Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia

Frailty is a multidimensional syndrome, which is a worldwide concern within the field of geriatrics due to the aggravating effect on the physical and mental functions of the elderly. This study aimed to determine the prevalence and risk factors of the frailty syndrome among urban-living community-dw...

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Main Authors: Camilla Wahida Norazman, Siti Nur’Asyura Adznam, Rosita Jamaluddin
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:International Journal of Environmental Research and Public Health
Subjects:
Online Access:https://www.mdpi.com/1660-4601/17/18/6549
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spelling doaj-830e5700af10430e95257172363f308f2020-11-25T03:31:47ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012020-09-01176549654910.3390/ijerph17186549Physical Frailty among Urban-Living Community-Dwelling Older Adults in MalaysiaCamilla Wahida Norazman0Siti Nur’Asyura Adznam1Rosita Jamaluddin2Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor 43400, MalaysiaDepartment of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor 43400, MalaysiaMalaysian Research Institute of Ageing, (MyAgeing) Universiti Putra Malaysia, Serdang, Selangor 43400, MalaysiaFrailty is a multidimensional syndrome, which is a worldwide concern within the field of geriatrics due to the aggravating effect on the physical and mental functions of the elderly. This study aimed to determine the prevalence and risk factors of the frailty syndrome among urban-living community-dwelling elderly in Malaysia. A cross-sectional study was conducted among 301 community-dwelling elders. Frailty status was assessed using the Fried phenotype criteria. Depressive symptoms were assessed using the Geriatric Depression Scale (M-GDS-14), whereas the functional abilities and cognitive status were measured using the Lawton Instrumental Activities of Daily Living (Lawton IADL) scale and the Mini-Mental State Examination (MMSE-M), respectively. Malnutrition risk was observed through the abridged version (Short Form) of the Mini Nutritional Assessment (MNA-SF). Multinomial logistic regression analysis was employed to determine the significant predictors of the frailty syndrome. Three hundred and one elderly persons engaged in this study, with a mean age of 67.08 ± 5.536 ranging between 60 to 84 years old. The prevalence values of frailty and pre-frail were 15.9% and 72.8%, respectively, in which women appeared to be at a higher risk of frailty. The multivariate model revealed that frailty could be predicted from an increase in age, lower household income, being at risk of malnutrition, wasting (low skeletal muscle mass), and high serum C-reactive protein (CRP) level. A holistic approach is suggested for managing the frailty syndrome as it involves a decline in the multiple components of the geriatric syndrome.https://www.mdpi.com/1660-4601/17/18/6549frailtyelderlyageingsarcopenia
collection DOAJ
language English
format Article
sources DOAJ
author Camilla Wahida Norazman
Siti Nur’Asyura Adznam
Rosita Jamaluddin
spellingShingle Camilla Wahida Norazman
Siti Nur’Asyura Adznam
Rosita Jamaluddin
Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia
International Journal of Environmental Research and Public Health
frailty
elderly
ageing
sarcopenia
author_facet Camilla Wahida Norazman
Siti Nur’Asyura Adznam
Rosita Jamaluddin
author_sort Camilla Wahida Norazman
title Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia
title_short Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia
title_full Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia
title_fullStr Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia
title_full_unstemmed Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia
title_sort physical frailty among urban-living community-dwelling older adults in malaysia
publisher MDPI AG
series International Journal of Environmental Research and Public Health
issn 1661-7827
1660-4601
publishDate 2020-09-01
description Frailty is a multidimensional syndrome, which is a worldwide concern within the field of geriatrics due to the aggravating effect on the physical and mental functions of the elderly. This study aimed to determine the prevalence and risk factors of the frailty syndrome among urban-living community-dwelling elderly in Malaysia. A cross-sectional study was conducted among 301 community-dwelling elders. Frailty status was assessed using the Fried phenotype criteria. Depressive symptoms were assessed using the Geriatric Depression Scale (M-GDS-14), whereas the functional abilities and cognitive status were measured using the Lawton Instrumental Activities of Daily Living (Lawton IADL) scale and the Mini-Mental State Examination (MMSE-M), respectively. Malnutrition risk was observed through the abridged version (Short Form) of the Mini Nutritional Assessment (MNA-SF). Multinomial logistic regression analysis was employed to determine the significant predictors of the frailty syndrome. Three hundred and one elderly persons engaged in this study, with a mean age of 67.08 ± 5.536 ranging between 60 to 84 years old. The prevalence values of frailty and pre-frail were 15.9% and 72.8%, respectively, in which women appeared to be at a higher risk of frailty. The multivariate model revealed that frailty could be predicted from an increase in age, lower household income, being at risk of malnutrition, wasting (low skeletal muscle mass), and high serum C-reactive protein (CRP) level. A holistic approach is suggested for managing the frailty syndrome as it involves a decline in the multiple components of the geriatric syndrome.
topic frailty
elderly
ageing
sarcopenia
url https://www.mdpi.com/1660-4601/17/18/6549
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