Frailty phenotype characteristics of Community-dwelling frail elderly people in a sub-district

Authors

  • Sompong Morarit Health Promotion Center Region 1, Department of Health, Ministry of Public Health, Chiang Mai Province
  • Kanjana Taypa Thung Hua Sub-district Health Promoting Hospital, Wang Nua District, Lampang Province
  • Witaya Boonyod Health Promotion Center Region 1, Department of Health, Ministry of Public Health, Chiang Mai Province
  • Penprapa Siviroj Faculty of Medicine, Chiang Mai University

Keywords:

Frailty, phenotype, community-dwelling, elderly people

Abstract

The study was aimed to determine the physical frailty phenotype among community-dwelling elderly people in a northern sub-district. The subjects of 48 frail elderly people (17.2%) were reported among 280 volunteers age of 60 years and more. In clinical practice frailty can be diagnosed using Fried criteria, requiring at least three of the five indicators: 1) unintentional weight loss (4.5 kilogram in past year); 2) selfreport exhaustion; 3) grip strength weakness; 4) slow walking speed; and 5) low physical activity. Two common phenotypic variances were poor muscle strength or hand grip weakness (87.5%), and exhaustion (83.3%), followed by slowness (68.8%), low physical activity (68.8%), and unintentional weight loss (25.0%), respectively.

References

1. Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol A Biol Med Sci. 2004;59(3): 255–63.

2. Lang PO, Michel JP, Zekry D. Frailty syndrome: A transitional state in a dynamic process. Gerontology. 2009;55(5):539-49.

3. Buta BJ, Walston JD, Godino JG, Park M, Kalyani RR, Xue QL, et al. Frailty assessment instruments: Systematic characterization of the uses and contexts of highly-cited instruments. Ageing Res Rev. 2016;26:53-61.

4. Iqbal J, Denvir M, Gunn J. Frailty assessment in elderly people. Lancet. 2013;381(9882):1985-6.

5. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: Evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):146-56.

6. Xue QL. The frailty syndrome: Definition and natural history. Clin Geriatr Med. 2011;27(1):1-15.

7. Bergman H, Ferrucci L, Guralnik J, Hogan DB, Hummel S, Karunananthan S, et al. Frailty: An emerging research and clinical paradigmissues and controversies. J Gerontol A Biol Sci Med Sci. 2007;62(7):731-7.

8. Siriwardhana DD, Hardoon S, Rait G, Weerasinghe MC, Walters KR. Prevalence of frailty and prefrailty among communitydwelling 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.

9. 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):1487-92.

10. Kojima G, Iliffe S, Taniguchi Y, Shimada H, Rakugi H, Walters K. Prevalence of frailty in Japan: A systematic review and meta-analysis. J Epidemiol. 2017;27(8):347-53.

11. Biritwum RB, Minicuci N, Yawson AE, Theou O, MensahGP, Naidoo N, et al. Prevalence of and factors associated with frailty and disability in older adults from China, Ghana, India, Mexico, Russia and South Africa. Maturitas. 2016;91:8-18.

12. United Nations. World Population Prospects: The 2006 Revision. New York: United Nations; 2007.

13. United Nations. World population ageing 2015 report. [Internet]. New York: United Nations; 2015. Available from: http://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2015_Report.pdf

14. Department of Provincial Administration, Ministry of Interior. Registration statistical system [Internet]. Bangkok: Ministry of Interior; 2017 [cited 2018 May 15]. Available from: http://www.dop.go.th/th/know/1/51.

15. Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. Lancet. 2013;381(9868);752–62.

16. Jaturapatporn D, Hathirat S, Manataweewat B, Dellow AC, Leelaharattanarak S, Sirimothya S, et al. Reliability and validity of a Thai version of the general practice assessment questionnaire (GPAQ). J Med Assoc Thai. 2006;89(9):1491-6.

17. Fenz Z, Lugtenbeerg M, Franse C, Fang X, Hu S, Jin C, et al. Risk factors and protective factors associated with incident or increase of frailty among community-dwelling older adults: A systematic review of longitudinal studies. PLoS One. 2017;12(6): e0178383.

18. Papiol M. Serra-Prat M, Vico J, Jerez N, Salvador N, Garcia M, et al. Poor muscle Strength and low physical activity are the most prevalent frailty components in communitydwelling older adults. J Aging Phys Act. 2016;24(3):363-8.

19. Hoogendijk EO, van Kan GA, Guyonnet S, Vellas B, Cesari M. Components of the frailty phenotype in relation to the frailty index: Results from the Toulouse frailty platform. J Am Med Dir Assoc. 2015;16(10)855-9.
Distribution of the proportion of frailty indicators with sex and age

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Published

2018-08-29

How to Cite

1.
Morarit S, Taypa K, Boonyod W, Siviroj P. Frailty phenotype characteristics of Community-dwelling frail elderly people in a sub-district. Health Sci Tech Rev [Internet]. 2018 Aug. 29 [cited 2024 Dec. 22];11(2):56-60. Available from: https://li01.tci-thaijo.org/index.php/journalup/article/view/184774

Issue

Vol. 11 No. 2 (2018): May - August

Section

Research articles

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