TY - JOUR
T1 - Prevalencia del síndrome de fragilidad y factores asociados en adultos mayores
AU - Herrera-Perez, Dennis
AU - Soriano-Moreno, Anderson Nelver
AU - Rodrigo-Gallardo, Paola Katterine
AU - Toro-Huamanchumo, Carlos Jesus
N1 - Publisher Copyright:
© 2020, Editorial Ciencias Medicas. All rights reserved.
PY - 2020/4/1
Y1 - 2020/4/1
N2 - Introduction: In Latin America, the prevalence of frailty syndrome in non-institutionalized elderly adults aged 60 years and older ranges from 7.7 to 39.3%. In Peru, few studies have addressed this topic and its associated factors in similar populations. Objective: To identify the prevalence of frailty and the associated factors in elderly adults from seven primary care centers. Methods: Analytical and cross-sectional study whose outcome variable was the presence of frailty, according to the Fried criteria. We also included sociodemographic data (for occupation, the classifications of the Spanish Society of Epidemiology [SEE in Spanish] and the Spanish Society of Family and Community Medicine [SEMFyC in Spanish] were used), depression screening (using the Yesavage scale), degree of functionality (using the Barthel index), and comorbidities (using the Geriatric Index of Comorbidity and Greenfield’s severity index). Results: 116 older adults were evaluated. The prevalence of frailty was 20.7%. The associated factors were having two or more illnesses (RPa=3.33; 95% CI: 1.04-10.68), having moderate depression (RPa=6.50; 95% CI: 2.52-16.75), and moderate dependence for performing daily-life activities (RPa=2.63; 95% CI: 2.63-14.15). Protective factors were having had a class III occupation (RPa=0.11; 95% CI: 0.02-0.54), class IV (RPa=0.07; 95% CI: 0.01-0.35), or class V (RPa=0.24; 95% CI: 0.09-0.60), and living with a relative (RPa=0.25; 95% CI: 0.08-0.74). Conclusion: One in five elderly adults was frail. Depressive symptoms, having two or more comorbidities, and being dependent for daily-life activities were factors associated with frailty. On the other hand, working in non-managerial positions and living with a family member were protective factors.
AB - Introduction: In Latin America, the prevalence of frailty syndrome in non-institutionalized elderly adults aged 60 years and older ranges from 7.7 to 39.3%. In Peru, few studies have addressed this topic and its associated factors in similar populations. Objective: To identify the prevalence of frailty and the associated factors in elderly adults from seven primary care centers. Methods: Analytical and cross-sectional study whose outcome variable was the presence of frailty, according to the Fried criteria. We also included sociodemographic data (for occupation, the classifications of the Spanish Society of Epidemiology [SEE in Spanish] and the Spanish Society of Family and Community Medicine [SEMFyC in Spanish] were used), depression screening (using the Yesavage scale), degree of functionality (using the Barthel index), and comorbidities (using the Geriatric Index of Comorbidity and Greenfield’s severity index). Results: 116 older adults were evaluated. The prevalence of frailty was 20.7%. The associated factors were having two or more illnesses (RPa=3.33; 95% CI: 1.04-10.68), having moderate depression (RPa=6.50; 95% CI: 2.52-16.75), and moderate dependence for performing daily-life activities (RPa=2.63; 95% CI: 2.63-14.15). Protective factors were having had a class III occupation (RPa=0.11; 95% CI: 0.02-0.54), class IV (RPa=0.07; 95% CI: 0.01-0.35), or class V (RPa=0.24; 95% CI: 0.09-0.60), and living with a relative (RPa=0.25; 95% CI: 0.08-0.74). Conclusion: One in five elderly adults was frail. Depressive symptoms, having two or more comorbidities, and being dependent for daily-life activities were factors associated with frailty. On the other hand, working in non-managerial positions and living with a family member were protective factors.
KW - Frail elderly
KW - Frailty
KW - Primary health care
UR - http://www.scopus.com/inward/record.url?scp=85090752952&partnerID=8YFLogxK
M3 - Artículo
AN - SCOPUS:85090752952
SN - 0864-2125
VL - 36
SP - 1
EP - 17
JO - Revista Cubana de Medicina General Integral
JF - Revista Cubana de Medicina General Integral
IS - 2
M1 - e1098
ER -