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. 2017 Jun 5:25:e2886.
doi: 10.1590/1518-8345.1770.2886.

Associations between frailty syndrome and sociodemographic characteristics in long-lived individuals of a community

[Article in English, Portuguese, Spanish]
Clóris Regina Blanski Grden  1 , Maria Helena Lenardt  2 , Jacy Aurelia Vieira de Sousa  1 , Luciana Kusomota  3 , Mara Solange Gomes Dellaroza  4 , Susanne Elero Betiolli  5
Affiliations

Associations between frailty syndrome and sociodemographic characteristics in long-lived individuals of a community

[Article in English, Portuguese, Spanish]
Clóris Regina Blanski Grden et al. Rev Lat Am Enfermagem. .

Abstract
in English, Portuguese

Objective: investigating the association between frailty syndrome and sociodemographic characteristics in long-lived individuals of a community.

Method: a cross-sectional study with a proportional stratified sample consisting of 243 long-lived individuals. A structured instrument, scales and tests that comprise evaluating frailty were applied for data collection. Univariate and multivariate analyzes were performed by logistic regression (p<0.05) by Statistica 10(r) software and Odds Ratio (95% Confidence Interval) were calculated for the predictive models.

Results: of the 243 long-lived individuals evaluated, 36 (14.8%) were frail, 55 (63.8%) were pre-frail and 52 (21.4%) were not frail. A predominance of females (n=161; 66.3%), widows/widowers (n=158; 65%), who lived with family members (n=144; 59.3%) and in a self-reported satisfactory financial situation (n=108; 44.5%) was observed. A significant association was found between the demographic variable of age (p=0.043) and frailty syndrome. The best predictor model for the syndrome included the variables: gender, age and household companion.

Conclusion: the variable of age contributed most to the fragilization process of long-lived individuals residing in the community. It is essential that gerontological nursing care contemplates early detection of this syndrome, considering age as being indicative of care needs.

Objetivo: investigar a associação entre a síndrome da fragilidade física e as características sociodemográficas de idosos longevos da comunidade.

Método: estudo transversal, com amostra estratificada proporcional constituída por 243 longevos. Para a coleta de dados aplicaram-se instrumento estruturado, escalas e testes que compõem a avaliação da fragilidade física. Realizaram-se análises univariada e multivariada por regressão logística (p<0,05) pelo software Statistica 10(r) e para os modelos preditores foram calculadas Odds Ratio (Intervalo de Confiança de 95%).

Resultados: dos 243 longevos avaliados, 36 (14,8%) eram frágeis, 155 (63,8%) pré-frágeis e 52 (21,4%) não frágeis. Houve predomínio do sexo feminino (n=161; 66,3%), viúvos (n=158; 65%), que residiam com familiares (n=144; 59,3%) e com situação financeira autorrelatada satisfatória (n=108; 44,5%). Identificou-se associação significativa entre a variável demográfica idade (p=0,043) e a síndrome da fragilidade física. O melhor modelo preditor da síndrome compreendeu as variáveis: sexo, idade e com quem mora

Conclusão: a variável idade foi a que mais contribuiu para o processo de fragilização dos longevos que residem na comunidade. É essencial que o cuidado de enfermagem gerontológico contemple o rastreamento precoce da síndrome e considere a idade como um indicativo de necessidades de cuidados.

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Figures

Figure 1
Figure 1. Cutoff points adopted by gender according to BMI classifications, which indicated reduced HGS in long-lived participants. Curitiba-PR, Brazil, 2015.
See this image and copyright information in PMC

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