Prevalence and Correlates of Geriatric Frailty in a Northern Taiwan Community

Chang, Ching-I; Chan, Ding-Cheng; Kuo, Ken-N; Hsiung, Chao A.; Chen, Ching-Yu

doi:10.1016/s0929-6646(11)60037-5

Cited by 78 publications

(80 citation statements)

References 27 publications

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“…We identified seven studies which reported pain outcomes in older people with frailty (table 1). One study was conducted in Canada 11,17 , one in Australia 18,19 , one in Finland 20 , two in Taiwan 13,21 , and two in Brazil 22,23 . The mean age of participants ranged from 71 years to 82 years (see table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Four studies used questions from the SF-12 or SF-36 to assess pain 11,13,19,23 . Chang et al 21 reported the presence of pain history but did not report the specific measure. The Geriatric Multidisciplinary Strategy for the Good Care of the Elderly (GeMS) study investigated the presence and severity of musculoskeletal pain, and chronicity 20 .…”

Section: Resultsmentioning

confidence: 99%

“…However, data derived from the geriatric depression scale (GDS), found no significant association between frailty and the presence of depression (p = 0.118). In the Chang 21 and Lin 13 studies, there were significantly more participants with depression in the frail and pre-frail categories compared to those in the non-frail group.…”

Section: Depressionmentioning

confidence: 96%

“…In the Chang study 21 , over 40% of frail older people reported pain, compared to approximately 20% of non-frail older people. In the FIBRA study 22 , mean and median pain scores were non-significantly higher in the frail group.…”

Section: Pain Outcomesmentioning

confidence: 99%

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Pain in older people with frailty

Brown

Young

Clegg

et al. 2015

Rev. Clin. Gerontol.

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In this review we identified cohort and cross-sectional studies which assessed pain in community-dwelling older people (> 65 years) reliably characterised as frail. Secondly, we considered biologically plausible mechanisms which may alter pain perception, or contribute to, or exacerbate pain in an older person with frailty. Thirdly, we considered specific implications of pain management for this group of people. From the limited data from the seven included studies, it would appear that the presence of pain is higher in older people with frailty compared to people characterised as pre-frail or not frail. Thus, older people reporting pain are more likely to be frail. However, a lack of prospective data precludes inferences about the direction of the relationship: that is whether pain or frailty is the antecedent. Further research is needed to understand the direction of the relationship, and to identify appropriate pain management strategies for older people with frailty.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Depressionmentioning

confidence: 96%

Section: Pain Outcomesmentioning

confidence: 99%

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Pain in older people with frailty

Brown

Young

Clegg

et al. 2015

Rev. Clin. Gerontol.

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“…A study in northern Taiwan, for example, showed a slight difference in the prevalence of frailty in older adults, aged 65 to 79 years, using different instruments: the prevalence of frailty was 11.3% (95% CI: 7.6-15.0) using the Fried Frailty Index and 14.9% (95% CI: 10.7 to 19.1) using EFS (14) . The prevalence of frailty in this study was higher than that found in the same age group, using the EFS.…”

Section: Discussionmentioning

confidence: 99%

Prevalência e fatores associados à fragilidade em idosos não institucionalizados

Carneiro

Ramos²,

Barbosa

et al. 2016

Rev. Bras. Enferm.

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Objective: to investigate the prevalence and factors associated with frailty in non-institutionalized older adults living in northern Minas Gerais, Brazil. Method: data were collected in their homes, in 2013, based on a census cluster sampling. Demographic and socioeconomic variables, morbidities, utilization of health care services, and scores on the Edmonton Fragility Scale were analyzed. The adjusted prevalence ratios were obtained using the Poisson regression multiple analysis with robust variance. Results: the prevalence of frailty was 41.3%. The variables associated with frailty were: female gender, very old age, education of less than four years, not having been hospitalized in the last 12 months, having a caregiver, falling in the prior year, diabetes mellitus, cardiac disease, and osteoarticular disease. Conclusion: the prevalence of frailty was high. Some factors consist of modifi able conditions, which should encourage health actions aimed at this group. Descriptors: Aged; Health Vulnerability; Frail Elderly; Prevalence; Health of the Elderly. RESUMO Objetivo: verifi car a prevalência e os fatores associados à fragilidade em idosos não institucionalizados residentes ao norte de Minas Gerais, Brasil. Método: a coleta de dados ocorreu no domicílio em 2013, a partir de uma amostragem censitária por conglomerado. Foram analisadas variáveis demográfi cas e socioeconômicas, morbidades, utilização de serviços de saúde e o escore da Escala de Fragilidade de Edmonton. As razões de prevalências ajustadas foram obtidas por análise múltipla de regressão de Poisson com variância robusta. Resultados: a prevalência de fragilidade foi 41,3%. As variáveis associadas à fragilidade foram: sexo feminino, idosos longevos, escolaridade inferior a 4 anos, não ter sido internado nos últimos 12 meses, presença de cuidador, queda no último ano, diabetes mellitus, doença cardíaca e doença osteoarticular. Conclusão: a prevalência de fragilidade mostrou-se elevada. Alguns fatores representam condições modifi cáveis e devem estimular ações de saúde destinadas a esse grupo. Descritores: Idoso; Vulnerabilidade em Saúde; Idoso Fragilizado; Prevalência; Saúde do Idoso. RESUMEN Objetivo: determinar la prevalencia y factores asociados a la fragilidad en ancianos no institucionalizados residentes en el norte de Minas Gerais, Brasil. Método: los datos fueron recolectados en los hogares en 2013 a partir de un muestreo por conglomerados por sectores censitarios. Se analizaron variables demográfi cas y socioeconómicas, morbilidad, utilización de los servicios de salud y la puntuación de la Escala de Fragilidad de Edmonton. Se obtuvieron los cocientes de prevalencia ajustados mediante análisis múltiple de regresión de Poisson con varianza robusta. Resultados: la prevalencia de fragilidad fue 41.3%. Las variables asociadas con la fragilidad fueron sexo femenino, edad más avanzada, escolarización menor de 4 años, no haber sido hospitalizado en los últimos 12 meses, tener un cuidador, caída en el año anterior, diabetes mellitus, enferme...

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