Prevalence of frailty and association with intrinsic capacity decline among community-dwelling older people in Cameroon: a cross sectional study.

IF 3.4 2区医学 Q2 GERIATRICS & GERONTOLOGY

BMC Geriatrics Pub Date : 2025-05-14 DOI:10.1186/s12877-025-06011-7

Marie-Josiane Ntsama Essomba, Régine Mylène Mballa Mba, Landry Ekwalla Kameni, Patrick Tchebegna, Florence Denise Mvondo Lema, Maturin Tabue-Teguo

{"title":"Prevalence of frailty and association with intrinsic capacity decline among community-dwelling older people in Cameroon: a cross sectional study.","authors":"Marie-Josiane Ntsama Essomba, Régine Mylène Mballa Mba, Landry Ekwalla Kameni, Patrick Tchebegna, Florence Denise Mvondo Lema, Maturin Tabue-Teguo","doi":"10.1186/s12877-025-06011-7","DOIUrl":null,"url":null,"abstract":"Background: Frailty and impairment in intrinsic capacity (IC) have been shown to increase the risk of poor outcomes in older people. We aimed to determine the prevalence of frailty and its association with decline in IC among people aged 60 and over in Cameroon.Methods: This cross-sectional study included community-dwellers aged ≥ 60 years. Frailty was assessed using Fried's criteria and IC decline using step 1 of the Integrated Care for Older People (ICOPE). Any abnormality reported for one of the six IC domains was considered as a positive screening. The significance level was p < 0.05.Results: Among 108 participants included (64.8% women, median age 70 years (65-75)), all had a decline of at least one IC. The prevalence of frailty was 52.8%.The main domains involved were cognition (93.5%), vision (88%) and hearing (87%). Compared to participants without frailty, the frail group was older, achieved lower education, had fewer children, had a more frequent history of falls and a higher number of deficits in IC domains. In the multivariable model, after adjusting for age, sex and comorbidities, the participants with preserved mobility (OR 0.18, 95%CI 0.068-0.49) and vitality (OR 0.11 95%CI 0.04-0.28) were likely to have a lower risk of frailty.Conclusion: Frailty and IC impairment were common in this group of older Cameroonians. Further research with the monitoring of trajectories of IC and frailty as a research outcome may allow better comparison to tailor interventions taking into account our local resources.Clinical trial number: Not applicable.","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"335"},"PeriodicalIF":3.4000,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076898/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Geriatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12877-025-06011-7","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Frailty and impairment in intrinsic capacity (IC) have been shown to increase the risk of poor outcomes in older people. We aimed to determine the prevalence of frailty and its association with decline in IC among people aged 60 and over in Cameroon.

Methods: This cross-sectional study included community-dwellers aged ≥ 60 years. Frailty was assessed using Fried's criteria and IC decline using step 1 of the Integrated Care for Older People (ICOPE). Any abnormality reported for one of the six IC domains was considered as a positive screening. The significance level was p < 0.05.

Results: Among 108 participants included (64.8% women, median age 70 years (65-75)), all had a decline of at least one IC. The prevalence of frailty was 52.8%.The main domains involved were cognition (93.5%), vision (88%) and hearing (87%). Compared to participants without frailty, the frail group was older, achieved lower education, had fewer children, had a more frequent history of falls and a higher number of deficits in IC domains. In the multivariable model, after adjusting for age, sex and comorbidities, the participants with preserved mobility (OR 0.18, 95%CI 0.068-0.49) and vitality (OR 0.11 95%CI 0.04-0.28) were likely to have a lower risk of frailty.

Conclusion: Frailty and IC impairment were common in this group of older Cameroonians. Further research with the monitoring of trajectories of IC and frailty as a research outcome may allow better comparison to tailor interventions taking into account our local resources.

Clinical trial number: Not applicable.

查看原文本刊更多论文

在喀麦隆社区居住的老年人中，虚弱的患病率及其与内在能力下降的关系：一项横断面研究。

背景：虚弱和内在能力受损（IC）已被证明会增加老年人预后不良的风险。我们的目的是确定喀麦隆60岁及以上人群中虚弱的患病率及其与IC下降的关系。方法：本横断面研究纳入年龄≥60岁的社区居民。使用弗里德标准评估虚弱，使用老年人综合护理（ICOPE）的第1步评估IC下降。六个IC结构域中任何一个的异常都被认为是阳性筛选。结果：纳入的108名参与者（64.8%为女性，中位年龄70岁（65-75岁））中，所有参与者至少有一个IC下降。虚弱患病率为52.8%。主要涉及的领域为认知（93.5%）、视觉（88%）和听觉（87%）。与没有虚弱的参与者相比，虚弱组年龄较大，受教育程度较低，子女较少，有更频繁的跌倒史和更多的IC域缺陷。在多变量模型中，在调整了年龄、性别和合并症后，保持活动能力（OR 0.18, 95%CI 0.068-0.49）和活力（OR 0.11, 95%CI 0.04-0.28）的参与者可能具有较低的虚弱风险。结论：虚弱和IC损伤在这组喀麦隆老年人中很常见。以监测IC和虚弱轨迹为研究成果的进一步研究可能会更好地进行比较，以便考虑到我们当地的资源来定制干预措施。临床试验号：不适用。

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

BMC Geriatrics GERIATRICS & GERONTOLOGY-

CiteScore

5.70

自引率

7.30%

发文量

873

审稿时长

20 weeks

期刊介绍： BMC Geriatrics is an open access journal publishing original peer-reviewed research articles in all aspects of the health and healthcare of older people, including the effects of healthcare systems and policies. The journal also welcomes research focused on the aging process, including cellular, genetic, and physiological processes and cognitive modifications.