全部 标题 作者
关键词 摘要

PLOS ONE  2012 

Frailty and Its Impact on Health-Related Quality of Life: A Cross-Sectional Study on Elder Community-Dwelling Preventive Health Service Users

DOI: 10.1371/journal.pone.0038079

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background The purpose of this study was to identify the incidence of frailty and to investigate the relationship between frailty status and health-related quality of life (HRQoL) in the community-dwelling elderly population who utilize preventive health services. Methods People aged 65 years and older who visited a medical center in Taipei City from March to August in 2011 for an annual routine check-up provided by the National Health Insurance were eligible. A total of 374 eligible elderly adults without cognitive impairment had a mean age of 74.6±6.3 years. Frailty status was determined according to the Fried frailty criteria. HRQoL was measured with Short Form-36 (SF-36). Multiple regression analyses examined the relationship between frailty status and the two summary scales of SF-36. Models were adjusted for the participants' sociodemographic and health status. Results After adjusting for sociodemographic and health-related covariables, frailty was found to be more significantly associated (p<0.001) with lower scores on both physical and mental health-related quality of life summary scales compared with robustness. For the frailty phenotypes, slowness represented the major contributing factor in the physical component scale of SF-36, and exhaustion was the primary contributing factor in the mental component scale. Conclusion The status of frailty is closely associated with HRQoL in elderly Taiwanese preventive health service users. The impacts of frailty phenotypes on physical and mental aspects of HRQoL differ.

References

[1]  Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, et al. (2001) Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 56: M146–156.
[2]  Ferrucci L, Guralnik JM, Studenski S, Fried LP, Cutler GB Jr, et al. (2004) Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: a consensus report. J Am Geriatr Soc 52: 625–634.
[3]  Fried LP, Walston JD, Ferrucci L (2009) Frailty. In: Hazzard WR, Halter JB, editors. Hazzard's geriatric medicine and gerontology. 6th ed. New York: McGraw-Hill Medical. pp. 631–645.
[4]  Masel MC, Graham JE, Reistetter TA, Markides KS, Ottenbacher KJ (2009) Frailty and health related quality of life in older Mexican Americans. Health Qual Life Outcomes 7: 70.
[5]  Bilotta C, Bowling A, Case A, Nicolini P, Mauri S, et al. (2010) Dimensions and correlates of quality of life according to frailty status: a cross-sectional study on community-dwelling older adults referred to an outpatient geriatric service in Italy. Health Qual Life Outcomes 8: 56.
[6]  Lin CC, Li CI, Chang CK, Liu CS, Lin CH, et al. (2011) Reduced health-related quality of life in elders with frailty: a cross-sectional study of community-dwelling elders in Taiwan. PLoS One 6: e21841.
[7]  The Bureau of National Health Insurance (1998) A summary of National Health Insurance Rules. Taipei, Taiwan: The Bureau of National Health Insurance.
[8]  Lee PC (2009) The Relationship between the Preventive Care Service and the Medical Care Utilization among the Elderly. Unpublished master's thesis. Taipei County, Taiwan: National Taipei University.
[9]  Podsiadlo D, Richardson S (1991) The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 39: 142–148.
[10]  Boey KW (1999) Cross-validation of a short form of the CES-D in Chinese elderly. Int J Geriatr Psychiatry 14: 608–617.
[11]  Bauman A, Bull F, Chey T, Craig CL, Ainsworth BE, et al. (2009) The International Prevalence Study on Physical Activity: results from 20 countries. Int J Behav Nutr Phys Act 6: 21.
[12]  Liou YM, Jwo CJ, Yao KG, Chiang LC, Huang LH (2008) Selection of appropriate Chinese terms to represent intensity and types of physical activity terms for use in the Taiwan version of IPAQ. J Nurs Res 16: 252–263.
[13]  Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30: 473–483.
[14]  Fuh JL, Wang SJ, Lu SR, Juang KD, Lee SJ (2000) Psychometric evaluation of a Chinese (Taiwanese) version of the SF-36 health survey amongst middle-aged women from a rural community. Qual Life Res 9: 675–683.
[15]  Lu JR, Tseng HM, Tsai YJ (2003) Assessment of health-related quality of life in Taiwan (I): development and psychometric testing of the SF-36 Taiwan version. Taiwan Journal of Public Health 22: 501–511.
[16]  Tseng HM, Lu JR, Tsai YJ (2003) Assessment of health-related quality of life (II): Norming and validation of SF-36 Taiwan version. Taiwan Journal of Public Health 22: 512–518.
[17]  Lee MB, Liao SC, Lee YJ, Wu CH, Tseng MC, et al. (2003) Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity. J Formos Med Assoc 102: 687–694.
[18]  Chen HC, Wu CH, Lee YJ, Liao SC, Lee MB (2005) Validity of the five-item Brief Symptom Rating Scale among subjects admitted for general health screening. J Formos Med Assoc 104: 824–829.
[19]  Chi I, Boey KW (1993) Hong Kong validation of measuring instruments of mental health status of the elderly. Clin Gerontol 13: 35–51.
[20]  Pfeiffer E (1975) A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 23: 433–441.
[21]  Bandeen-Roche K, Xue QL, Ferrucci L, Walston J, Guralnik JM, et al. (2006) Phenotype of frailty: characterization in the women's health and aging studies. J Gerontol A Biol Sci Med Sci 61: 262–266.
[22]  Wong CH, Weiss D, Sourial N, Karunananthan S, Quail JM, et al. (2010) Frailty and its association with disability and comorbidity in a community-dwelling sample of seniors in Montreal: a cross-sectional study. Aging Clin Exp Res 22: 54–62.
[23]  Avila-Funes JA, Helmer C, Amieva H, Barberger-Gateau P, Le Goff M, et al. (2008) Frailty among community-dwelling elderly people in France: the three-city study. J Gerontol A Biol Sci Med Sci 63: 1089–1096.
[24]  Syddall H, Roberts HC, Evandrou M, Cooper C, Bergman H, et al. (2010) Prevalence and correlates of frailty among community-dwelling older men and women: findings from the Hertfordshire Cohort Study. Age Ageing 39: 197–203.
[25]  Frisoli A Jr, Chaves PH, Ingham SJ, Fried LP (2011) Severe osteopenia and osteoporosis, sarcopenia, and frailty status in community-dwelling older women: Results from the Women's Health and Aging Study (WHAS) II. Bone 48: 952–957.
[26]  Ware JE, Kosinski M (2001) Interpreting SF-36 summary health measures: a response. Qual Life Res 10: 405–413; discussion 415–420.
[27]  Studenski S, Perera S, Patel K, Rosano C, Faulkner K, et al. (2011) Gait speed and survival in older adults. JAMA 305: 50–58.
[28]  Cesari M, Kritchevsky SB, Newman AB, Simonsick EM, Harris TB, et al. (2009) Added value of physical performance measures in predicting adverse health-related events: results from the Health, Aging And Body Composition Study. J Am Geriatr Soc 57: 251–259.
[29]  Cuoco A, Callahan DM, Sayers S, Frontera WR, Bean J, et al. (2004) Impact of muscle power and force on gait speed in disabled older men and women. J Gerontol A Biol Sci Med Sci 59: 1200–1206.
[30]  Fillit H, Butler RN (2009) The frailty identity crisis. J Am Geriatr Soc 57: 348–352.

Full-Text

comments powered by Disqus