Frailty and Its Associated Risk Factors: First Phase Analysis of Multicentre Indonesia Longitudinal Aging Study
Background: National long-term care development requires updated epidemiological data related to frailty. We aimed to find the prevalence of frailty and its associated factors among Indonesian elderly.Methods: We conducted first-phase cross-sectional analysis of Indonesia Longitudinal Aging Study (I...
Main Authors: | , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2021-04-01
|
Series: | Frontiers in Medicine |
Subjects: | |
Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2021.658580/full |
id |
doaj-3712b824aed243e391d810d1ed029116 |
---|---|
record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Siti Setiati Siti Setiati Czeresna Heriawan Soejono Kuntjoro Harimurti Kuntjoro Harimurti Noto Dwimartutie I. G. P. Suka Aryana Sri Sunarti Fatichati Budiningsih Roza Mulyana Lazuardhi Dwipa Agus Sudarso Rensa Rensa Rahmi Istanti Muhammad Khifzhon Azwar Jessica Marsigit |
spellingShingle |
Siti Setiati Siti Setiati Czeresna Heriawan Soejono Kuntjoro Harimurti Kuntjoro Harimurti Noto Dwimartutie I. G. P. Suka Aryana Sri Sunarti Fatichati Budiningsih Roza Mulyana Lazuardhi Dwipa Agus Sudarso Rensa Rensa Rahmi Istanti Muhammad Khifzhon Azwar Jessica Marsigit Frailty and Its Associated Risk Factors: First Phase Analysis of Multicentre Indonesia Longitudinal Aging Study Frontiers in Medicine frailty prevalence Indonesia community-dwelling elderly long-term care risk factors |
author_facet |
Siti Setiati Siti Setiati Czeresna Heriawan Soejono Kuntjoro Harimurti Kuntjoro Harimurti Noto Dwimartutie I. G. P. Suka Aryana Sri Sunarti Fatichati Budiningsih Roza Mulyana Lazuardhi Dwipa Agus Sudarso Rensa Rensa Rahmi Istanti Muhammad Khifzhon Azwar Jessica Marsigit |
author_sort |
Siti Setiati |
title |
Frailty and Its Associated Risk Factors: First Phase Analysis of Multicentre Indonesia Longitudinal Aging Study |
title_short |
Frailty and Its Associated Risk Factors: First Phase Analysis of Multicentre Indonesia Longitudinal Aging Study |
title_full |
Frailty and Its Associated Risk Factors: First Phase Analysis of Multicentre Indonesia Longitudinal Aging Study |
title_fullStr |
Frailty and Its Associated Risk Factors: First Phase Analysis of Multicentre Indonesia Longitudinal Aging Study |
title_full_unstemmed |
Frailty and Its Associated Risk Factors: First Phase Analysis of Multicentre Indonesia Longitudinal Aging Study |
title_sort |
frailty and its associated risk factors: first phase analysis of multicentre indonesia longitudinal aging study |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Medicine |
issn |
2296-858X |
publishDate |
2021-04-01 |
description |
Background: National long-term care development requires updated epidemiological data related to frailty. We aimed to find the prevalence of frailty and its associated factors among Indonesian elderly.Methods: We conducted first-phase cross-sectional analysis of Indonesia Longitudinal Aging Study (INALAS) data collected from community-dwelling outpatients aged 60 years and older without acute illness in nine geriatric service care centres. Descriptive, bivariate and multivariate analyses were conducted.Results: Among 908 elderly in this study, 15.10% were robust, 66.20% were pre-frail, and 18.70% were frail. Functional dependence was associated with frailty among Indonesian elderly (OR 5.97, 95% CI 4.04–8.80). Being depressed and at risk for malnutrition were also associated with frailty with OR 2.54, 95% CI 1.56–4.12, and OR 2.56, 95% CI 1.68–3.90, respectively. Prior history of fall (OR 1.77, 95% CI 1.16–2.72) and hospitalization (OR 1.46, 95% CI 0.97–2.20) in the previous 12 months were associated with frailty. There is also significant association between poly pharmacy and frailty (OR 2.42, 95% CI 1.50–3.91).Conclusion: Approximately one in five Indonesian community-dwelling elderly was frail. Frailty is associated with functional dependence, being at risk for malnutrition or being malnourished, depression, history of fall, history of hospitalization, and poly pharmacy. There may be bidirectional relationships between the risk factors and frailty. The development of long-term care in Indonesia should be considered, without forcing the elderly who need it. |
topic |
frailty prevalence Indonesia community-dwelling elderly long-term care risk factors |
url |
https://www.frontiersin.org/articles/10.3389/fmed.2021.658580/full |
work_keys_str_mv |
AT sitisetiati frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT sitisetiati frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT czeresnaheriawansoejono frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT kuntjoroharimurti frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT kuntjoroharimurti frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT notodwimartutie frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT igpsukaaryana frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT srisunarti frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT fatichatibudiningsih frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT rozamulyana frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT lazuardhidwipa frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT agussudarso frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT rensarensa frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT rahmiistanti frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT muhammadkhifzhonazwar frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy AT jessicamarsigit frailtyanditsassociatedriskfactorsfirstphaseanalysisofmulticentreindonesialongitudinalagingstudy |
_version_ |
1721501370000867328 |
spelling |
doaj-3712b824aed243e391d810d1ed0291162021-04-29T09:10:30ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-04-01810.3389/fmed.2021.658580658580Frailty and Its Associated Risk Factors: First Phase Analysis of Multicentre Indonesia Longitudinal Aging StudySiti Setiati0Siti Setiati1Czeresna Heriawan Soejono2Kuntjoro Harimurti3Kuntjoro Harimurti4Noto Dwimartutie5I. G. P. Suka Aryana6Sri Sunarti7Fatichati Budiningsih8Roza Mulyana9Lazuardhi Dwipa10Agus Sudarso11Rensa Rensa12Rahmi Istanti13Muhammad Khifzhon Azwar14Jessica Marsigit15Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Cipto Mangunkusumo Hospital, Universitas Indonesia, Jakarta, IndonesiaClinical Epidemiology and Evidence-Based Medicine Unit, Faculty of Medicine, Cipto Mangunkusumo Hospital, Universitas Indonesia, Jakarta, IndonesiaDivision of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Cipto Mangunkusumo Hospital, Universitas Indonesia, Jakarta, IndonesiaDivision of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Cipto Mangunkusumo Hospital, Universitas Indonesia, Jakarta, IndonesiaClinical Epidemiology and Evidence-Based Medicine Unit, Faculty of Medicine, Cipto Mangunkusumo Hospital, Universitas Indonesia, Jakarta, IndonesiaDivision of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Cipto Mangunkusumo Hospital, Universitas Indonesia, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Udayana, Bali, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Sebelas Maret, Solo, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Andalas, Padang, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Padjajaran, Bandung, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Hasanuddin, Makasar, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Atma Jaya, Jakarta, IndonesiaDivision of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Cipto Mangunkusumo Hospital, Universitas Indonesia, Jakarta, IndonesiaDivision of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Cipto Mangunkusumo Hospital, Universitas Indonesia, Jakarta, IndonesiaDivision of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Cipto Mangunkusumo Hospital, Universitas Indonesia, Jakarta, IndonesiaBackground: National long-term care development requires updated epidemiological data related to frailty. We aimed to find the prevalence of frailty and its associated factors among Indonesian elderly.Methods: We conducted first-phase cross-sectional analysis of Indonesia Longitudinal Aging Study (INALAS) data collected from community-dwelling outpatients aged 60 years and older without acute illness in nine geriatric service care centres. Descriptive, bivariate and multivariate analyses were conducted.Results: Among 908 elderly in this study, 15.10% were robust, 66.20% were pre-frail, and 18.70% were frail. Functional dependence was associated with frailty among Indonesian elderly (OR 5.97, 95% CI 4.04–8.80). Being depressed and at risk for malnutrition were also associated with frailty with OR 2.54, 95% CI 1.56–4.12, and OR 2.56, 95% CI 1.68–3.90, respectively. Prior history of fall (OR 1.77, 95% CI 1.16–2.72) and hospitalization (OR 1.46, 95% CI 0.97–2.20) in the previous 12 months were associated with frailty. There is also significant association between poly pharmacy and frailty (OR 2.42, 95% CI 1.50–3.91).Conclusion: Approximately one in five Indonesian community-dwelling elderly was frail. Frailty is associated with functional dependence, being at risk for malnutrition or being malnourished, depression, history of fall, history of hospitalization, and poly pharmacy. There may be bidirectional relationships between the risk factors and frailty. The development of long-term care in Indonesia should be considered, without forcing the elderly who need it.https://www.frontiersin.org/articles/10.3389/fmed.2021.658580/fullfrailtyprevalenceIndonesiacommunity-dwelling elderlylong-term carerisk factors |