The Evaluation of Frailty in the Elderly and Affecting  Biopsychosocial Factors: A Cross-Sectional Observational Study

Duygu  Yengil Taci; Selin  Yılmaz; İsmail  Arslan; İzzet  Fidancı; Mustafa  Çelik

doi:10.18502/ijph.v52i1.11678

Duygu Yengil Taci Department of Family Medicine, Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey
Selin Yılmaz Department of Family Medicine, Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey
İsmail Arslan Department of Family Medicine, Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey
İzzet Fidancı Department of Family Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
Mustafa Çelik Department of Family Medicine, Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey

DOI: https://doi.org/10.18502/ijph.v52i1.11678

Keywords: Depression; Frailty; Physical activity

Abstract

Background: We aimed to evaluate the frequency of frailty and the affecting factors in people living in our society over 65 yr old.

Methods: Our descriptive and cross-sectional study included 261 individuals aged 65 and over who applied to Ankara Training and Research Hospital family practice centers and district polyclinics from 1 Jan to 1 Feb 2020. The participants were asked to complete a sociodemographic data form, FRAIL Scale, Katz Daily Living Activities Scale, Lawton&Brody Instrumental Activities of Daily Living Scale and Geriatric Depression Scale Short Form.

Results: According to the FRAIL Scale results: 35 people were found to be frail (13.4%), 115 to be pre-frail (44.1%). No frailty was observed in 111 people (42.5%). While the mean score of the Katz Activities of Daily Living Scale was found to be 5.65±0.71, the mean score of the Lawton&Brody Instrumental Activities of Daily Living Scale was found to be 6.65±1.69. In the geriatric depression evaluation, mild, medium or severe depression was detected in 87 participants (33.2%). As the level of frailty increased, the Geriatric Depression Scale score climbed significantly (P<0.001). In frail individuals, Lawton&Brody Scale scores were significantly lower (P<0.001). In our study: a correlation was found between frailty and female gender, being single, low income, low educational level, obesity, polypharmacy and decreased physical activity. Additionally, as the number of children increase frailty in women increases therewithal.

Conclusion: Elderly people had high frailty. Polypharmacy, depression and reduced physical activity were the more frequent in frail elderly. In frail females, the number of children was significantly higher.