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Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia

Author

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  • Camilla Wahida Norazman

    (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor 43400, Malaysia)

  • Siti Nur’Asyura Adznam

    (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor 43400, Malaysia
    Malaysian Research Institute of Ageing, (MyAgeing) Universiti Putra Malaysia, Serdang, Selangor 43400, Malaysia)

  • Rosita Jamaluddin

    (Malaysian Research Institute of Ageing, (MyAgeing) Universiti Putra Malaysia, Serdang, Selangor 43400, Malaysia)

Abstract

Frailty is a multidimensional syndrome, which is a worldwide concern within the field of geriatrics due to the aggravating effect on the physical and mental functions of the elderly. This study aimed to determine the prevalence and risk factors of the frailty syndrome among urban-living community-dwelling elderly in Malaysia. A cross-sectional study was conducted among 301 community-dwelling elders. Frailty status was assessed using the Fried phenotype criteria. Depressive symptoms were assessed using the Geriatric Depression Scale (M-GDS-14), whereas the functional abilities and cognitive status were measured using the Lawton Instrumental Activities of Daily Living (Lawton IADL) scale and the Mini-Mental State Examination (MMSE-M), respectively. Malnutrition risk was observed through the abridged version (Short Form) of the Mini Nutritional Assessment (MNA-SF). Multinomial logistic regression analysis was employed to determine the significant predictors of the frailty syndrome. Three hundred and one elderly persons engaged in this study, with a mean age of 67.08 ± 5.536 ranging between 60 to 84 years old. The prevalence values of frailty and pre-frail were 15.9% and 72.8%, respectively, in which women appeared to be at a higher risk of frailty. The multivariate model revealed that frailty could be predicted from an increase in age, lower household income, being at risk of malnutrition, wasting (low skeletal muscle mass), and high serum C-reactive protein (CRP) level. A holistic approach is suggested for managing the frailty syndrome as it involves a decline in the multiple components of the geriatric syndrome.

Suggested Citation

  • Camilla Wahida Norazman & Siti Nur’Asyura Adznam & Rosita Jamaluddin, 2020. "Physical Frailty among Urban-Living Community-Dwelling Older Adults in Malaysia," IJERPH, MDPI, vol. 17(18), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6549-:d:410811
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    References listed on IDEAS

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    1. Payom Thinuan & Penprapa Siviroj & Peerasak Lerttrakarnnon & Thaworn Lorga, 2020. "Prevalence and Potential Predictors of Frailty among Community-Dwelling Older Persons in Northern Thailand: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(11), pages 1-13, June.
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    Cited by:

    1. Kai Sze Chan & Yoke Mun Chan & Yit Siew Chin & Zalilah Mohd Shariff, 2022. "Dietary Quality, Sleep Quality and Muscle Mass Predicted Frailty among Chinese Postmenopausal Women in Malaysia," IJERPH, MDPI, vol. 19(5), pages 1-14, February.

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    Keywords

    frailty; elderly; ageing; sarcopenia;
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