The prevalence and predictors of geriatric giants in community-dwelling older adults: a cross-sectional study from the Middle East.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
31 07 2023
31 07 2023
Historique:
received:
14
03
2023
accepted:
27
07
2023
medline:
2
8
2023
pubmed:
1
8
2023
entrez:
31
7
2023
Statut:
epublish
Résumé
The term "geriatric giants" refers to the chronic disabilities of senescence leading to adverse health outcomes. This study aimed to investigate the prevalence and predictors of geriatric giants in Southern Iran. The participants were selected from Bushehr city using a multistage cluster random sampling method. Demographic data were collected through interviews. Frailty, incontinence, immobility, depression, cognitive impairment, and malnutrition were measured by questionnaires and instruments. Finally, data from 2392 participants were analyzed. The prevalence of fecal incontinence was less than 1% among all participants and similar in men and women. In contrast, compared with men, women had higher prevalence of urinary incontinence (36.44% vs. 17.65%), depression (39.05% vs. 12.89%), anorexia and malnutrition (2.35% vs. 0.82%), immobility (8.00% vs. 2.5%), frailty (16.84 vs. 7.34), and pre-frailty (54.19 vs. 38.63%). The prevalence of dependence and cognitive impairment was also higher in women and considerably increased with the age of participants. In total, 12.07% of subjects were frail, and 46.76% were pre-frail. The prevalence of frailty exponentially increased in older age, ranging from 4.18% among those aged 60-64 years to 57.35% in those aged ≥ 80 years. Considering 95% confidence interval (CI), multivariate logistic regression revealed that low physical activity [odds ratio (OR) 31.73 (18.44-54.60)], cancer (OR 3.28 (1.27-8.44)), depression [OR 2.42 (1.97-2.98)], age [OR 1.11 (1.08-1.14)], waist circumference [OR 1.03 (1.01-1.06)], BMI [OR 1.07 (1.01-1.14)], MNA score [OR 0.85 (0.79-0.92)], polypharmacy [OR 2.26 (1.30-3.95)] and male gender [OR 0.63 (0.42-0.93)] were independently associated with frailty. White blood cell count (WBC), smoking, marital status, and number of comorbidities were not independently associated with frailty. Low physical activity was the strongest predictor of frailty, which may need more attention in geriatric care. Frailty, its predictors, and other components of geriatric giants were considerably more common among women and older ages.
Identifiants
pubmed: 37524849
doi: 10.1038/s41598-023-39614-4
pii: 10.1038/s41598-023-39614-4
pmc: PMC10390524
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
12401Informations de copyright
© 2023. The Author(s).
Références
J Aging Health. 2020 Jan-Feb;32(1):14-24
pubmed: 30246620
J Am Geriatr Soc. 2015 Mar;63(3):596-8
pubmed: 25800910
Ann Oncol. 2015 Jun;26(6):1091-1101
pubmed: 25403592
Lancet Public Health. 2022 May;7(5):e458-e468
pubmed: 35487231
J Diabetes Metab Disord. 2021 Mar 31;20(1):601-610
pubmed: 34222080
J Am Med Dir Assoc. 2010 Jun;11(5):356-64
pubmed: 20511103
Health Promot Perspect. 2015 Jul 07;5(2):98-103
pubmed: 26290825
QJM. 2019 Apr 1;112(4):261-267
pubmed: 30541151
Trends Psychiatry Psychother. 2018;40(2):144-151
pubmed: 29995159
BMC Geriatr. 2021 Jun 15;21(1):364
pubmed: 34130632
BMC Geriatr. 2008 Sep 30;8:24
pubmed: 18826625
Clin Geriatr Med. 2011 Feb;27(1):27-37
pubmed: 21093720
Int J Environ Res Public Health. 2022 Jul 09;19(14):
pubmed: 35886260
Lancet. 2009 Oct 3;374(9696):1196-208
pubmed: 19801098
Clin Interv Aging. 2018 Oct 04;13:1899-1905
pubmed: 30323576
Age Ageing. 2020 Aug 24;49(5):758-763
pubmed: 32542377
Lancet. 2013 Mar 2;381(9868):752-62
pubmed: 23395245
J Gerontol A Biol Sci Med Sci. 2010 Apr;65(4):377-81
pubmed: 19942592
BMJ Open. 2018 Jan 13;8(1):e018653
pubmed: 29331967
Int J Cardiol. 2021 Jun 15;333:133-140
pubmed: 33657397
BMJ Open. 2017 Aug 04;7(8):e013606
pubmed: 28780537
Sci Rep. 2019 Dec 5;9(1):18416
pubmed: 31804552
Aging Clin Exp Res. 2021 Sep;33(9):2599-2603
pubmed: 33506311
Acta Clin Belg. 2022 Jun;77(3):558-564
pubmed: 33825656
BMC Geriatr. 2020 May 6;20(1):164
pubmed: 32375700
Age Ageing. 2012 Jan;41(1):35-40
pubmed: 21948857
Aging (Albany NY). 2020 Feb 29;12(5):4222-4229
pubmed: 32112643
Res Involv Engagem. 2016 Jun 17;2:23
pubmed: 29062523
J Frailty Aging. 2018;7(4):208-216
pubmed: 30298168
Lancet. 2019 Oct 12;394(10206):1365-1375
pubmed: 31609228
Age Ageing. 2022 Feb 2;51(2):
pubmed: 35187575
Science. 2002 May 10;296(5570):1029-31
pubmed: 12004104
Subcell Biochem. 2019;91:21-43
pubmed: 30888648
J Am Med Dir Assoc. 2019 Aug;20(8):956-962.e8
pubmed: 31129021
Int J Aging Hum Dev. 2018 Apr;86(3):266-280
pubmed: 28859488
J Nutr Health Aging. 2019;23(5):442-450
pubmed: 31021361
J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56
pubmed: 11253156
J Community Health. 2019 Jun;44(3):587-595
pubmed: 30604223
Eur J Health Econ. 2017 Mar;18(2):243-253
pubmed: 26914932
Age Ageing. 2021 Jun 28;50(4):1118-1128
pubmed: 33693472
Int J Nurs Stud. 2019 May;93:97-105
pubmed: 30901716
Metabolites. 2019 Dec 13;9(12):
pubmed: 31847272