The investigation of frailty level and factors affecting frailty in older adults with osteoarthritis; a cross-sectional study on Turkish population

Year 2024, , 387 - 394, 30.07.2024

Azize Aydemir , Dilek Yıldırım Gürkan , Enes Erdi Kapukaya , Murat Korkmaz

https://doi.org/10.32322/jhsm.1453110

Abstract

Aims: This study aims to evaluate the fragility level, fall risks and factors affecting both conditions of individuals with OA aged 60 and over living in an underdeveloped province.
Methods: The research sample consists of 260 individuals over the age of 60 who were diagnosed with osteoarthritis. The frailty of the participants was measured. Their functional mobility and risk of falling were measured.
Results: The prevalence of frailty and pre-frailty was found to be 82%. It was revealed that frailty is not always affected by the severity of osteoarthritis and the progression of age. In addition, it was found that factors such as stage IV osteoarthritis and being frail or pre-frail increase the risk of falling. The stage of osteoartritis, education level, lifestyle, and risk of falling explained 24% of the variance in the frailty variable. Having an unhealthy lifestyle increases frailty 20 times; lowincome level increases frailty eight times; and each increase in education level affects frailty at most four times negatively.
Conclusion: Psychological rehabilitation and social support may negatively affect the development of frailty in individuals aged 60 years and older. Frail older women with severe OA are more vulnerable to falls.

Keywords

Frailty, osteoarthritis, geriatrics, frailty scale, risk of falling

Ethical Statement

This descriptive cross-sectional study was carried out in accordance with the Declaration of Helsinki. The study was initiated upon receiving approval from Yozgat Bozok University Ethics Commission (Decision no: 30/10 Decision Date: 16.02.2022). The research sample consisted of 260 individuals over the age of 60 who were diagnosed with OA and who applied to the Orthopedics and Traumatology outpatient clinic of Yozgat Bozok University Training and Research Hospital between 20.03.2022 and 20.06.2022.

Supporting Institution

NONE

Project Number

NONE

Thanks

NONE

References

• Kapucu S. and Ünver G. Kırılgan yaşlı ve hemşirelik bakımı/fragile elderly and nursing care. Osmangazi J Med. 2017;39(1):122-129.
• TÜİK 2020 https://www.tuik.gov.tr/ (Access: 18 January 2022)
• Misra D, Felson DT, Silliman RA, et al. Knee osteoarthritis and frailty: findings from the multicenter osteoarthritis study and osteoarthritis initiative. J Gerontol A Biol Sci Med Sci. 2015;70(3): 337-342.
• Xue QL. The frailty syndrome: definition and natural history. Clin Geriatr Med. 2011;27(1): 1-15.
• Çelebi ZK, Erdoğmuş Ş, Turgut D. Determination of frailty and risk factors in elderly hemodialysis patients. J Ankara Univ Fac Med. 2020;73(1):26-30
• Loeser RF, Collins JA, Diekman BO. Ageing and the pathogenesis of osteoarthritis. Nat Rev Rheumatol. 2016; 12(7): 412–420.
• Castell MV, Van Der Pas S, Otero A, et al. Osteoarthritis and frailty in elderly individuals across six European countries: results from the European Project on Osteoarthritis (EPOSA). BMC Musculoskeletal Disorders. 2015;17(16):2-8.
• Meessen JMTA, Leichtenberg CS, Tilbury C, et al. Frailty in end-stage hip or knee osteoarthritis: validation of the Groningen Frailty Indicator (GFI) questionnaire. Rheumatol Int. 2018;38(5):917-924.
• Veronese N, Maggi S, Trevisan C, et al. Pain increases the risk of developing frailty in older adults with osteoar-thritis. Pain Med. 2017;18(3):414-427.
• Wise BL, Parimi N, Zhang Y, et al. Frailty and hip osteoarthritis in men in the MrOS cohort. J Gerontol A Biol Sci Med Sci. 2014; 69(5):602-608.
• O’Brien MS and McDougall JJ. Age and frailty as risk factors for the development of osteoarthritis. Mech Ageing Dev. 2019;180:21-28.
• Yalınkılıç M, Kılıçaslan K, Uysal H, Bilgin S, Enç N. Determination of frailty status of elderly individuals with heart failure. Turk J Card Nurs. 2020;11(25):51-59.
• Denfeld QE, Winters-Stone K, Mudd JO, Gelow JM, Kurdi S, Lee CS. The prevalence of frailty in heart failure: a systematic review and meta-analysis. Int J Cardiol. 2017;236:283-289.
• Arslan M, Koç E M, Sözmen MK. The Turkish adaptation of the Tilburg frailty indicator: a validity and reliability study. Turkish J Geriatr. 2018;21(2):173-183.
• Morley JE, Malmstrom TK, Miller DK. A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging. 2012;16(7):601-608.
• Hymabaccus B. Validation of FRAIL Scale in Turkish older adults, Hacettepe University Faculty of Medicine, Thesis in Internal Medicine, Ankara 2017.
• Barry E, Galvin R, Keogh C, Horgan F, Fahey T. Is the timed up and go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC Geriatr. 2014;14(1):8-14.
• Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriafrics Soc. 1991;39(2):142-148.
• Arslan M. Turkish adaptation of the Tilburg vulnerability scale: a study of validity and reliability. İzmir Katip Çelebi University, Faculty of Medicine, Department of Family Medicine, Specialization Thesis. İzmir, 2017.
• Bindawas SM, Vennu V, Stubbs B. Longitudinal relationship between knee pain status and incident frailty: data from the osteoarthritis initiative. Pain Med. 2018;19(11):2146-2153.
• Miguel RC, Dias RC, Dias JM, da Silva SL, Filho MPR, Ribeiro TM. Frailty syndrome in the com-munity-dwelling elderly with osteoarthritis. Rev Bras Reumatol. 2012;52(3):331-347.
• Wanaratna K, Muangpaisan W, Kuptniratsaikul V, Chalermsri C, Nuttamonwarakul A. Prevalence and factors associated with frailty and cognitive frailty among community-dwelling elderly with knee osteoarthritis. J Community Health. 2019;44(3):587-595.
• Imagama S, Ando K, Kobayashi K, et al. Differences of locomotive syndrome and frailty in community-dwelling middle-aged and elderly people: pain, osteoarthritis, spinal alignment, body balance, and quality of life. Mod Rheumatol. 2020;30(5):921-929.
• Bandeen-Roche K, Seplaki CL, Huang J, et al. Frailty in older adults: a nationally representative profile in the United States. J Gerontol A Biol Sci Med Sci. 2015;70(11):1427-1434.
• Myers V, Drory Y, Goldbourt U, Gerber Y. Multilevel socioeconomic status and incidence of frailty post myocardial infarction. Int J Cardiol. 2014;170(3):338-343.
• Abellan van Kan G, Rolland Y, Houles M, Gillette-Guyonnet S, Soto M, Vellas B. The assessment of frailty in older adults. Clin Geriatr Med. 2010;26(2):275-286.