On the Relationship Between Frailty, Nutritional Status, Depression and Quality of Life Among Older People

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2024-09-03 DOI:10.1111/opn.12644

Ayele Semachew Kasa, Victoria Traynor, Shu-Chun Lee, Peta Drury

{"title":"On the Relationship Between Frailty, Nutritional Status, Depression and Quality of Life Among Older People","authors":"Ayele Semachew Kasa, Victoria Traynor, Shu-Chun Lee, Peta Drury","doi":"10.1111/opn.12644","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Frailty is a multidimensional geriatric syndrome associated with physical, psychological and social changes. There is a paucity of research on frailty in Sub-Saharan African (SSA) countries, especially Ethiopia.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>To assess the initial correlations among frailty, nutritional status, depression and QOL (quality of life) in a group of older people in Ethiopia who are later enrolled in a study examining the effects of a nurse-led community intervention on frailty and related health outcomes.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Data from 68 community-dwelling individuals 60 years of age, or over, were collected. Frailty was measured using the Amharic version of the Tilburg Frailty Indicator. The statistical analysis included Spearman's rank correlation coefficient for degrees of association, Mann–Whitney <i>U</i>-test for variables with two categories and Kruskal–Wallis for variables with three or more categories.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The mean frailty score for participants was 7.3 (±1.9). Participants with higher frailty scores had lower nutritional status (<i>r</i><sub>s</sub> = −0.46, <i>p</i> < 0.01). There was a statistically significant relationship (positive) between frailty scores and depression (<i>r</i><sub>s</sub> = 0.39, <i>p <</i> 0.01). Depressed (<i>Md</i> = 9, <i>n</i> = 23) and non-depressed frail older people (<i>Md</i> = 7, <i>n</i> = 45) showed a significant difference in their overall frailty score, <i>U</i> = 330.50, <i>z</i> = <i>−</i>2.49, <i>p</i> = 0.01, <i>r</i> = 0.30. There was an inverse significant association between the level of frailty across different domains in the QOL: physical (<i>r</i><sub>s</sub> = <i>−</i>0.44, <i>p <</i> 0.01), psychological (<i>r</i><sub>s</sub> = <i>−</i>0.45, <i>p <</i> 0.01), social relations (<i>r</i><sub>s</sub> = <i>−</i>0.29, <i>p <</i> 0.05) and environmental (<i>r</i><sub>s</sub> = <i>−</i>0.47, <i>p <</i> 0.01).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The findings from this study were consistent with those from across middle-income and high-income countries.</p>\n </section>\n \n <section>\n \n <h3> Implications for Practice</h3>\n \n <p>This research indicates that older people living in communities who are identified as frail often suffer from a poor nutritional status, depression and reduced QOL. It suggests that healthcare professionals in Sub-Saharan countries would benefit from recognising the frailty in this population, and developing interventions aimed at enhancing nutrition, mental health and overall well-being.</p>\n </section>\n </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 5","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12644","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Older People Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/opn.12644","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Frailty is a multidimensional geriatric syndrome associated with physical, psychological and social changes. There is a paucity of research on frailty in Sub-Saharan African (SSA) countries, especially Ethiopia.

Objectives

To assess the initial correlations among frailty, nutritional status, depression and QOL (quality of life) in a group of older people in Ethiopia who are later enrolled in a study examining the effects of a nurse-led community intervention on frailty and related health outcomes.

Methods

Data from 68 community-dwelling individuals 60 years of age, or over, were collected. Frailty was measured using the Amharic version of the Tilburg Frailty Indicator. The statistical analysis included Spearman's rank correlation coefficient for degrees of association, Mann–Whitney U-test for variables with two categories and Kruskal–Wallis for variables with three or more categories.

Results

The mean frailty score for participants was 7.3 (±1.9). Participants with higher frailty scores had lower nutritional status (r_s = −0.46, p < 0.01). There was a statistically significant relationship (positive) between frailty scores and depression (r_s = 0.39, p < 0.01). Depressed (Md = 9, n = 23) and non-depressed frail older people (Md = 7, n = 45) showed a significant difference in their overall frailty score, U = 330.50, z = −2.49, p = 0.01, r = 0.30. There was an inverse significant association between the level of frailty across different domains in the QOL: physical (r_s = −0.44, p < 0.01), psychological (r_s = −0.45, p < 0.01), social relations (r_s = −0.29, p < 0.05) and environmental (r_s = −0.47, p < 0.01).

Conclusion

The findings from this study were consistent with those from across middle-income and high-income countries.

Implications for Practice

This research indicates that older people living in communities who are identified as frail often suffer from a poor nutritional status, depression and reduced QOL. It suggests that healthcare professionals in Sub-Saharan countries would benefit from recognising the frailty in this population, and developing interventions aimed at enhancing nutrition, mental health and overall well-being.

查看原文本刊更多论文

老年人体弱、营养状况、抑郁和生活质量之间的关系。

背景：虚弱是一种多方面的老年综合症，与身体、心理和社会变化有关。在撒哈拉以南非洲（SSA）国家，尤其是埃塞俄比亚，有关虚弱的研究还很少：目的：评估埃塞俄比亚老年人体弱、营养状况、抑郁和 QOL（生活质量）之间的初步相关性，这些老年人随后被纳入一项研究，探讨由护士主导的社区干预措施对体弱和相关健康结果的影响：方法：收集了 68 名 60 岁或以上社区居民的数据。虚弱程度使用阿姆哈拉语版的蒂尔堡虚弱指标进行测量。统计分析包括斯皮尔曼等级相关系数（Spearman's rank correlation coefficient for degrees of association）、曼-惠特尼 U 检验（Mann-Whitney U-test for variables with two categories）和 Kruskal-Wallis 检验（Kruskal-Wallis for variables with three or more categories）：参与者的平均虚弱评分为 7.3（±1.9）分。虚弱评分越高的参与者营养状况越差（rs = -0.46，P s = 0.39，P s = -0.44，P s = -0.45，P s = -0.29，P s = -0.47，P 结论：虚弱评分越高的参与者营养状况越差：本研究的结果与中等收入和高收入国家的研究结果一致：这项研究表明，生活在社区中被认定为体弱的老年人往往营养不良、抑郁和生活质量下降。研究表明，撒哈拉以南国家的医疗保健专业人员应认识到这一人群的虚弱状况，并制定旨在改善营养、心理健康和整体福祉的干预措施，从而从中受益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.