep quality, frailty and overall health among community‐dwelling older people: A longitudinal study

Associations between frailty, sociodemographic characteristics and quality‐of‐life among community‐dwelling older adults: A cross‐sectional study

On the Relationship Between Frailty, Nutritional Status, Depression and Quality of Life Among Older People

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