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Frailty decreases physical health domain of quality of life in nursing home elderly

Yvonne Suzy Handajani, Nelly Tina Widjaja, Yuda Turana
Submission date: Thursday, 14 January 2016
Published date: Sunday, 27 December 2015
DOI: http://dx.doi.org/10.18051/UnivMed.2015.v34.213-219

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Abstract


BACKGROUND
Approximately 10-27% of the population aged >65 years suffers from frailty. The percentage increases with age so that the prevalence of frailty in the population aged >85 years reaches 45%. The objective of this study was to determine the relationship between   frailty and quality of life (QOL) in nursing home elderly.

METHODS
This was a cross-sectional study of 138 subjects aged >60 years who were recruited from 4 nursing homes in West Jakarta. Participants with frailty status were evaluated by the Survey of Health, Ageing and Retirement in Europe (SHARE) instrument and QOL was evaluated by the WHOQOL-BREF questionnaire. One-way ANOVA and chi-square tests were used to find relations between the frailty syndrome and QOL.

RESULTS
The percentages of respondents with pre-frail, frail, and non-frail status were 30.4%, 52.2%, and 17.4%, respectively. A decline in QOL scores of pre-frail and frail respondents was found for almost all QOL domains (physical, psychological and environment domains), except social relationships. The subdomains most influenced were “energy and fatigue” in the physical health domain, “thinking, learning, memory and concentration” in psychological health, and “opportunities for acquiring new information and skills” in the environment domain.

CONCLUSIONS
More than half of the nursing home elderly were frail and one-third were pre-frail. The main factor of frailty was weakness. The frailty syndrome in the elderly has a negative impact on QOL, especially in the physical health, psychological and environment domains in nursing home elderly.


Keywords


Frailty syndrome; quality of life; elderly; nursing homes

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References


Topinkova E. Getting older Facts about a biological process: aging, disability and frailty. Ann Nutr Metab 2008;52:6–11.

Eggimann BS, Cuenoud P, Spagnoli J, et al. Prevalence of frailty in middle-aged and older community-dwelling Europeans living in 10 countries. J Gerontol 2009;64:675-81.

Walston J, McBurnie MA, Newman A, et al. Frailty and activation of the inflammation and coagulation systems with and without clinical comorbidities: results from the cardiovascular health study. Arch Intern Med 2002;162:2333–41.

Rockwood K, Howlett SE, MacKnight C, et al. Prevalence, attributes, and outcomes of fitness and frailty in community-dwelling older adults: report from the Canadian study of health and aging. J Gerontol A Biol Sci Med Sci 2004;59: 1310-17.

Fried LP, Xue QL, Cappola AR, et al. Nonlinear multisystem physiological dysregulation associated with frailty in older women: implications for etiology and treatment. J Gerontol A Biol Sci Med Sci 2009;64:1049–57.

Masel M, Graham J, Reistetter T, et al. Frailty and health related quality of life in older Mexican Americans. Health Qual Life Outcomes 2009;7: 70.

Lin CC, Li CI, Chang CK, et al. Reduced health-related quality of life in elders with frailty: a cross-sectional study of community-dwelling elders in Taiwan. PLoS ONE 2011;6:e21841. doi: 10.1371/journal.pone.0021841.

Ortuno RR, Walsh CD, Lawlor BA, et al. A frailty instrument for primary care for those aged 75 years or more: findings from the survey of health, ageing and retirement in Europe, a longitudinal population-based cohort study (SHARE). BMJ Open 2014;4:e006645. doi: 10.1136.

Wulandari DW. Penentuan validitas WHOQOL-100 dalam menilai kualitas hidup pada pasien rawat jalan di RSCM (versi Indonesia) [thesis]. Jakarta: Universitas Indonesia; 2004.

World Health Organization. WHOQOL-BREF, introduction, administration, scoring and generic version of the assessment. Geneva: World Health Organization;1996.

Buchman AS, Wilson RS, Bienias JL, et al. Change in frailty and risk of death in older persons. Exp Aging Res 2009;35:61–82.

Chang YW, Chen WL, Lin FG, et al. Frailty and its impact on health-related quality of life: a cross-sectional study on elder community-dwelling preventive health service users. PLoS ONE 2012;7:e38079. doi:10.1371/journal.pone. 0038079.

Barthalos I, Bognar J, Fugedi B, et al. Physical performance, body composition, and quality of life in elderly women from clubs for the retired and living in twilight homes. Biomed Hum Kinetics 2012;4:45-8.

Poon WL, Chodzko-Zajko WJ, Tomporowski PD, editors. Active living, cognitive functioning and aging (aging, exercise and cognitive series). USA: Human Kinetics Publishers;2006.

Chodzko-Zajko WJ, Proctor DN, Fiatarone SM, et al. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc 2009;41: 1510-30. doi: 10.1249/MSS.0b013e3181a0c95c.

Fried LP, Ferrucci L, Darer J, et al. Untangling the concepts of disability, frailty and comorbidity: implications for improved targeting care. J Gerontol A Biol Sci Med Sci 2004;59:255-63.

Puts MT, Shekary N, Widdershoven G, et al. What does quality of life mean to older frail and non-frail community-dwelling adults in the Netherlands? Qual Life Res 2007;16:263-77.

Kanauchi M, Kubo A, Kanauchi K, et al. Frailty health-related quality of life and mental well-being in older adults with cardiometabolic risk factors. Int J Clin Pract 2008;62:1447-51.

Bilotta C, Bowling A, Case A, et al. Dimensions and correlates of quality of life according to frailty status: a cross-sectional study on community-dwelling older adults referred to an outpatient geriatric service in Italy. Health Qual Life Outcomes 2010;8:56.

Fougère B, Kelaiditi E, Hoogendijk EO, et al. Frailty index and quality of life in nursing home residents: results from INCUR study. J Gerontol A Biol Sci Med Sci 2015. doi: 10.1093/gerona/glv098


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Universa Medicina by Faculty of Medicine, Trisakti University is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Based on a work at https://univmed.org/ejurnal/index.php/medicina/


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