Prevalence of frailty syndrome and its associated factors among community-dwelling older adults in Kuala Nerus, Terengganu, Malaysia

Frailty syndrome is a clinical syndrome that decreases resistance to stressors, resulting from cumulative declines across multiple physiological systems. It is closely related to ageing which increases the risk of falls, hospitalisation, disability and death. In Malaysia, the data on frailty syndrom...

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主要作者:	Mohd Hamidin, Fairus Asma
格式:	Thesis
語言:	English
出版:	2017
主題:	Frailty Cardiovascular System
在線閱讀:	http://psasir.upm.edu.my/id/eprint/91499/1/FPSK%20%28m%29%202018%2057%20IR.pdf
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id	my-upm-ir.91499
record_format	uketd_dc
spelling	my-upm-ir.914992022-01-17T07:48:00Z Prevalence of frailty syndrome and its associated factors among community-dwelling older adults in Kuala Nerus, Terengganu, Malaysia 2017-01 Mohd Hamidin, Fairus Asma Frailty syndrome is a clinical syndrome that decreases resistance to stressors, resulting from cumulative declines across multiple physiological systems. It is closely related to ageing which increases the risk of falls, hospitalisation, disability and death. In Malaysia, the data on frailty syndrome are still limited and less studied. A cross-sectional study on 279 community-dwelling older adults (118 male and 161 female) aged 60 years and above was conducted in four sub-districts (Seberang Takir, Tepoh, Wakaf Tembusu, and Bukit Tunggal) in Kuala Nerus to determine the prevalence of frailty syndrome and its associated factors. This study assessed the frailty syndrome through quantitative measurement based on the “phenotype of frailty” defined by Fried et al., (2001) that has been validated in the Cardiovascular Health Study. Respondents were classified as non-frail (score: 0-2) or frail (score ≥ 3). The characteristics of the respondents were assessed through the structured questionnaire which consisted of sociodemographic and socioeconomic characteristics, health-related status, dietary intake, and anthropometric measurements including body mass index, body circumference and body composition. The prevalence of frailty syndrome among the respondents was 18.3%. The mean age of respondents was 73.32 (S.D = 6.10) years with 60.2% in age 60-74 years. Majority of the respondents were living with others (82.4%), unemployed (83.5%) and depended on others for monetary support (78.5%). About 13.3% of the respondents were obese and 9.3% were underweight. The average daily energy intake for male and female were 1163 + 294 kcal and 966 + 291 kcal, respectively, which are both below the Recommended Nutrient Intake (RNI). In the bivariate analysis, the factors associated with frailty syndrome included: advanced age, unmarried, no formal education, unemployed, poor hearing, appetite loss, hospitalisation in the previous year, poor self-rated health, lower body mass index, lower waist circumference, lower mid-upper arm circumference, lower calf circumference, lower percentage of total body fat and lower lean body mass. After a multivariate analysis through binary logistic regression, advanced age [odds ratio (OR): 3.29; 95% confidence interval (CI): 1.41 – 7.69], unmarried [OR: 4.25; 95% CI: 1.68 – 10.75], hospitalisation in the previous year [OR: 4.38; 95% CI: 1.50 – 12.79], poor self-rated health [OR: 4.73; 95% CI: 2.04 – 10.99], and lower body mass index [OR: 0.88; 95% CI: 0.80 – 0.98] were significantly associated with frailty syndrome. The characteristics of frail older adults and the factors associated provide an overview on underlying effects and guiding actions for prevention programs functioning to reverse and minimize the adverse effects of frailty syndrome. Frailty Cardiovascular System 2017-01 Thesis http://psasir.upm.edu.my/id/eprint/91499/ http://psasir.upm.edu.my/id/eprint/91499/1/FPSK%20%28m%29%202018%2057%20IR.pdf text en public masters Universiti Putra Malaysia Frailty Cardiovascular System Adznam, Siti Nur ‘Asyura
institution	Universiti Putra Malaysia
collection	PSAS Institutional Repository
language	English
advisor	Adznam, Siti Nur ‘Asyura
topic	Frailty Cardiovascular System
spellingShingle	Frailty Cardiovascular System Mohd Hamidin, Fairus Asma Prevalence of frailty syndrome and its associated factors among community-dwelling older adults in Kuala Nerus, Terengganu, Malaysia
description	Frailty syndrome is a clinical syndrome that decreases resistance to stressors, resulting from cumulative declines across multiple physiological systems. It is closely related to ageing which increases the risk of falls, hospitalisation, disability and death. In Malaysia, the data on frailty syndrome are still limited and less studied. A cross-sectional study on 279 community-dwelling older adults (118 male and 161 female) aged 60 years and above was conducted in four sub-districts (Seberang Takir, Tepoh, Wakaf Tembusu, and Bukit Tunggal) in Kuala Nerus to determine the prevalence of frailty syndrome and its associated factors. This study assessed the frailty syndrome through quantitative measurement based on the “phenotype of frailty” defined by Fried et al., (2001) that has been validated in the Cardiovascular Health Study. Respondents were classified as non-frail (score: 0-2) or frail (score ≥ 3). The characteristics of the respondents were assessed through the structured questionnaire which consisted of sociodemographic and socioeconomic characteristics, health-related status, dietary intake, and anthropometric measurements including body mass index, body circumference and body composition. The prevalence of frailty syndrome among the respondents was 18.3%. The mean age of respondents was 73.32 (S.D = 6.10) years with 60.2% in age 60-74 years. Majority of the respondents were living with others (82.4%), unemployed (83.5%) and depended on others for monetary support (78.5%). About 13.3% of the respondents were obese and 9.3% were underweight. The average daily energy intake for male and female were 1163 + 294 kcal and 966 + 291 kcal, respectively, which are both below the Recommended Nutrient Intake (RNI). In the bivariate analysis, the factors associated with frailty syndrome included: advanced age, unmarried, no formal education, unemployed, poor hearing, appetite loss, hospitalisation in the previous year, poor self-rated health, lower body mass index, lower waist circumference, lower mid-upper arm circumference, lower calf circumference, lower percentage of total body fat and lower lean body mass. After a multivariate analysis through binary logistic regression, advanced age [odds ratio (OR): 3.29; 95% confidence interval (CI): 1.41 – 7.69], unmarried [OR: 4.25; 95% CI: 1.68 – 10.75], hospitalisation in the previous year [OR: 4.38; 95% CI: 1.50 – 12.79], poor self-rated health [OR: 4.73; 95% CI: 2.04 – 10.99], and lower body mass index [OR: 0.88; 95% CI: 0.80 – 0.98] were significantly associated with frailty syndrome. The characteristics of frail older adults and the factors associated provide an overview on underlying effects and guiding actions for prevention programs functioning to reverse and minimize the adverse effects of frailty syndrome.
format	Thesis
qualification_level	Master's degree
author	Mohd Hamidin, Fairus Asma
author_facet	Mohd Hamidin, Fairus Asma
author_sort	Mohd Hamidin, Fairus Asma
title	Prevalence of frailty syndrome and its associated factors among community-dwelling older adults in Kuala Nerus, Terengganu, Malaysia
title_short	Prevalence of frailty syndrome and its associated factors among community-dwelling older adults in Kuala Nerus, Terengganu, Malaysia
title_full	Prevalence of frailty syndrome and its associated factors among community-dwelling older adults in Kuala Nerus, Terengganu, Malaysia
title_fullStr	Prevalence of frailty syndrome and its associated factors among community-dwelling older adults in Kuala Nerus, Terengganu, Malaysia
title_full_unstemmed	Prevalence of frailty syndrome and its associated factors among community-dwelling older adults in Kuala Nerus, Terengganu, Malaysia
title_sort	prevalence of frailty syndrome and its associated factors among community-dwelling older adults in kuala nerus, terengganu, malaysia
granting_institution	Universiti Putra Malaysia
publishDate	2017
url	http://psasir.upm.edu.my/id/eprint/91499/1/FPSK%20%28m%29%202018%2057%20IR.pdf
_version_	1747813687110926336

Prevalence of frailty syndrome and its associated factors among community-dwelling older adults in Kuala Nerus, Terengganu, Malaysia

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