Association between frailty and disability among rural community-dwelling older adults in Sri Lanka: a cross-sectional study
| Autor: | Greta Rait, Dhammika Deepani Siriwardhana, Kate Walters, Shaun Scholes, Manuj C. Weerasinghe |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Gerontology
Male Activities of daily living Asia Cross-sectional study Frail Elderly health care facilities manpower and services Population Global Health Odds Disability Evaluation Activities of Daily Living Prevalence Medicine Humans education Association (psychology) Geriatric Assessment Sri Lanka Aged education.field_of_study independent living Rural community Frailty business.industry General Medicine Middle Aged Cross-Sectional Studies disability Female Sri lanka business human activities Independent living |
| Zdroj: | BMJ Open, Vol 10, Iss 3 (2020) BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveWe examined the association between frailty and disability in rural community-dwelling older adults in Kegalle district of Sri Lanka.DesignA population-based cross-sectional study.ParticipantsA total of 746 community-dwelling adults aged ≥60 years.Primary and secondary outcome measuresFrailty was assessed using the Fried phenotype. Disability was operationalised in terms of having one or more activity limitation/s in instrumental activities of daily living (IADL) and basic activities of daily living (BADL).ResultsThe median age of the sample was (median 68; IQR 64–75) years and 56.7% were female. 15.2% were frail and 48.5% were prefrail. The prevalence of ≥1 IADL limitations was high, 84.4% among frail adults. 38.7% of frail adults reported ≥1 BADL limitations. Over half of frail older adults (58.3%) reported both ≥1 physical and cognitive IADL limitations. Being frail decreased the odds of having no IADL limitations, and was associated with a higher count of IADL limitations. No significant association was found between prefrailty and number of IADL limitations.ConclusionsThe prevalence of ≥1 IADL limitations was high among rural community-dwelling frail older adults. Findings imply the greater support and care required for rural Sri Lankan frail older adults to live independently in the community. |
| Databáze: | OpenAIRE |
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