AI Article Synopsis
- The study aimed to determine how common frailty is among older outpatients in rural and urban Vietnam, analyzing data from 1,084 participants aged 60 and above.
- Frailty was found to be present in 28% of patients, with slightly higher rates in urban areas (30%) compared to rural areas (26%), and associated factors included older age, being underweight, and having difficulties with daily activities.
- Conversely, higher education and engaging in productive work were linked to a lower likelihood of being frail.
Article Abstract
Objective: To investigate the prevalence and factors associated with frailty in rural and urban older outpatients in Vietnam.
Methods: This cross-sectional study included 1084 outpatients (aged ≥60 years; mean age 71.7 ± 7.4 years; female 65%) from rural (n = 600) and urban (n = 484) geriatric clinics from December 2019 to July 2020. Frailty was assessed using Fried frailty phenotype. Factors associated with frailty were assessed using logistic regression.
Results: Overall, frailty prevalence was 28% (rural, 26%; urban, 30%; p = 0.220). Factors associated with frailty were older age (odds ratio [OR] 1.16, 95% confidence interval [CI] 1.13-1.20, p < 0.001), being underweight (OR 1.88, 95% CI 1.10-3.27, p = 0.025) and limitations in activities of daily living (ADLs) (OR 6.04, 95% CI 1.63-22.41, p = 0.007) and instrumental ADLs (OR 5.83, 95% CI 3.74-9.08, p < 0.001). Higher education (OR 0.47, 95% CI 0.29-0.76, p = 0.002) and productive work (OR 0.39, 95% CI 0.21-0.71, p = 0.002) were protective factors against frailty.
Conclusions: In Vietnam, the prevalence of frailty in older outpatients was 28%, though not significantly different between urban and rural areas. Older age, being underweight and limitations in functional status can increase the odds of frailty, but higher education and productive work can reduce the odds of frailty.
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| http://dx.doi.org/10.1111/ajag.13016 | DOI Listing |
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