Prevalence of Frailty in Brazilian Older Adults: A Systematic Review and Meta-Analysis

Melo, Ruth Caldeira de; Cipolli, Gabriela Cabett; Buarque, Giselle Layse Andrade; Yassuda, Mônica Sanches; Cesari, Matteo; Voshaar, Richard C. Oude; Aprahamian, Ivan

doi:10.1007/s12603-020-1398-0

Cited by 21 publications

(19 citation statements)

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“…Our analysis showed that at 18.7%, the FP prevalence of the very old population of NRW was higher than that of younger older adults in Germany [4,24]. On the one hand, this confirmed the widespread empirical evidence that the risk of prefrailty and frailty increases with age [7,21]. On the other hand, the inclusion of nursing home residents could contribute to the higher FP prevalence (cf.…”

Section: Discussionsupporting

confidence: 84%

Home environment and frailty in very old adults

2021

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Background Since older adults spend much time in their home environment (HE), frailty may occur as a consequence of a maladaptation to the HE. The aim of this study was to describe the prevalence of frailty in the very old population of North Rhine-Westphalia, and to examine the association between the HE and the frailty levels of these individuals. Methods Data from a cross-sectional representative study were used, including data on 1577 community-dwelling individuals and nursing home residents aged ≥ 80 years. Objective and subjective HE aspects were included. Frailty was defined according to four criteria: exhaustion, unintentional weight loss, weakness, and low physical activity. Adjusted multinomial regression modelling was used to analyze the link between the HE and frailty levels. Results Of the very old individuals, 24.3% were robust, 57.0% were prefrail, and 18.7% were frail. Adjusting for relevant sociodemographic and health characteristics, being not closely attached to the HE was linked with an increased probability of being prefrail and frail. An improvement of the residential area was associated with a decrease in odds of being frail. Living in communities with less than 50,000 and with 100,000–499,999 inhabitants decreased the odds of being frail. Discussion Frailty prevalence is shown to be higher in the very old population than in the younger age groups in Germany. Early identification of frailty and tailored interventions focused on improving objective and subjective attributes of the HE are needed to reduce the risk of frailty.

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Section: Discussionsupporting

confidence: 84%

Home environment and frailty in very old adults

2021

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“…Thus, this is clinically relevant because depressed geriatric outpatients have an increased risk of becoming frail. In addition, the prevalence of frailty in Brazil is higher in those individuals recruited from health care services when compared to community ones (30% versus 22%, respectively) (58).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Longitudinal Association between Late-Life Depression (LLD) and Frailty: Findings from a Prospective Cohort Study (MiMiCS-FRAIL)

Borges

Romanini

Lima

et al. 2021

The Journal of nutrition, health and aging

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OBJECTIVES:The aim of the present study was to investigate whether late-life depression (LLD) is associated with incident frailty over time. DESIGN: Prospective cohort study, one-year follow-up. SETTING: Geriatric outpatient clinic, Southwestern of Brazil. PARTICIPANTS: 181 follow-up participants aged 60 years or over. MEASUREMENTS: Depressive disorders were classified as Major Depressive disorder (MDD) or Subthreshold Depression (STD) according to DSM-5 criteria. Depressive symptoms were assessed with validated versions of 15-item Geriatric Depression Scale (GDS-15) and 9-item Patient Health Questionnaire (PHQ-9). We performed binary logistic regressions to estimate the odds ratio (OR) for frailty in LLD adjusting for multiple confounders. Participants who were frail at baseline were excluded from the analyses according to measures of frailty (FRAIL questionnaire and 36-item Frailty Index, FI-36). We also estimated the risk ratio or relative risk (RR) and the risk difference (RD) for incident frailty. RESULTS: We observed a 2 to 4-fold increased risk for incident frailty among participants with LLD. The presence of a depressive disorder was significantly associated with the onset of frailty (adjusted OR for FRAIL and FI-36: 3.07 [95% CI = 1.03 -9.17] and 3.76 [95% CI = 1.09 -12.97], respectively. Notably, the risk for frailty due to LLD was significantly higher with the FI-36 compared to the FRAIL (RR: 3.03 versus 2.23). RD was of 17.3% and 12.7% with the FRAIL and the FI-36, respectively. CONCLUSION: Our data support the association between LLD and incident frailty over one year among geriatric outpatients, reinforcing longitudinal evidence from population-based studies.

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“…A prevalência da fragilidade em países de baixa ou média renda é mais elevada se comparada àqueles mais desenvolvidos, sendo estimada em 17,4% (IC 95% = 14,4 -20,7%) 51 . No Brasil, a prevalência da fragilidade em idosos não institucionalizados é de 24% (22% em idosos da comunidade e, 30% naqueles atendidos nos serviços de saúde) 52 . 49,59,60,61 .…”

Section: Rastreamento Fatores De Risco E Prevalência Da Fragilidade Em Idososunclassified

Depressão como preditor para fragilidade nos idosos: estudo de coorte ambulatorial

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DEDICATÓRIA"Portanto, obrigado a cada um de vocês, que fazem parte da minha vida e que me permitem engrandecer minha história com os retalhos deixados em mim" (Cora Coralina) À minha família e amigos, por sua presença, carinho e apoio durante o período da elaboração deste trabalho. AGRADECIMENTOS Ao Professor Ivan Aprahamian, uma referência como pesquisador e orientador, contribuindo para meu crescimento científico, sempre com muita paciência e sabedoria. Sou muito grato pela confiança na minha orientação e pelo fruto deste trabalho conjunto. Aos colegas, professores e funcionários do Programa de Pósgraduação em Psiquiatria da Faculdade de Medicina da USP, o meu agradecimento pela atenção, disponibilidade e pelas oportunidades ao longo desses 4 anos. Ao Serviço de Geriatria do HCFMUSP e ao grupo de Alterações Comportamentais em Idosos (ACId), agradeço pelo acolhimento, aprendizado e amizade. Às minhas amigas, Alaíse Siqueira e Marina Biella, que me apoiaram e incentivaram durante a minha trajetória acadêmica no ACId -HCFMUSP. Ao Serviço de Geriatria da Faculdade de Medicina de Jundiaí (FMJ) e ao grupo de pesquisa Group of Investigation on Multimorbidity and Mental Health in Aging (GIMMA) pela oportunidade de realizar e complementar este trabalho nessa instituição de ensino superior. O presente trabalho foi realizado com apoio da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior -Brasil (CAPES) -Código de Financiamento 001. Agradeço ao Programa de Internacionalização da USP -PrInt USP e à CAPES, pelo apoio científico e financeiro concedido durante minha capacitação na Universidade de Groningen, na Holanda.

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Prevalence of Frailty in Brazilian Older Adults: A Systematic Review and Meta-Analysis

Cited by 21 publications

References 59 publications

Home environment and frailty in very old adults

Home environment and frailty in very old adults

Longitudinal Association between Late-Life Depression (LLD) and Frailty: Findings from a Prospective Cohort Study (MiMiCS-FRAIL)

Depressão como preditor para fragilidade nos idosos: estudo de coorte ambulatorial

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