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Gender Differences in the Association between Frailty, Cognitive Impairment, and Self-Care Behaviors Among Older Adults with Atrial Fibrillation

Author

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  • Youn-Jung Son

    (Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea
    These authors contributed equally to this work.)

  • Kyounghoon Lee

    (College of Medicine, Division of Cardiology, Gachon University, Incheon 21565, Korea
    These authors contributed equally to this work.)

  • Bo-Hwan Kim

    (College of Nursing, Gachon University, Incheon 21936, Korea)

Abstract

Atrial fibrillation (AF), common in older adults, increases the risk of heart failure, stroke, and all-cause mortality. Self-care behaviors help avoid adverse events in older patients with AF. However, while frailty and cognitive impairment can contribute to poor self-care behaviors, few studies have explored these relationships in older adults with AF. This cross-sectional study aims to determine associations between frailty, cognitive impairment, and self-care behaviors among older adults with AF by gender. A total of 298 patients with AF aged 60 and over were assessed with a self-reported questionnaire consisting of the Korean version of the FRAIL scale, modified mini-mental state examination, and self-care scale for AF. Prevalence of frailty and prefrailty in men and women was around 11% and 48.4% and 28% and 47.4%, respectively. According to the hierarchical linear regression analysis, in men, prefrailty (β = −2.874, p = 0.013) and frailty (β = −7.698, p < 0.001) were associated with self-care behaviors; in women, frailty (β = −5.476, p = 0.003), and cognitive impairment (β = −3.350, p = 0.044) were associated with self-care behaviors. Developing individualized care plans will require periodic screening of older patients with AF to determine their frailty status and cognitive function.

Suggested Citation

  • Youn-Jung Son & Kyounghoon Lee & Bo-Hwan Kim, 2019. "Gender Differences in the Association between Frailty, Cognitive Impairment, and Self-Care Behaviors Among Older Adults with Atrial Fibrillation," IJERPH, MDPI, vol. 16(13), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:13:p:2387-:d:245874
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    References listed on IDEAS

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    1. Jong Kyung Lee & Youn-Jung Son, 2018. "Gender Differences in the Impact of Cognitive Function on Health Literacy among Older Adults with Heart Failure," IJERPH, MDPI, vol. 15(12), pages 1-11, December.
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    Cited by:

    1. Jongmin Park & Nada Lukkahatai & Nancy Perrin & Yoonju Kim & Leorey N. Saligan & Chang Won Won, 2021. "Symptom Profiles, Health-Related Quality of Life, and Clinical Blood Markers among Korean Community-Dwelling Older Adults Living with Chronic Conditions," IJERPH, MDPI, vol. 18(4), pages 1-12, February.
    2. Uratcha Sadjapong & Supachai Yodkeeree & Somporn Sungkarat & Penprapa Siviroj, 2020. "Multicomponent Exercise Program Reduces Frailty and Inflammatory Biomarkers and Improves Physical Performance in Community-Dwelling Older Adults: A Randomized Controlled Trial," IJERPH, MDPI, vol. 17(11), pages 1-15, May.
    3. Hyun-Joo Seong & Kyounghoon Lee & Bo-Hwan Kim & Youn-Jung Son, 2019. "Cognitive Impairment Is Independently Associated with Non-Adherence to Antithrombotic Therapy in Older Patients with Atrial Fibrillation," IJERPH, MDPI, vol. 16(15), pages 1-11, July.

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