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Observational Study
. 2017 Sep 30;48(3):126-131.
doi: 10.25100/cm.v48i3.1978.

Frailty syndrome and socioeconomic and health characteristics among older adults

Darlene Mara Dos Santos Tavares  1 , Thais Aline de Freitas Corrêa  1 , Flavia Aparecida Dias  1 , Pollyana Cristina Dos Santos Ferreira  1 , Maycon Sousa Pegorari  2
Affiliations
Observational Study

Frailty syndrome and socioeconomic and health characteristics among older adults

Darlene Mara Dos Santos Tavares et al. Colomb Med (Cali). .

Abstract
in English, Spanish

Objective: To investigate the association of frailty syndrome with socioeconomic and health variables among older adults.

Methods: This is a cross-sectional, observational and analytical household research conducted with a sample of 1,609 urban elderly. We used: semi-structured questionnaire, scales (Katz, Lawton and shortened version of Geriatric Depression Scale) and Fragility Phenotype proposed by Fried. Descriptive analysis was performed along with a bivariate and multinomial logistic regression model (p <0.05).

Results: The prevalence of pre-frailty condition was 52.0% and the fragility corresponded to 13.6%. Pre-frailty and frailty associated factors were, respectively: age range between 70-79 years and ≥80 years; one to four morbidities and five or more morbidities categories; functional disability for basic and instrumental activities of daily life and depression indicative; whilst lack of a companion or income and female gender were only associated to pre-frailty.

Conclusion: The conditions of pre-frailty and frailty levels were elevated with negative effects on the health of the elderly.

Objetivo: Investigar la asociación del síndrome de fragilidad con variables socioeconómicas y de salud de los adultos mayores.

Métodos: encuesta domiciliaria transversal, observacional y analítico realizado con una muestra de 1,609 personas mayores urbano. Fueron utilizados: cuestionario semi-estructurado, escalas (Katz, Lawton y depresión geriátrica acortado) y Fragilidad Fried fenotipo. Se realizaron los siguientes análisis: descriptivo, bivariado y modelo de regresión logística multinomial (p <0.05).

Resultados: La prevalencia de la condición pre-fragilidad fue del 52.0% y la fragilidad correspondió a 13.6%. Los factores asociados a la prefragilidad y fragilidad fueron, respectivamente: a los intervalos de edad de 70-79 años y ≥80 años; una a cuatro morbilidades y cinco o más categorías de morbilidad; incapacidad funcional para actividades básicas e instrumentales de la vida diaria y indicativo de depresión; en cuanto que la ausencia de compañero y ingreso y el género femenino se asociaron a la prefragilidad.

Conclusión: Las condiciones de los niveles previos a la fragilidad y la fragilidad fueron elevados con efectos negativos sobre la salud de los ancianos.

Keywords: activities of daily living; aging; frail elderly; health services for the aged; health status; socioeconomic factors.

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