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The Relationship Between Regular Leisure-time Physical Activities and Frailty Level in The Elderly

Yıl 2025, Cilt: 9 Sayı: 1, 78 - 89, 31.01.2025
https://doi.org/10.46237/amusbfd.1472647

Öz

Objective: This study was conducted to determine the relationship between regular leisure time physical activities and frailty level in elderly individuals.
Methods: The cross-sectional study was carried out in elderly people over 65 years of age (n=295) who applied to a hospital outpatient clinic. To collect data in the study: ''General Information Form, ''Frail Frailty Scale'', ''International Physical Activity Scale (short form)'' and the definition of Chang et al. were used to determine regular leisure time physical activity. Data were presented using number, percentage, mean±standard deviation, median (minimum-maximum), Mann-Whitney U test, Kruskal Wallis test and chi-square test.
Results: 30.6% of the participants were frail and 47.8% were in the pre-frail period. When the factors associated with frailty were analysed, 40.3% of those with a history of falls had frailty, while 25.5% of those without a history of falls had frailty (p<0.05). Frailty was observed in 22.1% of those who did regular leisure time activities, whereas it was 39% in those who did not (p<0.05). In addition, total physical activity MET value and walking MET value were found to be lower in frail elderly people (p<0.05). When the factors associated with regular leisure time activities were analysed, it was seen that these activities were performed more in women and young elderly people (p<0.05).
Conclusion: In the study, frailty was found to be higher in the elderly who did not engage in regular leisure time physical activity. In order to prevent frailty, it is recommended to support and maintain physical activity as a leisure time activity.

Kaynakça

  • 1. World Health Organization (2020). Ageing and life course. Retrieved from https://www.who.int/ageing/en/(erişim tarihi: 20 Şubat 2023).
  • 2. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health. (Erişim tarihi: 28 Mart 2023).
  • 3. https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2023-49684.
  • 4. World economic and social survey, 2007: Development in an ageing world. C. 45, New York: United Nations Department of Social and Economic Affairs; 2007
  • 5. Jadczak, A. D., Makwana, N., Luscombe-Marsh, N., Visvanathan, R., & Schultz, T. J. (2018). Effectiveness of exercise interventions on physical function in community-dwelling frail older people: An umbrella review of systematic reviews. JBI Database Syst Rev Implement Rep, 16(3),752–775.
  • 6. WHO Clinical Consortium on Healthy Ageing Topic focus: frailty and intrinsic capacity. https://apps.who.int/iris/bitstream/handle/10665/272437/WHO-FWC-ALC-17.2- eng.pdf (Erişim Tarihi:15 Ocak 2023)
  • 7. Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., et al. (2001). Frailty in older adults: Evidence for a phenotype. J Gerontol A Biol Sci Med Sci, 56(3), 146–56.
  • 8. McAlister, F., & van Walraven, C. (2019). External validation of the Hospital Frailty Risk Score and comparison with the Hospitalpatient One-year Mortality Risk Score to predict outcomes in elderly hospitalised patients: a retrospective cohort study. BMJ Qual Saf, 28(4), 284–288.
  • 9. Standl, E., Stevens, S. R., Armstrong, P. W., Buse, J. B., Chan, J. C. N., Green, J. B., et al. (2018). Increased risk of severe hypoglycemic events before and after cardiovascular outcomes in TECOS suggests an at- risk type 2 diabetes frail patient phenotype. Diabetes Care, 41(3), 596– 603.
  • 10. Ida, S., Kaneko, R., Imataka, K., & Murata, K. (2019). Relationship be tween frailty and mortality, hospitalization, and cardiovascular diseases in diabetes: a systematic review and meta- analysis. Cardiovasc Diabetol, 18(1), 81. https://doi.org/10.1186/ s 12933-019-0 885-2.
  • 11. Hajek, A., Brettschneider, C., Röhr, S., Gühne, U., van der Leeden, C., Lühmann, D., et al. (2020). Which factors contribute to frailty among the oldest old? Results of the multicentre prospective AgeCoDe and AgeQualiDe study. Gerontology, 66(5):460-466.
  • 12. Kostadinovic, M., Nikolic, D., Petronic, I., Cirovic, D., Grajic, M., & Santric Milicevic, M. (2018). Sociodemographic predictors of physical functioning in the elderly: A national health survey. Int J Environ Res Public Health, 16(1), 37.
  • 13. Li, Q., Han, B., & Chen, X. (2020). The association between sociodemo graphic factors, frailty, and health- related quality of life in older inpatients: A cross- sectional study. Qual Life Res, 29(12), 3233–3241.
  • 14. Gené Huguet, L., Navarro González, M., Kostov, B., Ortega Carmona, M., Colungo Francia, C., Carpallo Nieto, et al. (2018). Pre frail 80: multifactorial intervention to prevent progression of pre-frailty to frailty in the elderly. J Nutr Health Aging, 22(10), 1266–1274.
  • 15. Borda, M. G., Pérez-Zepeda, M. U., Samper-Ternent, R., Gómez, R. C., Avila-Funes, J. A., & Cano-Gutierrez, C. A. (2020). The influence of lifestyle behaviors on the incidence of frailty. J Frailty Aging, 9(3), 144–149.
  • 16. McPhee, J. S., French, D. P., Jackson, D., Nazroo, J., Pendleton, N., & Degens, H. (2016). Physical activity in older age: Perspectives for healthy ageing and frailty. Biogerontology, 17(3), 567–580.
  • 17. Peterson, M. J., Giuliani, C., Morey, M. C., Pieper, C. F., Evenson, K. R., Mercer, V., et al. (2009). Group. Physical activity as a preventative factor for frailty: the health, aging, and body composition study. J Gerontol A Biol Sci Med Sci, 64(1), 61-8.
  • 18. American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd edition). Am J Occup Ther, 68(1), 1-48.
  • 19. Ayna, Ç., & Gümüş, H. (2020) Investigation of life satisfaction, health perception and leisure activity preferences of individuals over 60 years of age. Hacettepe J Sport Sci, 32(1), 1-9.
  • 20. Brehm, T. A., & Jannotta, J. G. (1998). Women and physical activity: Active lifestyles enhance health and well-being. J Health Educ, 29, 89–92.
  • 21. Park, K. H., & Kim, D. K. (2013). Analyzing elderly’s leisure to improve the quality of life in the era of 100 aging society in Korea: Series 1. Analyzing elderly’s leisure Satisfaction. J Tour Leisure Res, 25(6), 85-104.
  • 22. Yu, Y. F. (2020). Health effect of the built environment on the older adults: Fundamental understanding and research approach. Urban Plan Int, 35, 1–7.
  • 23. Chang, S. H., Chien, N. H., Pui Man Wai, J., Chiang, C. C., & Yu, C. Y. (2021). Examining the links between regular leisure-time physical activity, sitting time and prefrailty in community-dwelling older adults. J Adv Nurs, 77(6), 2761–2773.
  • 24. Morley, J. E., Malmstrom, T. K., & Miller, D. K. (2012). A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging, 16(7), 601-8.
  • 25. Hymabaccus, B. A. B., Dogrul, T. R., Balcı, C., Ozsurekcı, C., Calıskan, H.,Karabulut, H., et al. (2023). An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale. Marmara Med J, 36(2), 149-156.
  • 26. Sağlam, M., Arıkan, H., Savcı, S., Inal-Ince, D., Guclu-Bosnak, M., Karabulut, E., vd. (2010). International Physical Activity Questionnaire: Reliability and Validity of The Turkish Version. Percept Mot Skills, 111(21), 278-284.
  • 27. Aguilar-Navarro, S., Gutiérrez-Robledo, L. M., García-Lara, J. M. A., Payette, H., Amieva, H., et al. (2012). The Phenotype of Frailty Predicts Disability and Mortality among Mexican Community-Dwelling Elderly. J Frailty Aging, 1(3), 111–7.
  • 28. Alvarado, B. E., Zunzunegui, M. V., Béland, F., & Bamvita, J. M. (2008). Life course social and health conditions linked to frailty in Latin American older men and women. J Gerontol A Biol Sci Med Sci, 63(12), 1399–406.
  • 29. Hsu, C. C., Chang, H. Y., Wu, I. C., Chen, C. C., Tsai, H. J., Chiu, Y. F., et al. (2017). Cohort profile: The healthy aging longitudinal study in Taiwan (HALST). Int J Epidemiol, 46(4), 1106.
  • 30. Kojima, G., Iliffe, S., Taniguchi, Y., Shimada, H., Rakugi, H., & Walters, K. (2017). Prevalence of frailty in Japan: A systematic review and meta- analysis. J Epidemiol, 27(8), 347– 353.
  • 31. He, B., Ma, Y., Wang, C., Jiang, M., Geng, C., Chang, X., et al. (2019). Prevalence and risk factors for frailty among community- dwelling older people in China: A systematic review and meta- analysis. J Nutr Health Aging, 23(5), 442– 450.
  • 32. Sanford, A. M., Morley, J. E., Berg- Weger, M., Lundy, J., Little, M. O., Leonard, K., et al. (2020). High prevalence of geriatric syndromes in older adults. PLoS One, 15(6), e0233857. https://doi. org/10.1371/journal. pone.0233857.
  • 33. Chen, S., Chen, T., Kishimoto, H., Yatsugi, H., & Kumagai, S. (2020). Associations of objectively measured patterns of sedentary behavior and physical activity with frailty status screened by the frail scale in Japanese community- dwelling older adults. J Sports Sci Med, 19(1), 166– 174.
  • 34. Çakır, F., & Okyay, P. (2021). Aydın ili efeler ilçesi kırsal mahallelerde yaşayan yaşlılarda kırılganlık düzeyi, risk faktörleri ve kırılganlığın sağlık hizmeti kullanımı üzerindeki etkisi. Uzmanlık Tezi. Aydın Adnan Menderes Üniversitesi, Tıp Fakültesi Hak Sağlığı Anabilim Dalı, Aydın.
  • 35. Akın, S., Mazıcıoglu, M. M., Mucuk, S., Gocer, S., Deniz Şafak, E., Arguvanlı, S., Ozturk, A. (2015). The prevalence of frailty and related factors in community-dwelling Turkish elderly according to modified Fried Frailty Index and FRAIL scales. Aging Clin Exp Res. 27(5),703-9. https://doi. Org/10.1007/s40520-015-0337-0.
  • 36. Jürschik, P., Nunin, C., Botigué, T., Escobar, M. A., Lavedán, A., et al. (2012). Viladrosa M. Prevalence of 38. 39. 40. 41. 42. 43. frailty and factors associated with frailty in the elderly population of Lleida, Spain: The FRALLE survey. Arch Gerontol Geriatr, 55(3), 625–31.
  • 37. Castell, M. V., Sánchez, M., Julián, R., Queipo, R., Martín, S., & Otero, Á. (2013). Frailty prevalence and slow walking speed in persons age 65 and older: Implications for primary care. BMC Fam Pract, 14, 86.
  • 38. Hoover, M., Rotermann, M., Sanmartin, C., & Bernier, J. (2013). Validation of an index to estimate the prevalence of frailty among community-dwelling seniors. Health Rep, 24(9), 10–7.
  • 39. Heuberger, R. A. (2011). The frailty syndrome: a comprehensive review. J Nutr Gerontol Geriatr, 30(4), 315–68.
  • 40. Kolehmainen, L., Havulinna, S., Ngandu, T., Strandberg, T., Levälahti, E., Lehtisalo, J., et al. (2021). Earlier life leisure-time physical activity in relation to age-related frailty syndrome. Age Ageing, 50(1), 161-168.
  • 41. Savela, S. L., Koistinen, P., Stenholm, S., Tilvis, R. S., Strandberg, A. Y., Pitkälä, K. H., et al. (2013). Leisure-time physical activity in midlife is related to old age frailty. J Gerontol A Biol Sci Med Sci, 68, 1433–8.
  • 42. Rogers, N. T., Marshall, A., Roberts, C. H., Demakakos, P., Steptoe, A., & Scholes, S. (2017). Physical activity and trajectories of frailty among older adults: evidence from the English longitudinal study of ageing. PLoS One, 12(2), e0170878.
  • 43. Afilalo, J. (2011). Frailty in Patients with Cardiovascular Disease: Why, When, and How to Measure. Curr Cardiovasc Risk Rep, 5(5), 467–72.
  • 44. Ensrud, K. E., Ewing, S. K., Cawthon, P. M., Fink, H. A., Taylor, B. C., Cauley, J. A., et al. (2009). A comparison of frailty indexes for the prediction of falls, disability, fractures, and mortality in older men. J Am Geriatr Soc, 57(3), 492–8.

Yaşlılarda Düzenli Yapılan Boş Zaman Fiziksel Aktiviteleri ile Kırılganlık Düzeyi Arasındaki İlişki

Yıl 2025, Cilt: 9 Sayı: 1, 78 - 89, 31.01.2025
https://doi.org/10.46237/amusbfd.1472647

Öz

Amaç: Bu çalışma yaşlı bireylerde düzenli yapılan boş zaman fiziksel aktiviteler ile kırılganlık düzeyinin ilişkisini belirlemek amacıyla yapılmıştır.
Yöntem: Kesitsel tipteki çalışma, bir hastane polikliniğine başvuran 65 yaş üzeri yaşlılarda (n=295) gerçekleştirilmiştir. Araştırmada veri toplamak için: ‘’Genel Bilgi Formu, ‘’Frail Kırılganlık Ölçeği’’, ‘’Uluslararası Fiziksel Aktivite Ölçeği (kısa form)’’ ve düzenli boş zaman fiziksel aktivitenin belirlenmesinde, Chang ve ark.’nın tanımı kullanılmıştır. Veriler, sayı, yüzde, ortalama±standart sapma, medyan (minimum-maksimum), analizlerde Mann-Whitney U testi, Kruskal Wallis testi ve ki-kare testi kullanılarak sunulmuştur.
Bulgular: Katılımcıların %30.6’sı kırılgan, %47.8’i kırılganlık öncesi dönemdedir. Kırılganlık ile ilişkili faktörlere bakıldığında, daha önce düşme öyküsü olanların %40.3’ünde kırılganlık görülürken, düşme öyküsü olmayanlarda kırılganlık %25.5’dir (p<0.05). Düzenli boş zaman aktivitesi yapanların %22.1’inde kırılganlık görülürken, yapmayanlarda kırılganlık %39’dur (p<0.05). Ayrıca toplam fiziksel aktivite MET değeri ile yürüme MET değerinin kırılgan yaşlılarda daha düşük olduğu tespit edilmiştir (p<0.05). Düzenli boş zaman aktiviteleri ile ilişkili faktörlere bakıldığında kadınlarda ve genç yaşlılarda bu aktivitelerin daha fazla yapıldığı görülmüştür (p<0.05).
Sonuç: Çalışmada düzenli boş zaman fiziksel aktivite yapmayan yaşlılarda kırılganlık daha yüksek bulunmuştur. Kırılganlığı önlemek için, boş zaman aktivitesi olarak fiziksel aktivitenin desteklenmesi ve devamlılığının sağlanması önerilmektedir.

Etik Beyan

Araştırma için Aydın Adnan Menderes Üniversitesi Girişimsel Olmayan Araştırmalar Etik Kurulu’ndan onay alındı (tarih ve sayı 10.04.2023-337275). Uygulamanın yapıldığı hastane için Aydın İl Sağlık Müdürlüğü’nden (tarih ve sayı 22.05.2023-350981) yazılı izin alındı. Araştırmaya katılacak katılımcılara; araştırmanın amacı, yöntemi, araştırma için ayıracakları zaman, araştırmaya katılmanın herhangi bir zarar vermeyeceği ve katılımın tamamen gönüllülük ilkesine dayandığı konularında bilgiler verilerek bilgilendirilmiş onamları alındı.

Destekleyen Kurum

Yok

Kaynakça

  • 1. World Health Organization (2020). Ageing and life course. Retrieved from https://www.who.int/ageing/en/(erişim tarihi: 20 Şubat 2023).
  • 2. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health. (Erişim tarihi: 28 Mart 2023).
  • 3. https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2023-49684.
  • 4. World economic and social survey, 2007: Development in an ageing world. C. 45, New York: United Nations Department of Social and Economic Affairs; 2007
  • 5. Jadczak, A. D., Makwana, N., Luscombe-Marsh, N., Visvanathan, R., & Schultz, T. J. (2018). Effectiveness of exercise interventions on physical function in community-dwelling frail older people: An umbrella review of systematic reviews. JBI Database Syst Rev Implement Rep, 16(3),752–775.
  • 6. WHO Clinical Consortium on Healthy Ageing Topic focus: frailty and intrinsic capacity. https://apps.who.int/iris/bitstream/handle/10665/272437/WHO-FWC-ALC-17.2- eng.pdf (Erişim Tarihi:15 Ocak 2023)
  • 7. Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., et al. (2001). Frailty in older adults: Evidence for a phenotype. J Gerontol A Biol Sci Med Sci, 56(3), 146–56.
  • 8. McAlister, F., & van Walraven, C. (2019). External validation of the Hospital Frailty Risk Score and comparison with the Hospitalpatient One-year Mortality Risk Score to predict outcomes in elderly hospitalised patients: a retrospective cohort study. BMJ Qual Saf, 28(4), 284–288.
  • 9. Standl, E., Stevens, S. R., Armstrong, P. W., Buse, J. B., Chan, J. C. N., Green, J. B., et al. (2018). Increased risk of severe hypoglycemic events before and after cardiovascular outcomes in TECOS suggests an at- risk type 2 diabetes frail patient phenotype. Diabetes Care, 41(3), 596– 603.
  • 10. Ida, S., Kaneko, R., Imataka, K., & Murata, K. (2019). Relationship be tween frailty and mortality, hospitalization, and cardiovascular diseases in diabetes: a systematic review and meta- analysis. Cardiovasc Diabetol, 18(1), 81. https://doi.org/10.1186/ s 12933-019-0 885-2.
  • 11. Hajek, A., Brettschneider, C., Röhr, S., Gühne, U., van der Leeden, C., Lühmann, D., et al. (2020). Which factors contribute to frailty among the oldest old? Results of the multicentre prospective AgeCoDe and AgeQualiDe study. Gerontology, 66(5):460-466.
  • 12. Kostadinovic, M., Nikolic, D., Petronic, I., Cirovic, D., Grajic, M., & Santric Milicevic, M. (2018). Sociodemographic predictors of physical functioning in the elderly: A national health survey. Int J Environ Res Public Health, 16(1), 37.
  • 13. Li, Q., Han, B., & Chen, X. (2020). The association between sociodemo graphic factors, frailty, and health- related quality of life in older inpatients: A cross- sectional study. Qual Life Res, 29(12), 3233–3241.
  • 14. Gené Huguet, L., Navarro González, M., Kostov, B., Ortega Carmona, M., Colungo Francia, C., Carpallo Nieto, et al. (2018). Pre frail 80: multifactorial intervention to prevent progression of pre-frailty to frailty in the elderly. J Nutr Health Aging, 22(10), 1266–1274.
  • 15. Borda, M. G., Pérez-Zepeda, M. U., Samper-Ternent, R., Gómez, R. C., Avila-Funes, J. A., & Cano-Gutierrez, C. A. (2020). The influence of lifestyle behaviors on the incidence of frailty. J Frailty Aging, 9(3), 144–149.
  • 16. McPhee, J. S., French, D. P., Jackson, D., Nazroo, J., Pendleton, N., & Degens, H. (2016). Physical activity in older age: Perspectives for healthy ageing and frailty. Biogerontology, 17(3), 567–580.
  • 17. Peterson, M. J., Giuliani, C., Morey, M. C., Pieper, C. F., Evenson, K. R., Mercer, V., et al. (2009). Group. Physical activity as a preventative factor for frailty: the health, aging, and body composition study. J Gerontol A Biol Sci Med Sci, 64(1), 61-8.
  • 18. American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd edition). Am J Occup Ther, 68(1), 1-48.
  • 19. Ayna, Ç., & Gümüş, H. (2020) Investigation of life satisfaction, health perception and leisure activity preferences of individuals over 60 years of age. Hacettepe J Sport Sci, 32(1), 1-9.
  • 20. Brehm, T. A., & Jannotta, J. G. (1998). Women and physical activity: Active lifestyles enhance health and well-being. J Health Educ, 29, 89–92.
  • 21. Park, K. H., & Kim, D. K. (2013). Analyzing elderly’s leisure to improve the quality of life in the era of 100 aging society in Korea: Series 1. Analyzing elderly’s leisure Satisfaction. J Tour Leisure Res, 25(6), 85-104.
  • 22. Yu, Y. F. (2020). Health effect of the built environment on the older adults: Fundamental understanding and research approach. Urban Plan Int, 35, 1–7.
  • 23. Chang, S. H., Chien, N. H., Pui Man Wai, J., Chiang, C. C., & Yu, C. Y. (2021). Examining the links between regular leisure-time physical activity, sitting time and prefrailty in community-dwelling older adults. J Adv Nurs, 77(6), 2761–2773.
  • 24. Morley, J. E., Malmstrom, T. K., & Miller, D. K. (2012). A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging, 16(7), 601-8.
  • 25. Hymabaccus, B. A. B., Dogrul, T. R., Balcı, C., Ozsurekcı, C., Calıskan, H.,Karabulut, H., et al. (2023). An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale. Marmara Med J, 36(2), 149-156.
  • 26. Sağlam, M., Arıkan, H., Savcı, S., Inal-Ince, D., Guclu-Bosnak, M., Karabulut, E., vd. (2010). International Physical Activity Questionnaire: Reliability and Validity of The Turkish Version. Percept Mot Skills, 111(21), 278-284.
  • 27. Aguilar-Navarro, S., Gutiérrez-Robledo, L. M., García-Lara, J. M. A., Payette, H., Amieva, H., et al. (2012). The Phenotype of Frailty Predicts Disability and Mortality among Mexican Community-Dwelling Elderly. J Frailty Aging, 1(3), 111–7.
  • 28. Alvarado, B. E., Zunzunegui, M. V., Béland, F., & Bamvita, J. M. (2008). Life course social and health conditions linked to frailty in Latin American older men and women. J Gerontol A Biol Sci Med Sci, 63(12), 1399–406.
  • 29. Hsu, C. C., Chang, H. Y., Wu, I. C., Chen, C. C., Tsai, H. J., Chiu, Y. F., et al. (2017). Cohort profile: The healthy aging longitudinal study in Taiwan (HALST). Int J Epidemiol, 46(4), 1106.
  • 30. Kojima, G., Iliffe, S., Taniguchi, Y., Shimada, H., Rakugi, H., & Walters, K. (2017). Prevalence of frailty in Japan: A systematic review and meta- analysis. J Epidemiol, 27(8), 347– 353.
  • 31. He, B., Ma, Y., Wang, C., Jiang, M., Geng, C., Chang, X., et al. (2019). Prevalence and risk factors for frailty among community- dwelling older people in China: A systematic review and meta- analysis. J Nutr Health Aging, 23(5), 442– 450.
  • 32. Sanford, A. M., Morley, J. E., Berg- Weger, M., Lundy, J., Little, M. O., Leonard, K., et al. (2020). High prevalence of geriatric syndromes in older adults. PLoS One, 15(6), e0233857. https://doi. org/10.1371/journal. pone.0233857.
  • 33. Chen, S., Chen, T., Kishimoto, H., Yatsugi, H., & Kumagai, S. (2020). Associations of objectively measured patterns of sedentary behavior and physical activity with frailty status screened by the frail scale in Japanese community- dwelling older adults. J Sports Sci Med, 19(1), 166– 174.
  • 34. Çakır, F., & Okyay, P. (2021). Aydın ili efeler ilçesi kırsal mahallelerde yaşayan yaşlılarda kırılganlık düzeyi, risk faktörleri ve kırılganlığın sağlık hizmeti kullanımı üzerindeki etkisi. Uzmanlık Tezi. Aydın Adnan Menderes Üniversitesi, Tıp Fakültesi Hak Sağlığı Anabilim Dalı, Aydın.
  • 35. Akın, S., Mazıcıoglu, M. M., Mucuk, S., Gocer, S., Deniz Şafak, E., Arguvanlı, S., Ozturk, A. (2015). The prevalence of frailty and related factors in community-dwelling Turkish elderly according to modified Fried Frailty Index and FRAIL scales. Aging Clin Exp Res. 27(5),703-9. https://doi. Org/10.1007/s40520-015-0337-0.
  • 36. Jürschik, P., Nunin, C., Botigué, T., Escobar, M. A., Lavedán, A., et al. (2012). Viladrosa M. Prevalence of 38. 39. 40. 41. 42. 43. frailty and factors associated with frailty in the elderly population of Lleida, Spain: The FRALLE survey. Arch Gerontol Geriatr, 55(3), 625–31.
  • 37. Castell, M. V., Sánchez, M., Julián, R., Queipo, R., Martín, S., & Otero, Á. (2013). Frailty prevalence and slow walking speed in persons age 65 and older: Implications for primary care. BMC Fam Pract, 14, 86.
  • 38. Hoover, M., Rotermann, M., Sanmartin, C., & Bernier, J. (2013). Validation of an index to estimate the prevalence of frailty among community-dwelling seniors. Health Rep, 24(9), 10–7.
  • 39. Heuberger, R. A. (2011). The frailty syndrome: a comprehensive review. J Nutr Gerontol Geriatr, 30(4), 315–68.
  • 40. Kolehmainen, L., Havulinna, S., Ngandu, T., Strandberg, T., Levälahti, E., Lehtisalo, J., et al. (2021). Earlier life leisure-time physical activity in relation to age-related frailty syndrome. Age Ageing, 50(1), 161-168.
  • 41. Savela, S. L., Koistinen, P., Stenholm, S., Tilvis, R. S., Strandberg, A. Y., Pitkälä, K. H., et al. (2013). Leisure-time physical activity in midlife is related to old age frailty. J Gerontol A Biol Sci Med Sci, 68, 1433–8.
  • 42. Rogers, N. T., Marshall, A., Roberts, C. H., Demakakos, P., Steptoe, A., & Scholes, S. (2017). Physical activity and trajectories of frailty among older adults: evidence from the English longitudinal study of ageing. PLoS One, 12(2), e0170878.
  • 43. Afilalo, J. (2011). Frailty in Patients with Cardiovascular Disease: Why, When, and How to Measure. Curr Cardiovasc Risk Rep, 5(5), 467–72.
  • 44. Ensrud, K. E., Ewing, S. K., Cawthon, P. M., Fink, H. A., Taylor, B. C., Cauley, J. A., et al. (2009). A comparison of frailty indexes for the prediction of falls, disability, fractures, and mortality in older men. J Am Geriatr Soc, 57(3), 492–8.
Toplam 44 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlığın Geliştirilmesi, Fizyoterapi
Bölüm Araştırma Makaleleri
Yazarlar

Nazan Öztürk 0000-0002-7510-4336

Filiz Abacıgil 0000-0003-4291-0013

Ozan Seven 0009-0003-1423-8626

Yayımlanma Tarihi 31 Ocak 2025
Gönderilme Tarihi 25 Nisan 2024
Kabul Tarihi 20 Eylül 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 9 Sayı: 1

Kaynak Göster

APA Öztürk, N., Abacıgil, F., & Seven, O. (2025). Yaşlılarda Düzenli Yapılan Boş Zaman Fiziksel Aktiviteleri ile Kırılganlık Düzeyi Arasındaki İlişki. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 9(1), 78-89. https://doi.org/10.46237/amusbfd.1472647