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Biopsychosocial factors associated with the frailty and pre-frailty among older adults
Authors:Igor de Matos Pinheiro  Darcton Souza de Aguiar  Débora Matias dos Santos  Matheus Bitencourt da Cruz de Jesus  Felipe Marques da Silva  Deivisson Ferreira Costa  Nildo Manoel da Silva Ribeiro  Ana Caline Nóbrega
Affiliation:1. Universidade Federal da Bahia, Avenue Reitor Miguel Calmon s/n - Vale do Canela, Salvador, Bahia 40.110-902, Brazil;2. Obras Sociais Irmã Dulce, Avenue Bonfim, 161 - Largo de Roma, Salvador, Bahia 40.420-415, Brazil;3. Instituto Baiano de Ensino Superior, Avenue Jorge Amado, 780 - Imbuí, Salvador, Bahia 41720-040, Brazil;4. Faculdade de Tecnologia e Ciências, Street Luís Viana Filho, 8812 – Paralela, Salvador, Bahia 41741-590, Brazil;5. Faculdade Maurício de Nassau, Avenue. Sete de Setembro, 1105 – Centro, Salvador, Bahia 40040-000, Brazil
Abstract:Frailty is a multidimensional geriatric syndrome associated with specific biopsychosocial factors in each population. This was a cross-sectional observational study designed to determine the biopsychosocial factors associated with frailty and pre-frailty in older adults in a community in Salvador, Brazil. The stages of frailty were collected in 413 older adults: 34.9% frail, 54.5% pre-frail, 10.6% robust. In the multinomial regression model, age (p = .018), functionality for instrumental activities of daily living (p = .026), risk for falls (p = .006), family functionality (p = .031) and the physical domain of quality of life (p = .004) had an independent association with frailty. Risk for falls (p = .004), family functionality (p = .004) and the environment domain of quality of life (p = .037) were independently associated with pre-frailty. The findings provide support to interventions in a way that contributes to prevention or reversal of frailty.
Keywords:Corresponding author at: Postgraduate Program in Processos Interativos dos Órgãos e Sistemas, Universidade Federal da Bahia, avenue Reitor Miguel Calmon - Vale do Canela, Salvador, Bahia 40.110-100, Brazil.  Frail elderly  Family relations  Acciental falls  Activities of daily living  Quality of life
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