FRAILTY IS ASSOCIATED WITH DISABILITY AND RECENT HOSPITALIZATION IN COMMUNITY-DWELLING ELDERLY: THE COYOACAN COHORT

2014 ◽  
pp. 1-5
Author(s):  
J.A. AVILA-FUNES ◽  
R.H. MEDINA-CAMPOS ◽  
O. TAMEZ-RIVERA ◽  
A.P. NAVARRETE-REYES ◽  
H. AMIEVA ◽  
...  
Keyword(s):  
Daily Living ◽  
Community Dwelling ◽  
Regression Analyses ◽  
Sectional Study ◽  
Multivariate Models ◽  
Mexican Community ◽  
Iadl Disability ◽  
Health Related ◽  
Cultural Traits ◽  
Adl Disability

Background: The phenotype of frailty proposed by Fried et al has shown to predict several adverse health-related outcomes in elderly populations worldwide; however, the description of such associations in Latin America is still scarce. Objective: To describe the association between frailty and recent hospitalization, disability for basic (ADL) and instrumental activities of daily living (IADL). Design, Setting and Participants:Cross-sectional study of 1,124 community-dwelling adults aged 70 and older participating in the Coyoacán cohort. Measurements: Frailty was defined by the presence of at least three of the following criteria: weight loss, exhaustion, low physical activity, slowness, and weakness. Multiple regression analyses were used to test the association between frailty and the outcomes of interest, adjusting for potential confounders. Results: Mean age was 78.2 (SD ±6.1) years. Prevalence of frailty was 14.1%. Adjusted multivariate models showed that frail status was associated with ADL disability (OR 3.06, 95%CI 1.52-6.17), IADL disability (OR 17.02, 95%CI 6.16-47.01), and recent hospitalization (OR 3.21, 95%CI 1.31-7.8). Conclusion: Among Mexican community-dwelling elderly, frailty is associated with ADL and IADL disability as well as with recent hospitalizations. Moreover, frailty’s prevalence in this population appears to be greater compared to what has been reported elsewhere. Social and cultural traits should be further studied as correlates of frailty in diverse populations.

scholarly journals Frailty among Mexican community-dwelling elderly: a story told 11 years later.The Mexican Health and Aging Study

2015 ◽  
Vol 57 ◽  
pp. 62 ◽  
Author(s):  
José Alberto Ávila Funes ◽  
Sara G Aguilar-Navarro ◽  
Hélène Amieva ◽  
Luis Miguel Gutiérrez-Robledo
Keyword(s):  
Community Dwelling ◽  
Multiple Covariates ◽  
Mexican Community ◽  
Aging Study ◽  
Health Related ◽  
Reported Health ◽  
Adl Disability ◽  
Self Reported Health Status ◽  
Slow Walking Speed

Objective. To describe the characteristics and prognosisof subjects classified as frail in a large sample of Mexican community-dwelling elderly. Materials and methods. An eleven-year longitudinal study of 5 644 old adults participating in the Mexican Health and Aging Study (MHAS). Frailty was defined by meeting at least three of the following criteria: weight loss, weakness, exhaustion, slow walking speed and low physical activity. The main outcomes were incident disability and death. Multiple covariates were used to test the prognostic value of frailty. Results. Thirty-seven percent of participants (n = 2 102) met the frailty criteria. Frail participants were significantly older, female, less educated, with more chronic disease, lower income, and poorer self-reported health status, in comparison with their non-frail counterparts. Frailty was a predictor both for disability activities of daily living and for mortality. Conclusion. After a follow-up of more than ten years, the phenotype of frailty was a predictor for adverse health-related outcomes, including ADL disability and death.

Appendicular Lean Mass, Grip Strength, and the Development of Hospital-Associated Activities of Daily Living Disability among Older Adults in the Health ABC Study

2021 ◽  
Author(s):  
James S Andrews ◽  
Laura S Gold ◽  
May J Reed ◽  
Jose M Garcia ◽  
Robyn L McClelland ◽  
...  
Keyword(s):  
Older Adults ◽  
Grip Strength ◽  
Lean Mass ◽  
Daily Living ◽  
Adult Survivors ◽  
Regression Analyses ◽  
Appendicular Lean Mass ◽  
Adl Disability ◽  
Separate Regression

Abstract Background Half of all physical disability, including activity of daily living (ADL) disability, among older adults occurs in the setting of hospitalization. This study examines whether appendicular lean mass (ALM) and grip strength, which are commonly included in various definitions of sarcopenia, are associated with development of hospital-associated ADL disability in older adults in the Health ABC Study. Methods Individuals hospitalized during the first 5 years of follow-up (n=1,724) were analyzed. ALM to body mass index (BMI) ratio (ALMBMI), by dual energy x-ray absorptiometry (DXA), and grip strength, by hand-held dynamometery, were assessed annually. Development of new ADL disability was assessed at the time of the next annual assessment after hospitalization. Separate regression analyses modeled the association of pre-hospitalization ALMBMI or grip strength with death before the next scheduled annual assessment. Next, among those who survived to the next annual assessment, separate regression analyses modeled the association of ALMBMI or grip strength with development of ADL disability. Results Each standard deviation decrement in pre-hospitalization grip strength was associated with an adjusted 1.80 odds of new ADL disability at follow-up (95% CI: 1.18, 2.74). Low, compared to not low, grip strength (per FNIH definition) was associated with an adjusted 2.36 odds of ADL disability at follow-up (95% CI: 1.12, 4.97). ALM measures were not associated with development of hospital-associated ADL disability. ALM and grip strength measures were not associated with death. Conclusions Pre-hospitalization lower grip strength may be an important risk factor for ADL disability among older adult survivors of hospitalization.

scholarly journals Effect of Aspirin on Activities of Daily Living Disability in Community-Dwelling Older Adults

2020 ◽  
Author(s):  
Robyn L Woods ◽  
Sara Espinoza ◽  
Le T P Thao ◽  
Michael E Ernst ◽  
Joanne Ryan ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Low Dose ◽  
Community Dwelling ◽  
Dose Aspirin ◽  
Low Dose Aspirin ◽  
Adl Disability ◽  
Community Dwelling Older Adults ◽  
Aspirin Group

Abstract Background Cerebrovascular events, dementia and cancer can contribute to physical disability with activities of daily living (ADL). It is unclear whether low-dose aspirin reduces this burden in aging populations. In a secondary analysis, we now examine aspirin’s effects on incident and persistent ADL disability within a primary prevention aspirin trial in community-dwelling older adults. Methods The ASPREE (ASPirin in Reducing Events in the Elderly) trial of daily 100mg aspirin versus placebo recruited 19,114 healthy adults aged 70+ years (65+ years if U.S. minority) in Australia and the U.S. Six basic ADLs were assessed every six months. Incident ADL disability was defined as inability or severe difficulty with ≥1 ADL; persistence was confirmed if the same ADL disability remained after six months. Proportional hazards modelling compared time to incident or persistent ADL disability for aspirin versus placebo; death without prior disability was a competing risk. Results Over a median 4.7 years, incident ADL disability was similar in those receiving aspirin (776/9525) and placebo (787/9589) with walking, bathing, dressing and transferring the most commonly reported. Only 24% of incident ADL disability progressed to persistent. Persistent ADL disability was lower in the aspirin group (4.3 versus 5.3 events/1000py; HR=0.81, 95% CI:0.66-1.00), with bathing and dressing the most common ADL disabilities in both groups. Following persistent ADL disability there were more deaths in the aspirin group (24 versus 12). Discussion Low-dose aspirin in initially healthy older people did not reduce risk of incident ADL disability, although there was evidence of reduced persistent ADL disability.

scholarly journals Health-related quality of life in Brazilian community-dwelling and institutionalized elderly: Comparison between genders

2016 ◽  
Vol 62 (9) ◽  
pp. 848-852 ◽  
Author(s):  
GABRIEL GRIZZO CUCATO ◽  
RAPHAEL MENDES RITTI-DIAS ◽  
MAYSA SEABRA CENDOROGLO ◽  
JOSÉ MARIA MALUF DE CARVALHO ◽  
FÁBIO NASRI ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Daily Living ◽  
Community Dwelling ◽  
Health Related Quality ◽  
Elderly Men ◽  
Men And Women ◽  
Daily Living Activities ◽  
Related Quality ◽  
Health Related

SUMMARY Objective To compare the health-related quality of life (HRQL) indicators between institutionalized and community-dwelling elderly men and women. Method This was a cross-sectional study with a sample of 496 elderly men and women, surveyed by researchers at a private hospital that attends institutionalized and community-dwelling elderly. HRQL (World Health Organization Quality of Life), daily living activities (Katz questionnaire), and instrumental daily living activities (Lawton questionnaire), mini-mental state examination, handgrip strength test, and function capacity (timed up and go test) were obtained. Results Institutionalized men presented higher scores in physical and psychological domains of HRQL compared to elderly men living alone (p<0.05). Among women, the scores in all domains (physical, psychological, relationship, and environment) were similar between institutionalized and community-dwelling individuals. Conclusion Institutionalized elderly men reported better scores in physical and psychological domains of HRQL compared to their community-dwelling pairs, while both institutionalized and community-dwelling elderly women presented similar HRQL.

scholarly journals Association between the number of prosthetic crowns and periodontitis: a cross-sectional study

2021 ◽  
Author(s):  
Yun-Jeong Kim ◽  
Jae-Young Lee ◽  
Young Ku ◽  
Hyun-Jae Cho
Keyword(s):  
Odds Ratio ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Nutrition Examination Survey ◽  
Regression Analyses ◽  
Sectional Study ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Health And Nutrition ◽  
Health Related

Abstract BackgroundAlthough the presence of prosthetic restorations has been associated with plaque accumulation, gingivitis, and periodontitis, there is a lack of large epidemiological investigations providing credible evidence on the association of prosthetic crowns with periodontitis. The purpose of the study was to analyze the association between the number of prosthetic crowns and the presence of periodontitis.MethodsThis study was based on the Seventh Korea National Health and Nutrition Examination Survey (2016-2018). A total of 12,689 participants over the age of 19 years were surveyed. Multivariate logistic regression analyses were used to identify the association between the number of prosthetic crowns and periodontitis after adjusting for potential confounders, including demographic variables, socio-economic characteristics, oral health-related variables, and oral and systemic clinical variables. ResultsThe odds ratio of periodontitis showed statistically significant differences in the anterior and posterior regions, and the prevalence of periodontal disease increased as the number of crown prostheses increased. Participants with 6–10 and 11 prosthetic crowns had 1.24 and 1.28 times higher prevalence of periodontitis, respectively, than patients with no prosthetic crown.ConclusionsThe results of this study show that the number of prosthetic crowns present in adults is related to the prevalence of periodontitis.

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