Muscle Strength, Mobility, Activities of Daily Living and Depression in Relation to Frailty in Older Adults

Abstract

Objective: Examining the relationship between frailty and lower extremity muscle strength, functional mobility, activities of daily living (ADL), and depression in older adults was the goal of this study. Materials and Methods: There were 69 older adults in the cross-sectional study (35 male and 34 female). The Clinical Frailty Scale (CFS), 5-Repetition Sit-to-Stand (STS) Test, Timed Up and Go (TUG) Test, Lawton Instrumental Activities of Daily Living (L-IADL) Scale and Geriatric Depression Scale-Short Form (GDS-SF) were used for evaluations. Results: The mean and standard deviation age value of the older adults was 85.48±3.67 years and the body mass index was 25.73 ± 3.01 kg/m2. In older adults, the CFS was positively and moderately associated with the 5-STS Test (rho=0.418, p < 0.001) and TUG Test (rho=0.573, p < 0.001), negatively associated with the L-IADL Scale at good level (rho=-0.637, p < 0.001), and positively correlated with GDS-SF at fair level (rho=0.281, p=0.019) in older adults. Conclusion: Our research shows that frailty is associated with lower extremity muscle strength, functional mobility, ADL and depression in older adults. Therefore, even in the absence of frailty symptoms, lower extremity muscle strength, functional mobility, instrumental-ADL, and depression should be evaluated at regular intervals in order to prevent the emergence of frailty or stop its progression in older adults, and we think that treatment approaches to improve these parameters should be included in geriatric rehabilitation practices.

Keywords

• Frailty
• Muscle Strength
• Mobility
• Activities of Daily Living
• Depression

Ethical Statement

Ethical Approval Institution: Giresun Training and Research Hospital Scientific Research Ethics Committee Date: 19.02.2025 Approval no: 09

Thanks

The authors thank all participants who participated in this study.

Yaşlı Yetişkinlerde Kas Kuvveti, Mobilite, Günlük Yaşam Aktiviteleri ve Depresyonun Kırılganlıkla İlişkisi

Abstract

Amaç: Bu çalışmanın amacı yaşlı bireylerde kırılganlık ile alt ekstremite kas kuvveti, fonksiyonel mobilite, günlük yaşam aktiviteleri (GYA) ve depresyon arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Bu kesitsel çalışmaya 69 yaşlı birey (34 kadın ve 35 erkek) dahil edildi. Değerlendirmeler için Klinik Kırılganlık Ölçeği (KKÖ), 5-Tekrarlı Otur-Kalk Testi (5-OKT), Süreli Kalk ve Yürü (TUG) Testi, Lawton Enstrümantal Günlük Yaşam Aktiviteleri (L-EGYA) Ölçeği ve Geriatrik Depresyon Ölçeği-Kısa Formu (GDÖ-KF) kullanıldı. Bulgular: Yaşlı bireylerin ortalama ve standart sapma yaş değeri 85.48±3.67 ve vücut kütle indeksi 25.73 ± 3.01 kg/m2 idi. Yaşlı bireylerde KKÖ, 5-OKT (rho=0.418, p < 0.001) ve TUG Testi (rho=0.573, p < 0.001) ile pozitif yönde ve orta düzeyde ilişkili, L-EGYA Ölçeği ile iyi düzeyde ve negatif yönde ilişkili (rho=-0.637, p < 0.001) ve GDÖ-KF ile orta düzeyde ve pozitif yönde ilişkili (rho=0.281, p=0.019) bulunmuştur. Sonuç: Çalışmamız, yaşlı bireylerde kırılganlığın alt ekstremite kas kuvveti, fonksiyonel mobilite, GYA ve depresyon ile ilişkili olduğuna dair kanıtlar sunmaktadır. Bu nedenle, yaşlı bireylerde kırılganlık belirtileri olmasa bile, kırılganlığın ortaya çıkmasını önlemek veya ilerleyişini durdurmak amacıyla, yürüyüş, alt ekstremite kas kuvveti, depresyon ve enstrümental günlük yaşam aktiviteleri düzenli aralıklarla değerlendirilmelidir ve bu parametreleri iyileştirmeye yönelik tedavi yaklaşımlarının geriatrik rehabilitasyon uygulamalarına dahil edilmesi gerektiğini düşünmekteyiz.

Keywords

• Kırılganlık
• Kas gücü
• Mobilite
• Günlük Yaşam Aktiviteleri
• Depresyon.

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