Prevalence and factors associated with fragility syndrome in older adults attending
Objectives: To identify the prevalence and factors associated with fragility syndrome in older adults attending the EsSalud (Peruvian Social Security Health Insurance) primary health care service, Chiclayo - Peru. Materials and methods: A descriptive, prospective and cross-sectional study was cond...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Universidad de San Martín de Porres
2017-03-01
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| Series: | Horizonte Médico |
| Subjects: | |
| Online Access: | http://www.horizontemedicina.usmp.edu.pe/index.php/horizontemed/article/view/674/410 |
| Summary: | Objectives: To identify the prevalence and factors associated with fragility syndrome in older adults attending the
EsSalud (Peruvian Social Security Health Insurance) primary health care service, Chiclayo - Peru.
Materials and methods: A descriptive, prospective and cross-sectional study was conducted on a sample consisting of 326
older adults from urban areas and surrounding districts of Chiclayo, who attend the outpatient service at the Hospital
Naylamp and Policlínico Chiclayo Oeste. A data collection sheet including social-demographic variables, comorbidity and
polypharmacy, and fragility syndrome clinical criteria was filled in.
Results: The prevalence of fragility was 17.5% and that of pre-fragility, 40.9%. The most frequent fragility clinical criteria
were as follows: self-reported fatigue (42.3%) and decreased grip strength (32.8%). The bivariate analysis showed an
association with age, level of education, occupation (class IV and V concerning manual work), comorbidity (class II,
asymptomatic disease or asymptomatic disease that requires medication but is under control), polypharmacy, anemia,
Parkinson’s disease and non-vascular neurological disease. The final prediction model covering the age (1.08, 95% CI:
1.03 to 1.12), higher education level as a preventive variable (0.21, 95% CI: 0.07 to 0.62), type II comorbidity (11 08, 95%
CI: 1.45 to 84.38) and polypharmacy (2.49, 95% CI: 1.24 to 5.03) predicts the likelihood of fragility syndrome in 75.6%.
Conclusions: There is a high prevalence of fragility in the elderly population attending the primary health care service,
and a significant association with age, higher education level, type II comorbidity and polypharmacy |
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| ISSN: | 1727-558X 2227-3530 |