Frailty Was Related with Disability Among Community-Dwelling Older People: A Systematic Study
[1]
Chih-Ling Cheng, Yonghe Cardinal Tien Hospital, Department of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
[2]
Pai-Mei Chao, Nursing Department, Yonghe Cardinal Tien Hospital, Taipei, Taiwan.
[3]
Shu-Fang Chang, Department of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
The World Health Organization has recognized frailty as a key factor for the prediction of successful aging. Therefore, this study explored the relationship between disability and different types of frailty among community-dwelling older adults. A systematic literature review was adopted. A total of 32,998 community-dwelling older adults and 8,666 older adults with disability were recruited; they were aged ≥60 years. Frailty was assessed using two of the most widely-used indices, the Cardiovascular Health Study (CHS) and the Study of Osteoporotic Fractures (SOF). The CHS index examines the clinical symptoms of unintentional weight loss, weakness, poor endurance or exhaustion, slowness, and low physical activity, whereas the SOF index examines the symptoms of unintentional weight loss, inability to rise from and sit down in an armless chair five consecutive times, and self-reported lack of energy. The disability of community-dwelling older adults was also determined by using Basic Activities of Daily Living and Instrumental Activities of Daily Living scales. The results indicated that, compared with robust older adults, those with frailty have the highest risk of disability, followed by those with prefrailty. The different frailty indices also agreed that older adults with frailty have the highest risk for disability, followed by older adults with prefrailty. Frailty is a crucial topic when discussing geriatric syndromes because older adults with frailty face a high risk of disability. However, early detection of frailty can effectively reduce the risk of disability.
Frailty, Geriatric Assessment, Disability, Systematic Review
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