Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia

Author:

Mustaffa Musastika1ORCID,Hairi Noran Naqiah2,Majid Hazreen Abdul34,Choo Wan Yuen2,Hairi Farizah Mohd2,Peramalah Devi2,Kandiben Shathanapriya2,Ali Zainudin Mohd5,Abdul Razak Inayah5,Ismail Norliana6,Sooryanarayana Rajini7,Ahmad Nur Sakinah8,Bulgiba Awang2ORCID

Affiliation:

1. Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia

2. Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia

3. School of Health and Rehabilitation Sciences, AECC University College, Bournemouth, UK

4. Centre for Population Health, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia

5. Negeri Sembilan State Health Department (JKNNS), Seremban, Malaysia

6. Disease Control Division, Ministry of Health Malaysia, Putrajaya, Malaysia

7. Family Health Development Division, Ministry of Health Malaysia, Putrajaya, Malaysia

8. Mental Health, Injury and Violence Prevention and Substance Abuse Sector, Disease Control Division, Ministry of Health Malaysia, Putrajaya, Malaysia

Abstract

Frailty and malnutrition commonly co-occur but remains undetected and untreated in community settings. This study aimed to determine the prevalence of co-occurring frailty and malnutrition, and its associated factors among community-dwelling older adults in a rural setting in Malaysia. A cross-sectional study was conducted among adults aged ≥ 60 residing in Kuala Pilah district, Negeri Sembilan, Malaysia. Physical frailty and nutritional status were assessed using the Fried phenotype and the Mini Nutritional Assessment (MNA), respectively. Among 1855 participants, 6.4% had co-occurring frailty and at-risk/malnutrition and 11.3% had co-occurring prefrailty and at-risk/malnutrition. Older age, fair-to-poor self-rated health, long-term disease, polypharmacy, activities of daily living (ADLs) and instrumental ADLs’ disabilities, cognitive impairment, and poor social support were associated with higher odds of co-occurring frailty and malnutrition. Therefore, beside early identification, targeted intervention is crucial to prevent or delay the progression of frailty and malnutrition in this population.

Funder

University of Malaya Grant Challenge

Ministry of Higher Education High Impact Research STeMM Grant

Publisher

SAGE Publications

Reference30 articles.

1. United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Ageing 2019: Highlights (ST/ESA/SER.A/430). Accessed August 23, 2022 https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Highlights.pdf

2. High Prevalence of Physical Frailty Among Community-Dwelling Malnourished Older Adults–A Systematic Review and Meta-Analysis

3. Association of Frailty and Malnutrition With Long-term Functional and Mortality Outcomes Among Community-Dwelling Older Adults

4. Frailty in Older Adults: Evidence for a Phenotype

5. ESPEN guidelines on definitions and terminology of clinical nutrition

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3