Profile in frail older people over 60 years of age in five Colombian cities, 2021
Article Sidebar
How to Cite
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Main Article Content
Abstract
Objective: To establish the frailty profile of older people living in the urban areas of Bucaramanga, Medellín, Pereira, Popayán and Santa Marta in Colombia, as frail people aged 60 or over are increasingly important in primary care due to demographic change.
Methods: Cross-sectional study of 2506 participants, selected through two-stage probabilistic sampling, and classified according to the FRAIL scale, to measure frailty. A multiple correspondence model was built to define the frailty-pre-frailty and non-frailty profiles.
Results: The prevalence of people with frailty is 9.6%, and pre-frailty is 60.8%. These conditions were independently associated with female sex, depression, dependence for basic daily activities and falls. Similarly, the profile of pre-frail and frail elderly is determined by disability, falls, high nutritional risk, physical inactivity, being a woman and low socioeconomic status.
Conclusion: Frail and pre-frail elderly people have modifiable characteristics (disability, falls, nutritional risk, physical inactivity and socioeconomic status), in order to reduce the prevalence of this condition. It is recommended that elderly people be able to enter care programs at different levels, in order to contribute to healthy aging processes.
References
Kshatri JS, Palo SK, Bhoi T, Barik SR, Pati S. Prevalence and Patterns of Multimorbidity Among Rural Elderly: Findings of the AHSETS Study. Front Public Health. 2020;8. doi:10.3389/fpubh.2020.582663
Ministerio de Protección Social, Ministerio de Salud Colombiano. Boletines Poblacionales: Personas Adultas Mayores de 60 años. Ministerio de salud; 2020:13. Accessed February 11, 2022. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/PS/280920-boletines-poblacionales-adulto-mayorI-2020.pdf
Departamento Administrativo Nacional de Estadística (DANE). Personas mayores en Colombia: Hacia la inclusión y la participación. DANE; 2021:54. Accessed September 21, 2022. https://www.dane.gov.co/files/investigaciones/notas-estadisticas/nov-2021-nota-estadistica-personas-mayores-en-colombia.pdf
Pilotto A, Custodero C, Maggi S, Polidori MC, Veronese N, Ferrucci L. A multidimensional approach to frailty in older people. Ageing Res Rev. 2020;60:101047. doi:10.1016/j.arr.2020.101047
Gordon SJ, Baker N, Kidd M, Maeder A, Grimmer KA. Pre-frailty factors in community-dwelling 40–75 year olds: opportunities for successful ageing. BMC Geriatr. 2020;20(1):96. doi:10.1186/s12877-020-1490-7
Li Z, Zhang Z, Ren Y, et al. Aging and age‐related diseases: from mechanisms to therapeutic strategies. Biogerontology. 2021;22(2):165-187. doi:10.1007/s10522-021-09910-5
Gleason LJ, Benton EA, Alvarez-Nebreda ML, Weaver MJ, Harris MB, Javedan H. FRAIL Questionnaire Screening Tool and Short-Term Outcomes in Geriatric Fracture Patients. J Am Med Dir Assoc. 2017;18(12):1082-1086. doi:10.1016/j.jamda.2017.07.005
Sobhani A, Fadayevatan R, Sharifi F, et al. The conceptual and practical definitions of frailty in older adults: a systematic review. J Diabetes Metab Disord. 2021;20(2):1975-2013. doi:10.1007/s40200-021-00897-x
Van K. A, Rolland Y, Bergman H, Morley, J E, Kritchevsky, S B. The I.A.N.A. task force on frailty assessment of older people in clinical practice. J Nutr Health Aging. 2008;12(1). doi:10.1007/bf02982161
Collard RM, Boter H, Schoevers RA, Oude Voshaar RC. Prevalence of frailty in community-dwelling older persons: a systematic review. J Am Geriatr Soc. 2012;60(8):1487-1492. doi:10.1111/j.1532-5415.2012.04054.x
Coelho J. HJ, Marzetti E, Picca A, Calvani R, Cesari M, Uchida MC. Prevalence of Prefrailty and Frailty in South America: A Systematic Review of Observational Studies. J Frailty Aging. Published online April 29, 2020. doi:10.14283/jfa.2020.22
Ocampo Ch. JM, Reyes-O CA, Castro X, Gómez F. Frailty in older adults and their association with social determinants of Health. The SABE Colombia Study. Colomb Médica CM. 50(2):89-101. doi:10.25100/cm.v50i2.4121
Peng Y, Zhong GC, Zhou X, Guan L, Zhou L. Frailty and risks of all-cause and cause-specific death in community-dwelling adults: a systematic review and meta-analysis. BMC Geriatr. 2022;22(1):725. doi:10.1186/s12877-022-03404-w
E Dent, Morley J, Vellas B. Physical activity and exercise: Strategies to manage frailty. Redox Biol. 2020;35:101513. doi:10.1016/j.redox.2020.101513
Liang H, Li X, Lin X, Ju Y, Leng J. The correlation between nutrition and frailty and the receiver operating characteristic curve of different nutritional indexes for frailty. BMC Geriatr. 2021;21(1):619. doi:10.1186/s12877-021-02580-5
Merchant RA, Morley JE, Izquierdo M. Exercise, Aging and Frailty: Guidelines for Increasing Function. J Nutr Health Aging. Published online January 19, 2021:1-5. doi:10.1007/s12603-021-1590-x
Souza D da S, Berlese DB, Cunha GL da, Cabral SM, Santos GA dos. Análise da relação do suporte social e da síndrome de fragilidade em idosos. Psicol Saúde Amp Doenças. 2017;18(2):420-433. doi:10.15309/17psd180211
Ministerio de Salud y Protección social. Boletines poblacionales: Personas adultas mayores de 60 años. Monisterio de salud colombiano; 2020:1-13. Accessed May 6, 2021. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/PS/boletines-poblacionales-envejecimiento.pdf
Rojas G. DF, Segura C. A, Cardona A. D, Segura C. Á, Garzón D. MO. Análisis Rasch del Mini Mental State Examination (MMSE) en adultos mayores de Antioquia, Colombia. CES Psicol. 2017;10(2):17-27. doi:10.21615/cesp.10.2.2
Cano S, Garzón M, Segura A, Cardona D. Factores asociados al maltrato del adulto mayor de Antioquia, 2012. Universidad CES; 2015. Accessed June 7, 2021. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-386X2015000100009
Escobar-Córdoba F, Eslava-Schmalbach J. Colombian Validation of the Pittsburgh Sleep Quality Index. Rev Neurol. 2005;40:150-155. doi:10.33588/rn.4003.2004320
Axon DR, Jang A, Son L, Pham T. Determining the association of perceived health status among united states older adults with self-reported pain. Aging Health Res. 2022;2(1):100051. doi:10.1016/j.ahr.2021.100051
Rueda J. GE, Día M. LA, López C. MT, Campo-A. A. Validación de una versión abreviada de la Escala para Depresión del Centro de Estudios Epidemiológicos (CES-D) en adultos colombianos. Rev Colomb Psiquiatr. 2009;38(3):513-521. Accessed February 15, 2022. http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0034-74502009000300009&lng=en&nrm=iso&tlng=es
Pulgarín CLB, Ocampo JM, Marín-Medina DS, et al. Riesgo de caídas, según escala de Barthel y morse, en adultos mayores institucionalizados, Manizales, Colombia. Rev Inst Salud Pública Chile. 2019;3(1). doi:10.34052/rispch.v3i1.71
Ministerio de salud. Test de valoración integral-instrumentos. Published online 2018. Accessed October 24, 2020. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/anexo-instrumentos-valoracion-ruta-promocion.pdf
Arredondo NHL, Castilla JF, GÓMEZa SLP, et al. Validación en Colombia del cuestionario MOS de apoyo social. Int J Psychol Res. 2012;(1):10.
Hernández Sampieri R, Fernández Collado C, Baptista Lucio P, Méndez Valencia S, Mendoza Torres CP. Metodología de la investigación. McGraw-Hill Education; 2014.
Cardona D, Segura A, Robledo C. Salud y bienestar mental de la persona mayor en cinco ciudades de Colombia. Año 2020. Vol 1. Primera edición. Universidad CES; 2020. Accessed December 20, 2020. https://repository.ces.edu.co/bitstream/handle/10946/6554/Libro%20-%20Salud%20y%20Bienestar%20MentalV4.pdf?sequence=1&isAllowed=y
Hosmer DW, Lemeshow S. Applied Logistic Regression. 2nd ed. Wiley; 2000. Accessed March 3, 2021. http://ez.urosario.edu.co/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cat05358a&AN=crai.68977&lang=es&site=eds-live&scope=site
Siriwardhana DD, Hardoon S, Rait G, Weerasinghe MC, Walters KR. Prevalence of frailty and prefrailty among community-dwelling older adults in low-income and middle-income countries: a systematic review and meta-analysis. BMJ Open. 2018;8(3):e018195. doi:10.1136/bmjopen-2017-018195
Rivadeneyra E. L, Sánchez H. C. Síndrome de fragilidad en el adulto mayor en una comunidad rural de Puebla, México. Duazary. 2016;13(2):119-125. doi:https://doi.org/10.21676/2389783X.1717
Herrera P. D, Soriano M. AN, Rodrigo G. PK, et al. Prevalencia del síndrome de fragilidad y factores asociados en adultos mayores. Rev Cuba Med Gen Integral. 2020;36(2). Accessed July 10, 2021. http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0864-21252020000200008&lng=es&nrm=iso&tlng=es
Li PS, Hsieh CJ, Miao NF. A Study of Physical Activity, Frailty, and Health-Related Quality of Life Among Community-Dwelling Older Adults in Taiwan. J Nurs Res. 2020;28(6):e124. doi:10.1097/JNR.0000000000000402
Menéndez G. L, Izaguirre R. A, Tranche-Iparraguirre S, Montero R. Á, Orts C. MI. Prevalencia y factores asociados de fragilidad en adultos mayores de 70 años en la comunidad. Aten Primaria. 2021;53(10):102128. doi:10.1016/j.aprim.2021.102128
Montes JFG, Borrero CLC, Henao GM. Fragilidad en ancianos colombianos. Rev Médica Sanitas. 2012;15(4):8-16. Accessed August 15, 2022. //revistas.unisanitas.edu.co/index.php/rms/article/view/445
Weiss CO. Frailty and chronic diseases in older adults. Clin Geriatr Med. 2011;27(1):39-52. doi:10.1016/j.cger.2010.08.003
Abu HO, Saczynski J, Mehawej J, et al. Multimorbidity, physical frailty, and self-rated health in older patients with atrial fibrillation. BMC Geriatr. 2020;20(1):343. doi:10.1186/s12877-020-01755-w
Díez V. P, Salamanca J, Rojas A, Alfonso F. Importance of frailty and comorbidity in elderly patients with severe aortic stenosis. J Geriatr Cardiol JGC. 2017;14(6):379-382. doi:10.11909/j.issn.1671-5411.2017.06.005
Makizako H, Shimada H, Doi T, Tsutsumimoto K, Suzuki T. Impact of physical frailty on disability in community-dwelling older adults: a prospective cohort study. BMJ Open. 2015;5(9):e008462. doi:10.1136/bmjopen-2015-008462
Chu W, Chang SF, Ho HY, Lin HC. The Relationship Between Depression and Frailty in Community-Dwelling Older People: A Systematic Review and Meta-Analysis of 84,351 Older Adults. J Nurs Scholarsh. 2019;51(5):547-559. doi:10.1111/jnu.12501