Prevalence and Determinants of Frailty amongst the Elderly: A Study from a Tertiary Care Hospital in North India

Preventive Medicine: Research & Reviews Pub Date : 2024-05-08 DOI:10.4103/pmrr.pmrr_16_24

Nidhi Prakash Vadanere, Aninda Debnath, Anita Verma, Priyansha Gupta

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Abstract

The elderly population in India is rising rapidly, which merits the need to develop an understanding of the prevalence and determinants of frailty in this age group. This study was conducted at a tertiary care hospital in New Delhi, India. The participants were over 60 years of age. The authors used the Edmonton Frailty Scale to assess frailty and a semi-structured questionnaire to assess sociodemographic variables, morbidity and lifestyle factors. The mean age of participants in the study was 66.7 years (standard deviation ± 5.52). The prevalence of any type of frailty was 34.7% (95% confidence interval [CI] 29.9%–39.6%). Amongst the frail, 11.9% were vulnerable to frailty, 11.7% were mildly frail, 8.1% were moderately frail and 3% were severely frail. Significant associations were found with age, chronic diseases and smokeless tobacco use. There is a substantial prevalence of frailty amongst the elderly, with critical links to age, chronic disease and lifestyle choices. These findings underscore the necessity of integrating frailty assessment into routine geriatric care and primary healthcare services.

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老年人体弱的发生率和决定因素：印度北部一家三级医院的研究

印度的老年人口正在迅速增加，因此有必要对这一年龄组的虚弱发生率和决定因素有所了解。这项研究在印度新德里的一家三甲医院进行。参与者年龄超过 60 岁。作者使用埃德蒙顿虚弱量表评估虚弱程度，并使用半结构化问卷评估社会人口变量、发病率和生活方式因素。研究参与者的平均年龄为 66.7 岁（标准偏差 ± 5.52）。任何体弱类型的患病率为 34.7%（95% 置信区间 [CI]：29.9%-39.6%）。在体弱者中，11.9%的人容易体弱，11.7%的人轻度体弱，8.1%的人中度体弱，3%的人重度体弱。研究发现，体弱与年龄、慢性疾病和无烟烟草的使用有明显的关联。老年人体弱的发病率很高，与年龄、慢性疾病和生活方式的选择有重要关系。这些发现强调了将体弱评估纳入常规老年病护理和初级医疗保健服务的必要性。

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Preventive Medicine: Research & Reviews

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