Ontology highlight
ABSTRACT: Objective
We examined the association between frailty and disability in rural community-dwelling older adults in Kegalle district of Sri Lanka.Design
A population-based cross-sectional study.Participants
A total of 746 community-dwelling adults aged ≥60 years.Primary and secondary outcome measures
Frailty was assessed using the Fried phenotype. Disability was operationalised in terms of having one or more activity limitation/s in instrumental activities of daily living (IADL) and basic activities of daily living (BADL).Results
The median age of the sample was (median 68; IQR 64-75) years and 56.7% were female. 15.2% were frail and 48.5% were prefrail. The prevalence of ≥1 IADL limitations was high, 84.4% among frail adults. 38.7% of frail adults reported ≥1 BADL limitations. Over half of frail older adults (58.3%) reported both ≥1 physical and cognitive IADL limitations. Being frail decreased the odds of having no IADL limitations, and was associated with a higher count of IADL limitations. No significant association was found between prefrailty and number of IADL limitations.Conclusions
The prevalence of ≥1 IADL limitations was high among rural community-dwelling frail older adults. Findings imply the greater support and care required for rural Sri Lankan frail older adults to live independently in the community.
SUBMITTER: Siriwardhana DD
PROVIDER: S-EPMC7170600 | biostudies-literature | 2020 Mar
REPOSITORIES: biostudies-literature
Siriwardhana Dhammika Deepani DD Weerasinghe Manuj Chrishantha MC Rait Greta G Scholes Shaun S Walters Kate R KR
BMJ open 20200329 3
<h4>Objective</h4>We examined the association between frailty and disability in rural community-dwelling older adults in Kegalle district of Sri Lanka.<h4>Design</h4>A population-based cross-sectional study.<h4>Participants</h4>A total of 746 community-dwelling adults aged ≥60 years.<h4>Primary and secondary outcome measures</h4>Frailty was assessed using the Fried phenotype. Disability was operationalised in terms of having one or more activity limitation/s in instrumental activities of daily l ...[more]