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  2. Vol 51, No 3 (2019)
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Factors Associated with Physical Frailty in Elderly Women with Low Socioeconomic Status in Urban Communities: A Cross-Sectional Study

Rensa Rensa, Siti Setiati, Purwita W Laksmi, Ikhwan Rinaldi

Abstract


Background: there are differences in factors associated with frailty syndrome in elderly population. The aim of this research was to determine frailty status (fit, pre-frail and frail) and to identify factors associated with physical frailty in urban community-dwelling elderly women. Methods: a cross-sectional study of community-dwelling women aged 60 years and older was conducted in West and Central Jakarta regions, Indonesia, from July until September 2017. The Cardiovascular Health Study (CHS) score was used to determine frailty status (fit/ pre-frail/ frail). Chi-Square Test and logistic regression analysis were used to determine association between independent variables and physical frailty. Results: there were 325 female subjects with a median age of 67 (60–94) years; 95.7% had income below the Provincial Minimum Income of DKI Jakarta in 2017 (<3.3 million IDR≈238 USD/month), and 92.6% had a level of education ≤9 years. Subjects were classified into this following groups: fit (12.6%), pre-frail (63.4%) and frail (24%). Factors associated with physical frailty were age above 70 years old with OR 5.27, lower Barthel Index for Activities of Daily Living (B-ADL) with OR 2.85, depressive symptoms with OR 6.79, and Euro Quality of Life-5 Dimensions (EQ-5D) index with OR 1.96. Conclusion: elderly women in the urban community with low socioeconomic status were classified as fit (12.6%), pre-frail (63.4%) and frail (24%). Factors associated with physical frailty were age above 70 years old, depressive symptoms, lower functional status and health-related quality of life index.

Keywords


elderly women; low socioeconomic status; physical frailty; urban community

References


Kementerian Kesehatan Republik Indonesia. Situasi lanjut usia (Lansia) di Indonesia. Jakarta: Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia; 2016.

Badan Pusat Statistik Republik Indonesia. Statistik penduduk lanjut usia. Jakarta: BPS; 2014.

Woo J, Zheng Z, Leung J, Chan P. Prevalence of frailty and contributory factors in three Chinese populations with different socioeconomic and healthcare characteristics. BMC Geriatr. 2015;15:163–74.

Serra-Prat M, Papiol M, Vico J, Palomera E, Sist X, Cabre M. Factors associated with frailty in the community-dwelling elderly population. A cross-sectional study. Eur Geriatr Med. 2016;7:531–7.

Fried LP, Walston JD, Ferrucci L. et al, editors. Hazzard’s geriatric medicine and gerontology. 6th ed. New York: McGraw Hill; 2009. p. 631–45.

Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol Med Sci. 2001;56:M146–56.

Oakland K, Nadler R, Cresswell L, Jackson D, Coughlin PA. Systematic review and meta-analysis of the association between frailty and outcome in surgical patients. Ann R Coll Surg Engl. 2016;98:80–5.

de Vries NM, Staal JB, van Ravensberg CD, Hobbelen JS, Rikkert MG, van der Sanden MW. Outcome instruments to measure frailty: a systematic review. Ageing Res Rev. 2011;10:104–14.

Soysal P, Stubbs B, Lucato P, Luchini C, Solmi M, Peluso R. Inflammation and frailty in the elderly: a systematic review and meta-analysis. Ageing Res Rev. 2016;31:1–8.

Lee JS, Auyeung TW, Leung J, Kwok T, Woo J. Transitions in frailty states among community-living older adults and their associated factors. JAMDA. 2014;15:281–6.

Woods NF, LaCroix AZ, Gray SL, et al. Frailty: Emergence and consequences in women aged 65 and older in the Women’s Health Initiative Observational Study. J Am Geriatr Soc. 2005;53:1321–30.

Szanton SL, Seplaki CL, Thorpe RJ, Allen JK, Fried LP. Socioeconomic status is associated with frailty: the Women’s Health and Aging Studies. J Epidemiol Community Health. 2010;64:63-7.

Kobayashi S, Asakura K, Suga H, Sasaki S. Three-generation study of women on diets and health study group. High protein intake is associated with low prevalence of frailty among old Japanese women: a multicenter cross-sectional study. Nutr J. 2013;12:164-74.

Gale CR, Baylis D, Cooper C. Inflammatory markers and incident frailty in men and women: the English Longitudinal Study of Ageing. AGE. 2013;35:2493–501.

Diez-Ruiz A, Bueno-Errandonea A, Nunez-Barrio J, Sanchez-Martin I, Vrotsou K, Vergara I. Factors associated with frailty in primary care: a prospective cohort study. BMC Geriatr. 2016;16:91–9.

Landi F, Cherubini A, Cesari M, et al. Sarcopenia and frailty: from the theoretical approach into clinical practice. Eur Geriatr Med. 2016;7:197–200.

Chen LJ, Chen CY, Lue BH, Tseng MY, Wu SC. Prevalence and associated factors of frailty among elderly people in Taiwan. Int J Gerontol. 2014;8:114–9.

Dent E, Hoogendijk EO. Psychosocial factors modify the association of frailty with adverse outcomes: a prospective study of hospitalized older people. BMC Geriatr. 2014;14:108–17.

Rizzoli R, Reginster JY, Amal JF, et al. Quality of life in sarcopenia and frailty. Calcif Tissue Int. 2013;93:101–20.

Rockwood K, Hogan DB, MacKnight C. Conceptualisation and measurement of frailty in elderly people. Drugs Aging. 2000;17:295–302.

Szanton SL, Seplaki CL, Thorpe RJ, Allen JK, Fried LP. Socioeconomic status is associated with frailty: the Women’s Health and Aging Studies. J Epidemiol Community Health. 2010;64:63-7.

Lee JSW, Auyeung TW, Leung J, Kwok T, Woo J. Transitions in frailty states among community-living older adults and their associated factors. JAMDA. 2014;15:281–6.

Robert HC, Denison HJ, Martin HJ, et al. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardized approach. Age Ageing. 2011;40:423–9.

Setiati S, Laksmi PW, Seto E, Tamin TZ, Istanti R. Factors associated with frailty status among Indonesian Elderly. 2017. Inpress.

Reiner AP, Aragaki AK, Gray SL, et al. Inflammation and thrombosis biomarkers and incident frailty in postmenopausal women. Am J Med. 2009;122: 947–54.


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