Low Bone Mineral Density, Sedentary Lifestyle, and Depression as Risk Factors for Frailty Syndrome at a Home Care Facility in West Jakarta, Indonesia

Yvonne Suzy Handajani, Jonathan Christianto Subagya, Nelly Tina Widjaja

Abstract


Background: The life expectancy in Indonesia is increasing. The rising number of the elderly people plays a vital role for a country to achieve development success. However, it has many consequences in the health sector, including a frailty syndrome. This study aimed to explore the association between frailty and related factors.

Methods: This cross-sectional study was conducted at a home care facility in West Jakarta between September and October 2019, using a simple random sampling method. Data were analyzed using the chi-square test and multivariate logistic regression. The inclusion criteria were members of the home care aged ≥60 years and had signed a written informed consent.

Results: In total, 97 respondents were included. Female gender and bone mineral density (BMD) were associated with frailty syndrome (p=0.018 and p=0.05, respectively). Multivariate logistic regression analysis showed the odds ratio of frailty for the female gender (OR= 3.319; 95% CI 1.045–10.543), low bone mineral density (OR= 4.939; 95% CI 1.516–16.090), depression (OR= 7.622; 95% CI 1.246 – 46.621), and low physical activity (OR = 3.639; 95% CI 1.096 – 12.079).

Conclusions: There is a relationship between female gender and bone mineral density with frailty syndrome with the risk factors for frailty syndrome in this study are female gender, low bone mineral density, depression, and low physical activity.


Keywords


Bone density, depression, elderly, frailty, physical activity

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References


  1. Badan Pusat Statistik. Angka harapan hidup (AHH) menurut provinsi dan jenis kelamin, 2010-2018. [cited 12 April 2019] Available from: https://www.bps.go.id/linkTableDinamis/view/id/1114
  2. Kementerian Kesehatan Republik Indonesia. Analisis lansia di Indonesia. Jakarta: Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia; 2017.
  3. Badan Pusat Statistik Republik Indonesia. Statistik penduduk lanjut usia 2017. Jakarta: Badan Pusat Statistik; 2018.
  4. Xue Q-L. The frailty syndrome: definition and natural history. Clin Geriatr Med. 2011;27(1):1–15.
  5. Collard RM, Boter H, Schoevers RA, Oude Voshaar RC. Prevalence of frailty in community-dwelling older persons: a systematic review. J Am Geriatr Soc. 2012;60(8):1487–92.
  6. Handajani YS, Widjaja NT, Turana Y. Frailty decreases physical health domain of quality of life in nursing home elderly. Univ Med. 2015;34(3):213–9.
  7. Kojima G, Liljas AEM, Iliffe S. Frailty syndrome: implications and challenges for health care policy. Risk Manag Healthc Policy. 2019;12:23
  8. Bock J-O, König H-H, Brenner H, Haefeli WE, Quinzler R, Matschinger H, et al. Associations of frailty with health care costs–results of the ESTHER cohort study. BMC Health Serv Res. 2016;16(1):128.
  9. Romero-Ortuno R, Walsh CD, Lawlor BA, Kenny RA. A frailty instrument for primary care: Findings from the Survey of Health, Ageing and Retirement in Europe (SHARE). BMC Geriat. 2010;10:57.
  10. Corbi G, Cacciatore F, Komici K, Rengo G, Vitale DF, Furgi G, et al. Inter-relationships between gender, frailty, and 10-year survival in older Italian adults: an observational longitudinal study. Sci Rep. 2019;9(1):1–7.
  11. Ahrenfeldt LJ, Möller S, Thinggaard M, Christensen K, Lindahl-Jacobsen R. Sex differences in comorbidity and frailty in Europe. Int J Public Health. 2019;64(7):1025–36.
  12. Bartosch P, McGuigan FE, Akesson KE. Progression of frailty and prevalence of osteoporosis in a community cohort of older women–a 10-year longitudinal study. Osteoporos Int. 2018;29(10):2191–9.
  13. Araujo ECSS, Pagotto V, Silveira AE. Association of bone mineral density with frailty, pre-frailty, and osteoporosis in community-dwelling elderly: a prospective study. J Geriatr Med Gerontol. 2017;3(3):033.
  14. Da Silva VD, Tribess S, Meneguci J, Sasaki JE, Garcia-Meneguci CA, Carneiro JAO, et al. Association between frailty and the combination of physical activity level and sedentary behaviour in older adults. BMC Public Health. 2019;19(1):1–6.
  15. Rensa R, Setiati S, Laksmi PW, Rinaldi I. Factors associated with physical frailty in elderly women with low socioeconomic status in urban communities: a cross-sectional study. Acta Med Indones. 2019;51(3)220–9.
  16. Serra-Prat M, Papiol M, Palomera E, Arús M, Cabré M. Incidence and risk factors for frailty in the community-dwelling elderly population: a two-year follow-up cohort study. J Gerontol Geriatr Res. 2017;6:6.
  17. Mohd Hamidin FA, Adznam SN, Ibrahim Z, Chan YM, Abdul Aziz NH. Prevalence of frailty syndrome and it associated factors among community-dwelling elderly in East Coast of Peninsular Malaysia. SAGE Open Med. 2018 May 29;6:2050312118775581.
  18. Brigola AG, Alexandre T da S, Inouye K, Yassuda MS, Pavarini SCI, Mioshi E. Limited formal education is strongly associated with lower cognitive status, functional disability and frailty status in older adults. Dement Neuropsychol. 2019;13(2):216–24.
  19. Lenardt MH, Carneiro NHK, Binotto MA, Setoguchi LS, Cechinel C. The relationship between physical frailty and sociodemographic and clinical characteristics of elderly. Esc Anna Nery. 2015;19(4):585–92.
  20. Xu L, Zhang J, Shen S, Hong X, Zeng X, Yang Y, et al. Association between body composition and frailty in elder inpatients. Clin Interv Aging. 2020;15:313.
  21. Liao QJ, Zheng Z, Xiu SL, Chan P. Waist circumference is a better predictor of risk for frailty than BMI in the community-dwelling elderly in Beijing. Aging Clin Exp Res. 2018;30:1319–1325.
  22. Shim H, Kim S, Kim M, Kim BS, Jeong E, Lee YJ, et al. Older Men Living with Spouse and Older Women Living with Spouse and Children Have Lower Frailty Prevalence: The Korean Frailty and Aging Cohort Study (KFACS). Ann Geriatr Med Res. 2020;24(3):204–10.
  23. Setiati S, Laksmi PW, Aryana IGPS, Sunarti S, Widajanti N, Dwipa L, et al. Frailty state among Indonesian elderly: prevalence, associated factors, and frailty state transition. BMC Geriatr. 2019;19(1):182.




DOI: https://doi.org/10.15850/amj.v10n1.2683

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