Frailty and quality of life in the elderly

Authors

DOI:

https://doi.org/10.33448/rsd-v12i3.40738

Keywords:

Quality of Life; Aged; Sarcopenia; Daily activities; Geriatric assessment.

Abstract

Introduction: The maintenance of quality of life for the elderly presents several challenges, especially frailty. This process resulting from metabolic and physiological changes is currently evaluated by different parameters, from sarcopenia to functional disability. Objective: We sought to evaluate the studies in the literature about the impact of frailty, as well as to understand the instruments for its definition and the impact on the lives of individuals, analyzing means of prevention of these implications and preservation of health. Methodology: A review of narrative literature with descriptive analysis was carried out, using the descriptors quality of life; elderly; sarcopenia; daily activities; geriatric evaluation. Results: 60 articles were analyzed, separated and tabulated according to the study design. It was observed that through the various existing criteria for defining frailty, there is a positive correlation between this syndrome and quality of life in the elderly. Conclusion: It was demonstrated that through health protocols assists in the direction and proper conduct of people with frailty, enabling more well-being to aging.

Author Biographies

Marina Araújo Rabelo, Universidade do Vale do Sapucaí

Academic of Medicine at the University of Vale do Sapucaí (UNIVÁS)  

Diba Maria Sebba Tosta de Souza, Universidade do Vale do Sapucaí

Nurse, Master in Adult Health from the University of São Paulo (USP) and PhD in Sciences from the Federal University of São Paulo (UNIFESP)

Vitor Ângelo Carlucio Galhardo , Universidade do Vale do Sapucaí

Geriatric Physician, Master in Health Sciences from the Federal University of São Paulo (UNIFESP)  

Jorge Luiz de Carvalho Mello , Universidade do Vale do Sapucaí

Geriatric Physician, Master in Health Sciences from the University of Vale do Sapucaí (UNIVÁS)

References

Batistoni, S. S. T., Néri, A. L., & Cupertino, A. P. (2010). Validade e confiabilidade da versão Brasileira da Center for Epidemiological Scale - Depression (CES-D) em idosos Brasileiros. Psico-USF, 15, 13–22. https://doi.org/10.1590/S1413-82712010000100003

Brigola, A. G., Rossetti, E. S., Santos, B. R. dos, Neri, A. L., Zazzetta, M. S., Inouye, K., & Pavarini, S. C. I. (2015). Relationship between cognition and frailty in elderly: A systematic review. Dementia & Neuropsychologia, 9(2), 110–119. https://doi.org/10.1590/1980-57642015dn92000005

Carneiro, J. A., Ramos, G. C., Barbosa, A. T. F., Mendonça, J. M. G., Costa, F. M., & Caldeira, A. P. (2016). Prevalência e fatores associados à fragilidade em idosos não institucionalizados. Rev Bras Enferm, 69(3), 435-442. doi: 10.1590/0034-7167.2016690304iB

Cesari, M., Landi, F., Vellas, B., Bernabei, R., & Marzetti, E. (2014). Sarcopenia and physical frailty: two sides of the same coin. Front Aging Neurosci, 6, 192. doi: 10.3389/fnagi.2014.00192.

Chang K.V., Hsu T.H., Wu W.T., Huang K.C., Han D.S. Association Between Sarcopenia and Cognitive Impairment: A Systematic Review and Meta-Analysis. (2016). J Am Med Dir Assoc. 17(12):1164.e7-1164.e15. doi: 10.1016/j.jamda.2016.09.013.

Cordes, T., Bischoff, L. L., Schoene, D., Schott, N., Voelcker-Rehage, C., Meixner, C., Appelles, L.-M., Bebenek, M., Berwinkel, A., Hildebrand, C., Jöllenbeck, T., Johnen, B., Kemmler, W., Klotzbier, T., Korbus, H., Rudisch, J., Vogt, L., Weigelt, M., Wittelsberger, R., & Zwingmann, K. (2019). A multicomponent exercise intervention to improve physical functioning, cognition and psychosocial well-being in elderly nursing home residents: a study protocol of a randomized controlled trial in the PROCARE (prevention and occupational health in long-term care) project. BMC Geriatrics, 19(1). https://doi.org/10.1186/s12877-019-1386-6

Cruz-Jentoft A.J., Bahat G., Bauer J., Boirie Y., Bruyère O., Cederholm T., Cooper C., Landi F., Rolland Y., Sayer A. A., Schneider S. M., Sieber C. C., Topinkova E., Vandewoude M., Visser M., Zamboni M. (2019). Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 48(1):16-31. doi: 10.1093/aging/afy169

De Vriendt P., Peersman W., Florus A., Verbeke M., Van de Velde D. (2016) Improving Health Related Quality of Life and Independence in Community Dwelling Frail Older Adults through a Client-Centred and Activity-Oriented Program. A Pragmatic Randomized Controlled Trial. J Nutr Health Aging. 20(1): 35-40. doi: 10.1007/ s12603-015-0581-1

Ensrud K. E., Ewing S. K., Cawthon P. M., Fink H. A., Taylor B. C., Cauley J. A., Dam T. T., Marshall L. M., Orwoll E. S., Cummings S. R. (2009). Osteoporotic Fractures in Men Research Group. Comparison of frailty indexes for the prediction of falls, disability, fractures and mortality in older men. J Am Geriatr Soc. 57(3):492-8. doi: 10.1111/j.1532-5415.2009.02137.x.

Faller J. W. Pereira D. N., Souza S., Nampo F. K., Orlandi F. S., Matumoto S. (2019). Instruments for the detection of frailty syndrome in older adults: A systematic review. PLOS ONE. 14(4):01-23. doi: 10.1371/journal.pone.0216166.

Fillit H., Butler R. N. The frailty identity crisis. J Am Geriatr Soc (2009).57(2):348-52. https://doi.org/10.1111/j.1532-5415.2008.02104.x

Fitten L. J. Thinking about cognitive frailty. J Prev Alzheimers Dis (2015);2(1): 7-10. https://doi.org/10.14283/jpad.2015.45

Freitas, C. V., Sarges, E. S. N. F., Moreira, K. E. C. S., & Carneiro, S. R.. (2016) Avaliação de fragilidade, capacidade funcional e qualidade de vida dos idosos atendidos no ambulatório de geriatria de um hospital universitário [Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital]. Rev Bras Geriatr Gerontol. 19(1), 119-128. doi: 10.1590/1809-9823.2016.14244.

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) Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Scie Med; 56(3):M146-56. doi: 10.1093/gerona/56.3.M146.

Glaesmer H., Grande G., Braehler E., Roth M. (2011). The German version of the satisfaction with life scale (SWLS) Eur J Psychol Assess. 27:127–132. doi: 10.1027/1015-5759/a000058.

Gobbens R. J., Luijkx K. G., van Assen M. A. (2013) Explaining quality of life of older people in the Netherlands using a multidimensional assessment of frailty. Qual Life Res. 22(8): 2051-2061. doi: 10.1007/s11136-012-0341-1

Gobbens R. J., van Assen M. A., Luijkx K. G., Schols J. M. (2012) Testing an integral conceptual model of frailty. J Adv Nurs. 68(9): 2047-2060. doi: 10.1111/j.1365- 2648.2011.05896.x

Gobbens R. J., van Assen M. A. (2014). The prediction of quality of life by physical, psychological and social components of frailty in community-dwelling older people. Qual Life Res. 23(8): 2289-2300. doi: 10.1007/s11136-014-0672-1

Guralnik J. M., Simonsick E. M., Ferrucci L., Glynn R. J. (1994). A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 49(2):85–94.. doi: 10.1093/geronj/49.2.M85

Henchozi Y., Bula C., Guessousi I., Santos-Eggimann B. Association between physical frailty and quality of life in a representative sample of community-dwelling swiss older people. J Nutr Health Aging 2016. doi: 10.1007/s12603-016-0772-4.

Hubbard R. E., Goodwin V. A., Llewellyn D. J., Warmoth K., Lang I. A. (2014). Frailty, financial resources and subjective well-being in later life. Arch Gerontol Geriatr. 58(3): 364-369. doi: 10.1016/j.archger.2013.12.008

Iwamura M., Kanauchi M. (2017). A cross-sectional study of the association between dynapenia and higher-level functional capacity in daily living in community-dwelling older adults in Japan. BMC Geriatr.;17(1):1. doi: 10.1186/s12877-016-0400-5.

Jesus, I. T. M. de, Generoso, F. K., Rossetti, E. S., Ottaviani, A. C., Santos-Orlandi, A. A., & Zazzetta, M. S. (2019). Frailty and quality of life of older adults: a study in a rural area. Revista Kairós-Gerontologia, 22(2), 371-381 ISSNprint 1516-2567. ISSNe 2176-901X. São Paulo (SP) Brasil: FACHS/NEPE/PEPGG/PUC-SP. https://doi.org/10.23925/2176-901X.2019v22i2p371-381

Jung, H.-W., Jang, Il.-Y., Lee, Y. S., Lee, C. K., Cho, E.-Il, Kang, W. Y. Chae, J. H., Lee, E. J., & Kim, D. H. K. (2016). Prevalence of frailty and aging-related health conditions in older Koreans in rural communities: a cross-sectional analysis of the aging study of Pyeongchang rural area. J Korean Med Sci, 31(3), 345-352. doi: 10.3346/jkms.2016.31.3.345.

Jurschik P., Nunin C., Botigue T., Escobar M. A., Lavedan A., Viladrosa M. (2012). Prevalence of frailty and factors associated with frailty in the elderly population of Lleida, Spain: the FRALLE survey. Arch Gerontol Geriatr. 55(3): 625-631. doi: 10.1016/j. archger.2012.07.002

Karuka A. H., Silva J. A. M. G., Navega M.T. (2011). Análise da concordância entre instrumentos de avaliação do equilíbrio corporal em idosos. RBFIS. 15(6):460-466. https://doi.org/10.1590/S1413-35552011000600006

Kawakami R., Murakami H., Sanada K., Tanaka N., Sawada S. S., Tabata I., Higuchi M., Miyachi M. (2015). Calf circumference as a surrogate marker of muscle mass for diagnosing sarcopenia in Japanese men and women. Geriatr Gerontol Int. 15(8):969-76. doi: 10.1111/ggi.12377.

Kojima G., Iliffe S., Jivraj S., Walters K. (2018). Association between frailty and quality of life among community-dwelling older people: a systematic review and meta-analysis. J Epidemiol Community Health Published Online First. doi:10.1136/jech-2015-206717

Landi F, Onder G, Russo A, Liperoti R, Tosato M, Martone AM, Capoluongo E, Bernabei R. (2014). Calf circumference, frailty and physical performance among older adults living in the community. Clin Nutr. 33(3):539-44. doi: 10.1016/j.clnu.2013.07.013.

Lenardt, M. H., Carneiro, N. H. K., Binotto, M. A., Willig, M. H., Lourenço, T. M., & Albino, J. (2016). Fragilidade e qualidade de vida de idosos usuários da atenção básica de saúde [Frailty and life quality in elderly primary health care users]. Rev Bras Enferm, 69(3), 478-483. doi: 10.1590/0034-7167.2016690309i.

Lin C. C., Li C. I., Chang C. K., Liu ,C. S.; Lin, C. H.; Meng, N. H.; Lee, Y. D.; Chen ,F. N.; Li T.C. (2011). Reduced health-related quality of life in elders with frailty: a cross-sectional study of community-dwelling elders in Taiwan. PLoS One. 6(7): e21841.. doi: 10.1371/journal.pone.0021841

Martinez B. P., Camelier F. W., Camelier A. A. (2014). Sarcopenia em idosos: um estudo de revisão. Revista Pesquisa em Fisioterapia. 4(1):62-70. https://doi.org/10.17267/2238-2704rpf.v4i1.349

Masel M. C., Graham J. E., Reistetter T. A., Markides K. S., Ottenbacher K. J. (2009). Frailty and health related quality of life in older Mexican Americans. Health Qual Life Outcomes 2009;7: 70. doi: 10.1186/1477-7525-7-70

Mata F. A. F., Pereira P. P. S., Andrade K. R. C., Figueiredo A. C. M. G., Silva M. T., Pereira M. G. (2016). Prevalence of frailty in Latin America and the Caribbean: A systematic review and meta- analysis. PLoS ONE.;11(8):e0160019. doi: 10.1371/journal.pone.0160019

McDermid R. C., Stelfox H. T., Bagshaw S. M. (2011). Frailty in the critically ill: a novel concept. Crit Care.15(1):301. doi: 10.1186/cc9297.

Mello A. C., Engstrom E. M., Alves L. C. (2014). Fatores sociodemográficos e de saúde associados à fragilidade em idosos: uma revisão sistemática de literatura. Cad Saúde Pública. 2014; 30(6):1-25. http://dx.doi.org/10.1590/0102-311X00148213

Minosso J. S. M., Amendola F., Alvarenga M. R. M., Oliveira M. A. C. (2010). Validação, no Brasil, do Índice de Barthel em idosos atendidos em ambulatórios. APE. 23(2):218-223. Nascimento HS, Ribeiro NMS. Efeito do atendimento em grupo na qualidade de vida e capacidade funcional de pacientes após AVC. RPF. 2018;8(2):183-190. https://doi.org/10.1590/S0103-21002010000200011

Moraes E. N., Carmo J. A., Moraes F. L., Azevedo R. S., Machado C. J., Montilla D. E. R. (2016). Índice de Vulnerabilidade Clínico Funcional-20 (IVCF-20): reconhecimento rápido do idoso frágil. RSP. 50(81):01-10. doi:10.1590/S1518-8787.2016050006963 1

Moreno-Aguilar M., García-Lara J. M. A., Aguilar-Navarro S., Navarrete-Reyes A. P., Amieva H., Avila-Funes J. A. (2013). The phenotype of frailty and health-related quality of life. J Frailty Aging. 2(1): 2-7. doi: 10.14283/jfa.2013.1.

Mulasso A., Roppolo M., Rabaglietti E. (2014). The role of individual characteristics and physical frailty on health related quality of life (HRQOL): a cross sectional study of Italian community-dwelling older adults. Arch Gerontol Geriatr. 59(3): 542-548. doi: 10.1016/j.archger.2014.08.012

Nakano M. M., D'Elboux M. J., Jacob Filho W. (2007). Brazilian Version of the Short Physical Performance Battery - SPPB: Cross-cultural adaptation and reliability study. Progress in Motor Control VI, 2007;11:84-85. http://repositorio.unicamp.br/jspui/handle/REPOSIP/252485

Nasreddine Z. S., Phillips N. A., Bédian V., Charbonneau S. (2005). The Montreal cognitive assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc.53(4):695–699. doi: 10.1111/j.1532-5415.2005.53221.

Newman A. B., Simonsick EM, Naydeck B. L., Boudreau R. M., Kritchevsky S. B., Nevitt M. C., Pahor M., Satterfield S., Brach J. S., Studenski S. A., Harris T. B. (2006). Association of long-distance corridor walk performance with mortality, cardiovascular disease, mobility limitation, and disability. JAMA.295(17):2018-26. doi: 10.1001/jama.295.17.2018

Nutter-Upham K., Saykin A., Rabin L., Roth R., Wishart H., Pare N. (2008). Verbal fluency performance in amnestic MCI and older adults with cognitive complaints. Arch Clin Neuropsychol. 2008; 23:229–241. doi: 10.1016/j.acn.2008.01.005.

Organização Mundial de Saúde. (1995). (The World Health Organization life quality assessment: position paper from the World Health Organization. Soc Sci Med, 41(10), 1403-1409. doi: 10.1016/0277-9536(95)00112-K

Padon P. G., Gonçalves M. P., Comaru T., Silva A. M. V. (2010). Análise comparativa entre idosos praticantes de exercício físico e sedentários quanto ao risco de quedas. RMS. 34(2):158-164. Lima JP, Farensena B. Aplicação do teste de Poma para avaliar risco de quedas em idosos. GGA. 2012;6(2):200-211. https://pesquisa.bvsalud.org/portal/resource/pt/lil-562036

Peters L. L., Boter H., Buskens E., Slaets J. P. (2012). Measurement properties of the Groningen Frailty Indicator in home-dwelling and institutionalized elderly people. J Am Med Dir Assoc 13(6): 546-551. doi: 10.1016/j.jamda.2012.04.007

Pilger, C., Menon, M. U., & Aidar, T. A. F. (2013). Functional capacity of elderly patients attended in SUS primary healthcare units. Revista Brasileira de Enfermagem, 66(6), 907-913. doi: 10.1590/S0034- 71672013000600015.

Piovesan A. C., Soares E. S., Camillo A. A., Corazza S. T., Mezzomo S. P. (2015). Avaliação do Teste de Tinetti e Mini-Exame do Estado Mental em idosas moradoras da comunidade Roberto Binatto, Santa Maria (RS). KAIROS. 18(1):341-352. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-967844

Radloff L. S. (1997). A escala CES-D. Appl Psychol Meas. 1: 385–401. doi: 10.1177 / 014662167700100306.

Rockwood K., Song X., MacKnight C., Bergman H., Hogan D., McDowell I., Mitnitski, A. (2005). A global clinical measure of fitness and frailty in elderly people. CMAJ. 173(5):489–95. doi: 10.1503/cmaj.050051.

Rolland Y., Lauwers-Cances V., Cournot M., Nourhashémi F., Reynish W., Rivière D., Vellas B., Grandjean H. (2003). Sarcopenia, calf circumference, and physical function of elderly women: a cross-sectional study. J Am Geriatr Soc. 51(8):1120-4. doi: 10.1046/j.1532- 5415.2003.51362.x

Santos R. L., Virtuoso Junior J. S. (2008). Reliability of the Brazilian version of the Scale of Instrumental Activities of Daily living. RBPS. 21(4):290-296. https://www.researchgate.net/publication/26609262_Reliability_of_the_Brazilian_version_of_the_Scale_of_Instrumental_Activities_of_Daily_Living

Schoon Y., Bongers K., Van Kempen J., Melis R., Olde Rikkert M. (2014). Gait speed as a test for monitoring frailty in community-dwelling older people has the highest diagnostic value compared to step length and chair rise time. Eur J Phys Rehabil Med. 50(6):693-701. https://pubmed.ncbi.nlm.nih.gov/25077426/

Silva T. A., Frisoli A. J., Pinheiro M. M., Szejnfeld V. L. (2006). Sarcopenia associada ao envelhecimento: aspectos etiológicos e opções terapêuticas. Rev Bras Reumatol. 46(6): 391-7. https://doi.org/10.1590/S0482-50042006000600006

Soares A. V., Borges N. G., Hounsell M. S., Marcelino E., Rossito G. M., Sagawa Y. J. (2016). A serious game developed for physical rehabilitation of frail elderly. European Research in Telemedicine. 5(2):45-53. https://doi.org/10.1016/j.eurtel.2016.05.003

Utida K. A. M., Batiston A. P., Souza L. A. (2016). Nível de independência funcional de pacientes após acidente vascular cerebral atendidos por equipe multiprofissional em uma unidade de reabilitação. AF. 23(3):107-112. doi: https://doi.org/10.5935/0104-7795.20160021

Veras, R. (2015). A urgente e imperiosa modificação no cuidado à saúde da pessoa idosa [The urgent and imperative change in the health care of the elderly]. Rev Bras Geriatr Gerontol, 18(1), 5-6. doi: 10.1590/1809-9823.2015.0059.

Ware J.E., Keller S.D., Kosinski M. Sf-12: how to score the Sf-12 physical and mental health summary scales. Lincoln R.I. (1998). Quality Metric Incorporated. https://www.worldcat.org/title/sf-12-how-to-score-the-sf-12-physical-and-mental-health-summary-scales/oclc/50404423

Wu T. Y., Chie W. C., Kuo K. L. (2013). Quality of life (QOL) among community dwelling older people in Taiwan measured by the CASP-19, an index to capture QOL in old age. Arch Gerontol Geriatr 2013;57(2): 143-150. doi: 10.1016/j.archger.2013.03.010

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19/03/2023

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RABELO, M. A. .; SOUZA, D. M. S. T. de .; GALHARDO , V. Ângelo C. .; MELLO , J. L. de C. . Frailty and quality of life in the elderly . Research, Society and Development, [S. l.], v. 12, n. 3, p. e26712340738, 2023. DOI: 10.33448/rsd-v12i3.40738. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40738. Acesso em: 23 nov. 2024.

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Vol. 12 No. 3

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Health Sciences

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