Original Article
J Frailty Sarcopenia Falls 2020 Dec; 5(4):92-101 Copied!
10.22540/JFSF-05-092 Copied!
Frailty Syndrome among oldest old Individuals, aged ≥80 years: Prevalence & Correlates
- Department of Community Medicine, Mediciti Institute of Medical Sciences, Ghanpur, Hyderabad, India
- Department of Epidemiology, University of Pittsburgh, and SHARE INDIA, Fogarty International, NIH
- Mediciti Institute of Medical Sciences, Ghanpur, Hyderabad, India
- * equal contribution
Keywords:
Abstract Objectives Objectives were to study prevalence of frailty among Indian oldest old population, and to detect its correlates. Methods A cross sectional community based study was done including 200 healthy participants aged ≥80 years, randomly sampled from Hyderabad city in India. They completed an administered questionnaire and physical function tests including SPPB, grip strength. Cognitive function was assessed using MMSE and depression using GDS. Blood pressure, haemoglobin, and fasting blood sugar were measured for all participants. Frailty was defined using Fried phenotype criteria. Logistic regression was done to identify independently associated correlates. Results The prevalence of frailty syndrome was 83.4% in our study population. Frailty among men was 80.3% and among women was 84.7%, and it increased with increasing age. The independent correlates which increased the odds of frailty were poor physical performance (SPPB) (OR: 4.21; 95%CI: 1.12-15.83), depression (OR: 3.35; 95%CI:1.29-8.73), chronic joint pains (OR:4.90; 95%CI: 1.97-12.18) and COPD (OR: 3.01; 95%CI:1.03- 8.78), while hypertension showed inverse association (OR: 0.33;95%CI:0.11-0.94). Conclusion The prevalence of frailty among the oldest old is very high. Geriatric medicine protocols must include routine screening for frailty, while also including early detection of poor physical performance, depression, COPD and osteoarthritis.