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Title: | Association between frailty and disability among rural community-dwelling older adults in Sri Lanka: A Cross-sectional study. |
Authors: | Siriwardhana, D.D. Weerasinghe, M.C. Rait, G. Scholes, S. Walters, K.R. |
Keywords: | Disability Evaluation Frail Elderly Frailty-epidemiology Frailty Geriatric Assessment Prevalence Cross-Sectional Studies Sri Lanka-epidemiology |
Issue Date: | 2020 |
Publisher: | BMJ Publishing Group Ltd |
Citation: | BMJ Open. 2020;10(3):e034189. |
Abstract: | OBJECTIVE: We examined the association between frailty and disability in rural community-dwelling older adults in Kegalle district of Sri Lanka. DESIGN: A population-based cross-sectional study. PARTICIPANTS: A total of 746 community-dwelling adults aged ≥60 years. PRIMARY AND SECOUNDARY OUTCOME MEASURES: Frailty was assessed using the Fried phenotype. Disability was operationalised in terms of having one or more activity limitation/s in instrumental activities of daily living (IADL) and basic activities of daily living (BADL). RESULTS: The median age of the sample was (median 68; IQR 64-75) years and 56.7% were female. 15.2% were frail and 48.5% were prefrail. The prevalence of ≥1 IADL limitations was high, 84.4% among frail adults. 38.7% of frail adults reported ≥1 BADL limitations. Over half of frail older adults (58.3%) reported both ≥1 physical and cognitive IADL limitations. Being frail decreased the odds of having no IADL limitations, and was associated with a higher count of IADL limitations. No significant association was found between prefrailty and number of IADL limitations. CONCLUSIONS: The prevalence of ≥1 IADL limitations was high among rural community-dwelling frail older adults. Findings imply the greater support and care required for rural Sri Lankan frail older adults to live independently in the community. KEYWORDS: Asia; Sri Lanka; disability; frail elderly; independent living. |
Description: | Indexed in MEDLINE. |
URI: | http://repository.kln.ac.lk/handle/123456789/21094 |
ISSN: | 2044-6055 (Electronic) 2044-6055 (Linking) |
Appears in Collections: | Journal/Magazine Articles |
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File | Description | Size | Format | |
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Association between frailty.pdf | 396.14 kB | Adobe PDF | View/Open |
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