Biopsychosocial factors associated with the frailty and pre-frailty among older adults

•Risk for falls presented independent association with frailty and pre-frailty.•Family functionality presented independent association with frailty and pre-frailty.•Quality of life had independent association with frailty and pre-frailty.•Instrumental activities of daily living had an independent as...

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Published in:	Geriatric nursing (New York) Vol. 40; no. 6; pp. 597 - 602
Main Authors:	Pinheiro, Igor de Matos, de Aguiar, Darcton Souza, dos Santos, Débora Matias, de Jesus, Matheus Bitencourt da Cruz, da Silva, Felipe Marques, Costa, Deivisson Ferreira, da Silva Ribeiro, Nildo Manoel, Nóbrega, Ana Caline
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-11-2019
Subjects:	Accidental Falls - statistics & numerical data Acciental falls Activities of daily living Activities of Daily Living - psychology Aged Brazil Cross-Sectional Studies Family relations Female Frail elderly Frailty Geriatric Assessment - statistics & numerical data Humans Male Nursing Psychology Quality of life Quality of Life - psychology Brazil Acciental falls Frail elderly Activities of daily living Family relations Quality of life
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Summary:	•Risk for falls presented independent association with frailty and pre-frailty.•Family functionality presented independent association with frailty and pre-frailty.•Quality of life had independent association with frailty and pre-frailty.•Instrumental activities of daily living had an independent association with frailty. Frailty is a multidimensional geriatric syndrome associated with specific biopsychosocial factors in each population. This was a cross-sectional observational study designed to determine the biopsychosocial factors associated with frailty and pre-frailty in older adults in a community in Salvador, Brazil. The stages of frailty were collected in 413 older adults: 34.9% frail, 54.5% pre-frail, 10.6% robust. In the multinomial regression model, age (p = .018), functionality for instrumental activities of daily living (p = .026), risk for falls (p = .006), family functionality (p = .031) and the physical domain of quality of life (p = .004) had an independent association with frailty. Risk for falls (p = .004), family functionality (p = .004) and the environment domain of quality of life (p = .037) were independently associated with pre-frailty. The findings provide support to interventions in a way that contributes to prevention or reversal of frailty.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23
ISSN:	0197-4572 1528-3984
DOI:	10.1016/j.gerinurse.2019.06.002