Physical frailty and its associated factors among elderly nursing home residents in China

Abstract

Background: Evidence is scarce on the trend in prevalence of physical frailty in China; the primary purpose of this study was to identify the prevalence and correlates of physical frailty among older nursing home residents in China. Methods: Cross-sectional study in 20 nursing homes in Changsha, China. Physical frailty was defined based on the frailty phenotype including weight loss, low grip strength, exhaustion, slow gait speed, and low physical activity. Participants with at least three affected criteria were defined as being frail. Participants with one or two affected criteria were considered as pre-frail, and those with no affected criteria were considered as robust. A total of 1004 nursing home residents aged 60 and over were included in this study. A multinomial logistic regression model was used to analyze the associations of physical frailty with its potential risk factors, including age, sex, education levels, marital status, type of institution, living status, current drinking, current smoking, regular exercise, and self-reported health. Results: The overall prevalence of physical frailty and prefrailty was 55.6, and 38.5%, respectively. The rate of physical frailty substantially increased with age, and was higher in women than in men (69.5% vs. 30.5%). The multinomial logistic regression analysis showed that older age, being women, living in a private institution, living alone or with unknown person, having no regular exercise (≤ 2 times/week), and poor self-reported health were significantly associated with increased odds of being physically frail. Conclusion: We demonstrated physical frailty is highly prevalent among older residents in nursing homes in China, especially in women. The potential role of those associated factors of physical frailty warrant further investigations to explore their clinical application among elderly nursing home residents.

Frailty among Older Adults Living in Nursing Homes in Indonesia: Prevalence and Associated Factors

“…A study conducted in Bali, Indonesia reported a frailty prevalence rate of 43.3% compared with 69.3% and 55.6%, respectively, among individuals in Spain 19 ) and China. 20 ) However, the cohorts in these previous studies were significantly older than the cohort in the current study. We observed a significantly higher prevalence of frailty in a relatively younger population, a finding that requires further assessment to facilitate the early diagnosis and treatment of frailty.…”

The Health Conditions of the Elderly in Nursing Homes and Their Care Needs

“…Based on the literature review that has been carried out, the following describes the condition of the elderly living in the institution. The majority of the elderly who live in nursing homes are aged 60 years and over, in general the elderly experience physical weakness including weight loss, easily experience fatigue when doing activities, experience a slowing of walking speed, and this condition will increase in the elderly who are older (3). Another weakness of physical conditions is that the elderly have decreased balance and flexibility of the body, agility, strength and endurance of the upper limbs, muscle strength and power, and joint mobility (2).…”

Prevalência E Fatores Associados À Síndrome Da Fragilidade Em Idosos Institucionalizados: Revisão Integrativa Da Literatura

“…Os estudos apontaram maior frequência de associação da fragilidade com o aumento da idade, especialmente entre os mais longevos, com idade ≥ 80 anos (DE LA RICA-ESCUIN et al, 2014;BORGES et al, 2015;DEN UIJL et al, 2015;LUO et al, 2015;TABUE-TEGUO et al, 2015;BUCKINX et al, 2016;2018a;2018b;CESARI et al, 2016;FERREIRA et al, 2016;KAEHR et al, 2016;THEOU et al, 2016;HASAN et al, 2017;LAWRENCE et al, 2017;MARTÍNEZ-VELILLA et al, 2017;OVERBEEK et al, 2018;GE et al, 2019;FURTADO et al, 2020;LIU et al, 2020). Estima-se que, para cada ano a mais de vida, haja aumento médio de 0,8% na pontuação da fragilidade (FHON et al, 2018).…”

“…Os resultados apontaram predomínio de fragilidade no sexo feminino (DE LA RICA-ESCUIN et al, 2014;DEN UIJL et al, 2015;LUO et al, 2015;TABUE-TEGUO et al, 2015;BUCKINX et al, 2016;2018a;2018b;CESARI et al, 2016;FERREIRA et al, 2016;KAEHR et al, 2016;THEOU et al, 2016;HASAN et al, 2017;LAWRENCE et al, 2017;MARTÍNEZ-VELILLA et al, 2017;OVERBEEK et al, 2018;MURUKESU et al, 2019;FURTADO et al, 2020;LIU et al, 2020). Essa condição é verificada tanto em idosas institucionalizadas, quanto entre as residentes na comunidade, apresentando prevalência de 69,6% e 60%, respectivamente (AUGUSTI et al, 2017;MELO et al, 2018).…”

“…Dentre as comorbidades listadas nas publicações desta revisão integrativa, houve maior associação da fragilidade com as doenças cardiovasculares, principalmente a hipertensão arterial sistêmica (BORGES et al, 2015;FERREIRA et al, 2016;HASAN et al, 2017;MURUKESU et al, 2019), diabetes mellitus (BORGES et al, 2015FERREIRA et al, 2016HASAN et al, 2017), a demência e as doenças psiquiátricas (FERREIRA et al, 2016;KAEHR et al, 2016;HASAN et al, 2017;MARTÍNEZ-VELILLA et al, 2017;OVERBEEK et al, 2018;BUCKINX et al, 2018a;2018b). Corroborando esses achados, Liu et al (2020) sugeriram que os idosos que autorrelataram pior estado de saúde tinham aproximadamente quatro vezes mais probabilidade de serem classificados como frágeis e duas vezes mais probabilidade de serem pré-frágeis, reforçando que a presença de doenças tem alta prevalência em idosos institucionalizados e é um dos principais fatores de risco para a fragilização, visto que as doenças alteram as reservas funcionais e deixam os idosos mais suscetíveis à diferentes agravos.…”