Prevalence of frailty and associated factors among Saudi community-dwelling older adults: a cross-sectional study

Alqahtani, Bader A.; Alenazi, Aqeel M.; Alshehri, Mohammed M.; Osailan, Ahmad; Alsubaie, Saud F; Alqahtani, Mohammed A.

doi:10.1186/s12877-021-02142-9

Cited by 32 publications

(33 citation statements)

References 42 publications

(25 reference statements)

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“…This study also highlights our study’s results, indicating that the prevalence of frailty in people aged 60 years or older in our cohort is 58.1%. This is higher compared to the previous study among Saudi community-dwelling older adults [ 31 ]. On the other hand, the finding is similar to a study conducted in Cuba that found that the prevalence rate of 51% in the elderly [ 32 ].…”

Section: Discussioncontrasting

confidence: 69%

Potentially Inappropriate Medications among Elderly with Frailty in a Tertiary Care Academic Medical Centre in Saudi Arabia

et al. 2022

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This study aims to assess the prevalence of potentially inappropriate medications (PIMs) and to analyze the relationship between the PIMs and frailty among inpatient older adults aged 65 and above in Saudi Arabia. A retrospective cross-sectional study design was utilized during the period between April 2021 and April 2022 of all patients aged 65 years and above admitted in a public tertiary hospital in Saudi Arabia. Data on the number of medications and the use of PIMs were assessed using Beers’ criteria while the frailty status was assessed using the “FRAIL Scale”. Of the 358 patient files that were reviewed, 52.2% were males, 60.9% were aged 65–74 years, and 82% were married. The prevalence of robust, prefrail, and frail patients was 5%, 36.9%, and 58.1%, respectively. According to the 2019 Beers criteria, a total of 45.8% (n= 164) participants identified as using PIMs. Compared to the non-PIMs group, the PIMs group demonstrated significant differences in the number of medications (p < 0.001), the number of comorbidities (p < 0.05), and the frailty score (p < 0.001). The strongest predictor of PIM use was a number of comorbidities, recording an odds ratio of 2.86, (95% CI 1.21–6.77, p < 0.05). Our results show that the use of PIM was significantly associated with frail older adults with multiple comorbidities and in patients with polypharmacy. A clear assessment and evaluation tool may improve the quality of drug treatment in the older adult population, particularly in frail patients.

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Section: Discussioncontrasting

confidence: 69%

Potentially Inappropriate Medications among Elderly with Frailty in a Tertiary Care Academic Medical Centre in Saudi Arabia

et al. 2022

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“…This study was part of a previous project where measurements of sleep was collected on a subsample of the original study sample. An explanation of the sampling and recruitment methods of the original sample can be found elsewhere [ 11 ]. Detail about participants’ enrollment is shown in Figure 1 .…”

Section: Methodsmentioning

confidence: 99%

“…According to a meta-analysis of research from various populations, frailty prevalence ranged from 4% to 51% in China and Cuba, respectively [ 10 ]. In addition, a recent research reported 21% prevalence of frailty among older adults in Saudi Arabia [ 11 , 12 , 13 ]. Furthermore, research suggests that frailty is a dynamic condition and may be controlled and prevented by treatments, such as health promotion, diet, physical activity, and social engagement [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Association between Physical Frailty and Sleep Quality among Saudi Older Adults: A Community-Based, Cross-Sectional Study

Alqahtani

2021

IJERPH

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(1) Background: Prevalence of poor sleep quality and its association with frailty status among the aging population of Saudi Arabia has not been studied. Therefore, the main objective of the current study was to estimate the prevalence of poor sleep quality and investigate the association between poor sleep quality and frailty in Saudi older adults; (2) Methods: A total of 270 (mean age 69.9 ± 6.2) older adults from the Riyadh region were involved in the study. To measure sleep quality, the Arabic version of the Pittsburgh Sleep Quality Index (PSQI) was used. The Fried’s frailty index was utilized to assess frailty. Using multiple logistic regression models, the association between sleep quality and frailty status was evaluated using the Odds Ratio and confidence intervals (CI 95%); (3) Results: The pre-frailty and frailty status were prevalent among older adults who had poor sleep quality, 37% and 37.6% (p < 0.001), retrospectively. Poor sleep quality (PSQI > 5) was independently associated with both frailty (OR = 2.13) and prefrailty groups (OR = 1.67); (4) Conclusions: our study demonstrated a significant association between frailty and poor sleep quality. However, a longitudinal future study needs to be established to confirm this association and establish the causality relationship.

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“…The quality of all of the included studies ranged from 3 to 8 as per the Newcastle-Ottawa scale with a mean score of 6.18 for all included studies indicating satisfactory quality. One study scored 3 [ 17 ] two studies scored 5 [ 16 , 27 ] two studies scored 6 [ 23 , 24 ] five studies scored 7 [ 15 , 19 , 25 , 26 ] and one study scored 8 [ 20 ] No studies scored 1, 2, 4 or 9. Table 2 shows the quality rating for all included studies.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Frailty in the Middle East: Systematic Review and Meta-Analysis

et al. 2022

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(1) We aimed to systematically search available data on the prevalence of frailty among community-dwelling elders in Middle Eastern countries. The results from available studies are cumulated to provide comprehensive evidence for the prevalence of frailty. (2) Methods: A meta-analysis was done. A literature search was carried out using PRISMA guidelines in PubMed, Web of Science, and SCOPUS websites for studies up to 2020. Inclusion criteria entailed all primary studies conducted in Middle Eastern countries on frailty in community-dwelling older adults aged 60 years and older. (3) Results: A total of 10 studies were selected for this study. Random-effects meta-analysis of nine studies indicated there was a pooled prevalence rate of 0.3924 with a standard error of 0.037. This pooled prevalence point estimate of 0.3924 was statistically significant (p < 0.001). The Egger’s regression test and the trim-fill method for detecting publication bias did not detect any evidence of publication bias in the sample of included studies. The Egger’s regression test was not statistically significant. The trim-fill method indicated zero studies were missing on either side; (4) Conclusions: The study’s findings indicate that the prevalence of frailty is higher in Middle Eastern nations. Despite indications that many of these nations’ populations are rapidly ageing, we presently lack information on the incidence of frailty in these populations; this information is essential to health, policymakers, and social care planning.

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Prevalence of frailty and associated factors among Saudi community-dwelling older adults: a cross-sectional study

Cited by 32 publications

References 42 publications

Potentially Inappropriate Medications among Elderly with Frailty in a Tertiary Care Academic Medical Centre in Saudi Arabia

Potentially Inappropriate Medications among Elderly with Frailty in a Tertiary Care Academic Medical Centre in Saudi Arabia

Association between Physical Frailty and Sleep Quality among Saudi Older Adults: A Community-Based, Cross-Sectional Study

Prevalence of Frailty in the Middle East: Systematic Review and Meta-Analysis

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