Frailty and functional status among older adults with cognitive impairment: data from the second wave of the FIBRA study

ABSTRACT. Frailty is defined as a recognizable state of increased vulnerability resulting from age-associated decline of function in various physiological systems, such that the ability to deal with acute or everyday stressors is compromised. Objective: The aim of the study was to characterize the...

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Main Authors: Beatriz Raz Franco de Santana, Flávia Silva Arbex Borim, Daniela de Assumpção, Anita Liberalesso Neri, Mônica Sanches Yassuda
Format: Article
Language:English
Published: Associação Neurologia Cognitiva e do Comportamento 2024-02-01
Series:Dementia & Neuropsychologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642024000100300&tlng=en
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author Beatriz Raz Franco de Santana
Flávia Silva Arbex Borim
Daniela de Assumpção
Anita Liberalesso Neri
Mônica Sanches Yassuda
author_facet Beatriz Raz Franco de Santana
Flávia Silva Arbex Borim
Daniela de Assumpção
Anita Liberalesso Neri
Mônica Sanches Yassuda
author_sort Beatriz Raz Franco de Santana
collection DOAJ
description ABSTRACT. Frailty is defined as a recognizable state of increased vulnerability resulting from age-associated decline of function in various physiological systems, such that the ability to deal with acute or everyday stressors is compromised. Objective: The aim of the study was to characterize the sample of older adults with cognitive impairment, according to the frailty status indirectly assessed by family members, other clinical and sociodemographic variables; and to assess the overlap of clinical conditions evaluated in this sample with cognitive impairment. Methods: Data were extracted from the follow-up database of the Frailty in Brazilian Older Adults (FIBRA) study (2016-2017). The sample consisted of 130 elderly people with cognitive impairment assessed by the Mini Mental State Examination (MMSE). The scores for the Clinical Dementia Scale (CDR), Cornell Scale for Depression in Dementia and Functional Activities Questionnaire were described. Frailty was indirectly measured through questions answered by family members about the five criteria that compose the frailty phenotype. Results: The sample consisted mostly of older women (n=91) with a mean age of 82.4 (SD=5.3) years, mean schooling of 3.3 years (SD=3.07), widowed (47.7%) and who lived with children and/or grandchildren (68%). More than half had multimorbidity (74.90%), 39.5% had depression symptoms suggestive of major depression, 57% had impaired functionality, 49.3% were frail, 37.6% pre-frail, and 13.10% robust. Conclusion: Among older adults with cognitive impairment, frailty and functional limitations are common.
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spelling doaj.art-d633e2b5e49245989b251ec1777d2cde2024-02-20T07:35:51ZengAssociação Neurologia Cognitiva e do ComportamentoDementia & Neuropsychologia1980-57642024-02-011810.1590/1980-5764-dn-2023-0051Frailty and functional status among older adults with cognitive impairment: data from the second wave of the FIBRA studyBeatriz Raz Franco de Santanahttps://orcid.org/0000-0003-1026-3528Flávia Silva Arbex Borimhttps://orcid.org/0000-0001-7316-1145Daniela de Assumpçãohttps://orcid.org/0000-0003-1813-996XAnita Liberalesso Nerihttps://orcid.org/0000-0002-6833-7668Mônica Sanches Yassudahttps://orcid.org/0000-0002-9182-2450ABSTRACT. Frailty is defined as a recognizable state of increased vulnerability resulting from age-associated decline of function in various physiological systems, such that the ability to deal with acute or everyday stressors is compromised. Objective: The aim of the study was to characterize the sample of older adults with cognitive impairment, according to the frailty status indirectly assessed by family members, other clinical and sociodemographic variables; and to assess the overlap of clinical conditions evaluated in this sample with cognitive impairment. Methods: Data were extracted from the follow-up database of the Frailty in Brazilian Older Adults (FIBRA) study (2016-2017). The sample consisted of 130 elderly people with cognitive impairment assessed by the Mini Mental State Examination (MMSE). The scores for the Clinical Dementia Scale (CDR), Cornell Scale for Depression in Dementia and Functional Activities Questionnaire were described. Frailty was indirectly measured through questions answered by family members about the five criteria that compose the frailty phenotype. Results: The sample consisted mostly of older women (n=91) with a mean age of 82.4 (SD=5.3) years, mean schooling of 3.3 years (SD=3.07), widowed (47.7%) and who lived with children and/or grandchildren (68%). More than half had multimorbidity (74.90%), 39.5% had depression symptoms suggestive of major depression, 57% had impaired functionality, 49.3% were frail, 37.6% pre-frail, and 13.10% robust. Conclusion: Among older adults with cognitive impairment, frailty and functional limitations are common.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642024000100300&tlng=enCognitionAgedFrailtyDepressionFunctional Status
spellingShingle Beatriz Raz Franco de Santana
Flávia Silva Arbex Borim
Daniela de Assumpção
Anita Liberalesso Neri
Mônica Sanches Yassuda
Frailty and functional status among older adults with cognitive impairment: data from the second wave of the FIBRA study
Dementia & Neuropsychologia
Cognition
Aged
Frailty
Depression
Functional Status
title Frailty and functional status among older adults with cognitive impairment: data from the second wave of the FIBRA study
title_full Frailty and functional status among older adults with cognitive impairment: data from the second wave of the FIBRA study
title_fullStr Frailty and functional status among older adults with cognitive impairment: data from the second wave of the FIBRA study
title_full_unstemmed Frailty and functional status among older adults with cognitive impairment: data from the second wave of the FIBRA study
title_short Frailty and functional status among older adults with cognitive impairment: data from the second wave of the FIBRA study
title_sort frailty and functional status among older adults with cognitive impairment data from the second wave of the fibra study
topic Cognition
Aged
Frailty
Depression
Functional Status
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642024000100300&tlng=en
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