Physical frailty, cognitive and functional status in institutionalized older adults

Authors

DOI:

https://doi.org/10.33448/rsd-v11i12.34469

Keywords:

Frailty; Older adults; Cognitive status; Functional capacity; Institutionalization.

Abstract

Objective: To investigate the prevalence of frailty and its association with cognitive state and functional capacity in Brazilians institutionalized older adults. Methods: Cross-sectional study, conducted with institutionalized older adults from two Brazilian cities. Cognitive status, functional capacity and frailty were evaluated through the Mini-Mental State Examination (MMSE), KATZ index, and frailty phenotype, respectively, besides anthropometry and physical activity. Results: This study included 73 older adults with a mean age of 78.6 ±10.44 years. 63% were female, 47.9% were the very old (> 80 years) and 32.1% were underweight. The prevalence of frailty was 57.5%. It was observed that the older adults with frailty mostly had functional dependence (68.3%; p<0.01); cognitive deficit (69.0%; p<0.01); and were inactive (97.3%; p=0.01). There was an association of frailty with cognitive status (PR=1.90; CI: 1.17 - 3.06) and functional capacity (PR=2.97; CI: 1.18 - 3.11). Conclusion: The results showed high prevalence of frailty among institutionalized older adults and its association with functional incapacity and cognitive decline.

References

Al Snih, S., Graham, J. E., Ray, L. A., Samper-Ternent, R., Markides, K. S., & Ottenbacher, K. J. (2009). Frailty and incidence of activities of daily living disability among older Mexican Americans. Journal of Rehabilitation Medicine, 41(11), 892–897. https://doi.org/10.2340/16501977-0424

Alves-Silva, J. D., Scorsolini-Comin, F., & dos Santos, M. A. (2013). Idosos em instituições de longa permanência: Desenvolvimento, condições de vida e saũde. Psicologia: Reflexao e Critica, 26(4), 820–830. https://doi.org/10.1590/S0102-79722013000400023

Andrade, J. M., Duarte, Y. A. de O., Alves, L. C., Andrade, F. C. D., Junior, P. R. B. de S., Lima-Costa, M. F., & de Andrade, F. B. (2018). Frailty profile in Brazilian older adults: ELSI-Brazil. Revista de Saude Publica, 52, 1–10. https://doi.org/10.11606/S1518-8787.2018052000616

Angulo, J., El Assar, M., Álvarez-Bustos, A., & Rodríguez-Mañas, L. (2020). Physical activity and exercise: Strategies to manage frailty. Redox Biology, 35(January), 101513. https://doi.org/10.1016/j.redox.2020.101513

Arantes, A. P. F., Silva, V. M., Vila, V. da S. C., & Vitorino, P. V. de O. (2022). Prevalência da fragilidade em idosos institucionalizados no município de Rio Verde - Goiás. Research, Society and Development, 11(2), e4811225535. https://doi.org/10.33448/rsd-v11i2.25535

Batistoni, S. S. T., Neri, A. L., & Cupertino, A. P. F. B. (2007). Validade da escala de depressão do Center for Epidemiological Studies entre idosos brasileiros. Revista de Saúde Pública, 41(4), 598–605. https://doi.org/10.1590/s0034-89102007000400014

Benedetti, T. R. B., Antunes, P. D. C., & Rodriguez-añez, C. R. (2007). Reproducibility and validity of the International Physical Activity Questionnaire ( IPAQ ) in elderly men. Revista Brasileira de Medicina Do Esporte, 13(1), 9–13. https://doi.org/https://doi.org/10.1590/S1517-86922007000100004

Bertolucci, P. H. F., Brucki, S. M. D., Campacci, S. R., & Juliano, Y. (1994). O Mini-Exame do Estado Mental em uma população geral: impacto da escolaridade. Arquivos de Neuro-Psiquiatria, 52(1), 01–07. https://doi.org/10.1590/s0004-282x1994000100001

Borges, C. L., Da Silva, M. J., Clares, J. W. B., Bessa, M. E. P., & De Freitas, M. C. (2013). Frailty assessment of institutionalized elderly. ACTA Paulista de Enfermagem, 26(4), 318–322. https://doi.org/10.1590/s0103-21002013000400004

Brigola, A. G., Ottaviani, A. C., Carvalho, D. H. T., Oliveira, N. A., Souza, É. N., & Pavarini, S. C. I. (2020). Association between cognitive impairment and criteria for frailty syndrome among older adults. Arquivos de Neuro-Psiquiatria, 78(1), 2–8. https://doi.org/10.1590/0004-282X20190138

Cadore, E. L., Casas-Herrero, A., Zambom-Ferraresi, F., Martínez-Ramírez, A., Millor, N., Gómez, M., Moneo, A. B. B., & Izquierdo, M. (2015). Do frailty and cognitive impairment affect dual-task cost during walking in the oldest old institutionalized patients? Age (Dordrecht, Netherlands), 37(6), 1–9. https://doi.org/10.1007/s11357-015-9862-1

Camarano, A. A., & Kanso, S. (2010). As instituições de longa permanência para idosos no Brasil. Revista Brasileira de Estudos de Populacao, 27(1), 233–235. https://doi.org/10.1590/s0102-30982010000100014

Chumlea, W. C., Roche, A. F., & Steinbaugh, M. L. (1985). Estimating Stature from Knee Height for Persons 60 to 90 Years of Age. Journal of the American Geriatrics Society, 33(2), 116–120. https://doi.org/10.1111/j.1532-5415.1985.tb02276.x

Collard, R. M., Boter, H., Schoevers, R. A., & Oude Voshaar, R. C. (2012). Prevalence of frailty in community-dwelling older persons: A systematic review. Journal of the American Geriatrics Society, 60(8), 1487–1492. https://doi.org/10.1111/j.1532-5415.2012.04054.x

da Silva, S. L. A., Neri, A. L., Ferrioli, E., Lourenço, R. A., & Dias, R. C. (2016). Fenótipo de fragilidade: Influência de cada item na determinação da fragilidade em idosos comunitários - Rede Fibra. Ciencia e Saude Coletiva, 21(11), 3483–3492. https://doi.org/10.1590/1413-812320152111.23292015

Duarte, Y. A. de O., Nunes, D. P., de Andrade, F. B., Corona, L. P., de Brito, T. R. P., Dos Santos, J. L. F., & Lebrão, M. L. (2018). Frailty in older adults in the city of São Paulo: Prevalence and associated factors. Revista Brasileira de Epidemiologia, 21(Suppl 2). https://doi.org/10.1590/1980-549720180021.supl.2

Fabrício-Wehbe, S. C. C., Cruz, I. R., Haas, V. J., Diniz, M. A., Dantas, R. A. S., & Rodrigues, R. A. P. (2013). Reprodutibilidade da versão Brasileira adaptada da Edmonton Frail Scale para idosos residentes na comunidade. Revista Latino-Americana de Enfermagem, 21(6), 1330–1336. https://doi.org/10.1590/0104-1169.2933.2371

Faria, C. de A., Lourenço, R. A., Ribeiro, P. C. C., & Lopes, C. S. (2013). Cognitive performance and frailty in older adults clients of a private health care plan. Revista de Saude Publica, 47(5), 923–930. https://doi.org/10.1590/S0034-8910.2013047004451

Farías-Antúnez, S., & Fassa, A. G. (2019). Prevalência e fatores associados à fragilidade em população idosa do Sul do Brasil, 2014. Epidemiologia e Servicos de Saude : Revista Do Sistema Unico de Saude Do Brasil, 28(1), e2017405. https://doi.org/10.5123/S1679-49742019000100008

Fluetti, M. T., Fhon, J. R. S., Oliveira, A. P. de, Chiquito, L. M. O., & Marques, S. (2018). The frailty syndrome in institutionalized elderly persons. Revista Brasileira de Geriatria e Gerontologia, 21(1), 60–69. https://doi.org/10.1590/1981-22562018021.170098

Fontelles, M. J., Simões, M. G., Farias, S. H., & Fontelles, R. G. S. (2009). Metodologia da pesquisa científica: diretrizes para a elaboração de um protocolo de pesquisa. Revista paraense de medicina, 23(3), 1-8

Fried, L. P., Ferrucci, L., Darer, J., Williamson, J. D., & Anderson, G. (2004). Untangling the Concepts of Disability, Frailty, and Comorbidity: Implications for Improved Targeting and Care. Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 59(3), 255–263. https://doi.org/10.1093/gerona/59.3.m255

Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., Seeman, T., Tracy, R., Kop, W. J., Burke, G., & McBurnie, M. A. (2001). Frailty in Older Adults: Evidence for a Phenotype. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(3), M146–M157. https://doi.org/10.1093/gerona/56.3.m146

Frisoli, A., Paes, A. T., Borges, J., Ingham, S. M. N., Cartocci, M. M., Lima, E., & de Camargo Carvalho, A. C. (2021). The association between low lean mass and osteoporosis increases the risk of weakness, poor physical performance and frailty in Brazilian older adults: data from SARCOS study. European Journal of Clinical Nutrition, 75(3), 446–455. https://doi.org/10.1038/s41430-020-00753-w

Furtado, G. E., Letieri, R., Hogervorst, E., Teixeira, A. B., & Ferreira, J. P. (2019). Physical frailty and cognitive performance in older populations, Part I: Systematic review with meta-analysis. Ciencia e Saude Coletiva, 24(1), 203–218. https://doi.org/10.1590/1413-81232018241.03692017

González-Vaca, J., De La Rica-Escuín, M., Silva-Iglesias, M., Arjonilla-García, M. D., Varela-Pérez, R., Oliver-Carbonell, J. L., & Abizanda, P. (2014). Frailty in institutionalized older adults from albacete. The FINAL Study: Rationale, design, methodology, prevalence and attributes. Maturitas, 77(1), 78–84. https://doi.org/10.1016/j.maturitas.2013.10.005

Guedes, R. de C., Dias, R., Neri, A. L., Ferriolli, E., Lourenço, R. A., & Lustosa, L. P. (2020). Frailty syndrome in brazilian older people: A population based study. Ciencia e Saude Coletiva, 25(5), 1947–1954. https://doi.org/10.1590/1413-81232020255.21582018

Gutiérrez-Valencia, M., Izquierdo, M., Lacalle-Fabo, E., Marín-Epelde, I., Ramón-Espinoza, M. F., Domene-Domene, T., Casas-Herrero, Á., Galbete, A., & Martínez-Velilla, N. (2018). Relationship between frailty, polypharmacy, and underprescription in older adults living in nursing homes. European Journal of Clinical Pharmacology, 74(7), 961–970. https://doi.org/10.1007/s00228-018-2452-2

Hasan, S. S., Kow, C. S., Thiruchelvam, K., Chong, D. W. K., & Ahmed, S. I. (2017). An Evaluation of the Central Nervous System Medication Use and Frailty among Residents of Aged Care Homes in Malaysia. Neuroepidemiology, 49(1–2), 82–90. https://doi.org/10.1159/000480433

Kojima, G. (2015). Prevalence of Frailty in Nursing Homes: A Systematic Review and Meta-Analysis. Journal of the American Medical Directors Association, 16(11), 940–945. https://doi.org/10.1016/j.jamda.2015.06.025

Kumar, S., Wong, P. S., Hasan, S. S., & Kairuz, T. (2019). The relationship between sleep quality, inappropriate medication use and frailty among older adults in aged care homes in Malaysia. PLoS ONE, 14(10), 1–11. https://doi.org/10.1371/journal.pone.0224122

Lacas, A., & Rockwood, K. (2012). Frailty in primary care: A review of its conceptualization and implications for practice. BMC Medicine, 10. https://doi.org/10.1186/1741-7015-10-4

Lino, V. T. S., Pereira, S. R. M., Camacho, L. A. B., Ribeiro Filho, S. T., & Buksman, S. (2008). Cross-cultural adaptation of the Independence in Activities of Daily Living Index (Katz Index). Cadernos de Saude Publica, 24(1), 103–112. https://doi.org/10.1590/s0102-311x2008000100010

Lohman, T. G., Roche, A. F., & Martorell, R. (1988). Anthropometric standardization reference manual (Vol. 177). Human kinetics books Champaign.

Mello, A. de C., Engstrom, E. M., & Alves, L. C. (2014). Health-related and socio-demographic factors associated with frailty in the elderly: a systematic literature review. Cadernos de Saúde Pública, 30(6), 1143–1168. https://doi.org/10.1590/0102-311x00148213

Melo, E. M. de A., Marques, A. P. de O., Leal, M. C. C., & Melo, H. M. de A. (2018). Síndrome da fragilidade e fatores associados em idosos residentes em instituições de longa permanência. Saúde Em Debate, 42(117), 468–480. https://doi.org/10.1590/0103-1104201811710

Miyamura, K., Fhon, J. R. S., Bueno, A. de A., Fuentes-Neira, W. L., Silveira, R. C. de C. P., & Rodrigues, R. A. P. (2019). Frailty syndrome and cognitive impairment in older adults: Systematic review of the literature. Revista Latino-Americana de Enfermagem, 27. https://doi.org/10.1590/1518-8345.3189.3202

Murukesu, R. R., Singh, D. K. A., Subramaniam, P., Tan, X. V., Izhar, I. A. M., Ponvel, P., & Rasdi, H. F. M. (2019). Prevalence of frailty and its association with cognitive status and functional fitness among ambulating older adults residing in institutions withinwest coast of Peninsular Malaysia. International Journal of Environmental Research and Public Health, 16(23), 1–13. https://doi.org/10.3390/ijerph16234716

Neri, A. L., Yassuda, M. S., Araújo, L. F. de, Eulálio, M. do C., Cabral, B. E., Siqueira, M. E. C. de, Santos, G. A. dos, & Moura, J. G. de A. (2013). Metodologia e perfil sociodemográfico, cognitivo e de fragilidade de idosos comunitários de sete cidades brasileiras: Estudo FIBRA. Cadernos de Saúde Pública, 29(4), 778–792. https://doi.org/10.1590/s0102-311x2013000800015

Nunes, D. P., Duarte, Y. A. de O., Santos, J. L. F., & Lebrão, M. L. (2015). Screening for frailty in older adults using a self-reported instrument. Revista de Saude Publica, 49(1). https://doi.org/10.1590/S0034-8910.2015049005516

OPAS/SABE. (2001). ORGANIZACIÓN PANAMERICANA DE LA SALUD Oficina Sanitaria Panamericana, la Oficina Regional del ORGANIZACIÓN MUNDIAL DE LA SALUD CAIS 36/2001.5 Original: Español XXXVI REUNIÓN DEL COMITÉ ASESOR DE INVESTIGACIONES EN SALUD Encuesta Multicéntrica.

Pardini, R., Matsudo, S., Araújo, T., Matsudo, V., Andrade, E., Braggion, G., Andrade, D., Oliveira, L., Figueira, A., & Raso, V. (2001). Validação do questionário internacional de nível de atividade física (IPAQ -versão 6): estudo piloto em adultos jovens brasileiros. Rev. Bras. Ciên. e Mov. , 9, 45–51. http://portalrevistas.ucb.br/index.php/RBCM/article/viewFile/393/446

Pegorari, M. S., & Tavares, D. M. dos S. (2014). Factors associated with the frailty syndrome in elderly individuals living in the urban area. Revista Latino-Americana de Enfermagem, 22(5), 874–882. https://doi.org/10.1590/0104-1169.0213.2493

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. (1ª ed.) Universidade Federal de Santa Maria.

Rodrigues, R. A. P., Fhon, J. R. S., Pontes, M. de L. de F., Silva, A. O., Haas, V. J., & Santos, J. L. F. (2018). Frailty syndrome among elderly and associated factors: Comparison of two cities. Revista Latino-Americana de Enfermagem, 26. https://doi.org/10.1590/1518-8345.2897.3100

Santos, P. H. S., Fernandes, M. H., Casotti, C. A., Da Coqueiro, R. S., & Carneiro, J. A. O. (2015). Perfil de fragilidade e fatores associados em idosos cadastrados em uma Unidade de Saúde da Família. Ciencia e Saude Coletiva, 20(6), 1917–1924. https://doi.org/10.1590/1413-81232015206.17232014

Tornero-Quiñones, I., Sáez-Padilla, J., Díaz, A. E., Robles, M. T. A., & Robles, Á. S. (2020). Functional ability, frailty and risk of falls in the elderly: Relations with autonomy in daily living. International Journal of Environmental Research and Public Health, 17(3), 1–12. https://doi.org/10.3390/ijerph17031006

Zhao, M., Gao, J., Li, M., & Wang, K. (2019). Relationship Between Loneliness and Frailty Among Older Adults in Nursing Homes: The Mediating Role of Activity Engagement. Journal of the American Medical Directors Association, 20(6), 759–764. https://doi.org/https://doi.org/10.1016/j.jamda.2018.11.007

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14/09/2022

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SILVA, J. C. C. .; RAMOS, L. B. .; SILVA, H. S. da .; ANDRADE, C. de S.; SOUZA, G. R. de .; SANTOS , T. da P.; SANTIAGO, L. B. .; RORIZ, A. K. C. . Physical frailty, cognitive and functional status in institutionalized older adults. Research, Society and Development, [S. l.], v. 11, n. 12, p. e281111234469, 2022. DOI: 10.33448/rsd-v11i12.34469. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/34469. Acesso em: 14 nov. 2024.

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Vol. 11 No. 12

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Health Sciences

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Copyright (c) 2022 Juliana Campos Cardoso Silva; Lilian Barbosa Ramos; Henrique Salmazo da Silva; Carine de Sousa Andrade; Giesy Ribeiro de Souza; Thárcio da Paixão Santos ; Lidiane Barbosa Santiago; Anna Karla Carneiro Roriz

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