Prevalence and associated factors of pre-frail among community dwelling older adults in Taiwan

Autor: Jing Wen Peng, 彭靖雯
Rok vydání: 2018
Druh dokumentu: 學位論文 ; thesis
Popis: 106
Objective: The aim of this study was to investigate the prevalence of pre-frail and its associated factors among community dwelling older adults in Taiwan. Methods: We analyzed data from a nationally representative sample of people aged 65 years and over (n=2904) participating in the 2009 National Health Interview Survey in Taiwan. Frailty was determined based on the Fatigue, Resistance, Ambulation, Illness, and Loss of weight (FRAIL) which was proposed by the International Association of Nutrition and Ageing (IANA). FRAIL scale scores range from 0 to 5 and classified as frail (3-5), pre-frail (1-2), and robust (0). We used the Pearson’s Chi-Square test to examine factors associated with pre-frail among older adults. Multiple logistic regression analysis was used to examine the association of pre-frail and associated factors for estimation of odds ratios (ORs) and 95% confidence intervals (CIs). Results: Among community dwelling older adults, 28.3% of participants were pre-frail. Our results indicated that being pre-frail was significantly associated with older age (OR=2.48, 95%CI=1.97-3.11), female (OR=1.37, 95%CI=1.05-1.80), less educational levels (OR=0.48, 95%CI=0.35-0.67), living alone (OR=1.42, 95%CI=1.03-1.97), having history of hypertension (OR=1.30, 95%CI=1.05-1.6), diabetes (OR=1.45, 95%CI=1.11-1.90), chronic obstructive pulmonary disease (OR=3.29, 95%CI=1.58-6.84), heart disease (OR=1.43, 95%CI=1.07-1.90), arthritis (OR=2.29, 95%CI=1.64-3.20), stroke (OR=1.97, 95%CI=1.13-3.43), kidney disease (OR=1.83, 95%CI=1.24-2.71), osteoporosis (OR=1.76, 95%CI=1.36-2.27), asthma (OR=1.82, 95%CI=1.11-2.97), and having the limitation in instrumental activities of daily living (IADL) (OR=18.48, 95%CI=7.12-48.0), and having fallen (OR=1.80, 95%CI=1.37-2.36) and hip fractures during last year (OR=4.08, 95%CI=1.00-16.6), exercising (OR=0.54, 95%CI=0.43-0.68), being a volunteer (OR=0.55, 95%CI=0.35-0.87), social participation (OR=0.75, 95%CI=0.58-0.97), and working (OR=0.56, 95%CI=0.40-0.77) among community dwelling older adults. Conclusion: Healthcare providers should pay careful attention to older adults who have these characteristics, so as to identify those who would benefit most from interventions aimed at preventing frailty.
Databáze: Networked Digital Library of Theses & Dissertations
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