Factors influencing frailty in older adults

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Chanatda Anupat
Virapun Wirojratana
Doungrut Watanakijkrilert
Sariyamon Tiraphat


Objectives: The aim of this research was to study the influence of lifestyle, living environment, and depression on frailty among older adults.

Methods: This study was based on descriptive predictive research, and sampled a total of 301 people older than 60 years and lived in Mueang District, Nakhon Si Thammarat Province. The research instruments included 1) The Demographic Data Questionnaire, 2) The Health Enhancement Lifestyle Profile Screener, 3) The Neighborhood Environment Walkability and the Neighborhood Social Environment Scale, 4) The Thai Geriatric Depression Scale, and 5) The Tilburg Frailty Indicator. Data analysis was performed using  binary logistic regression.

Results: The results revealed that most of the participants were female (78.70%), the average age was 70.57 years (SD=7.97), and 33.20% had frailty. According to this study, lifestyle (adjusted OR=4.47, 95%CI 2.44-8.21, p=.00), living environment (adjusted OR= 3.80, 95%CI 2.08-6.92, p=.00) and depression (adjusted OR=8.07, 95%CI 3.56-18.30, p=.00) were found to be able to co-predict frailty among older adults at 41.70% with statistical significance (Nagelkerke R2=41.70, Predictive correct=78.10%, p<.05) by controlling variable of gender, age, level of education, occupation, and income.

Conclusions:  Nurses should assess depression, lifestyle, and living environment, and provide appropriate care in order to reduce frailty in older adults.


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Anupat, C. ., Wirojratana, V. ., Watanakijkrilert, D. ., & Tiraphat, S. . (2020). Factors influencing frailty in older adults. BCNNON HEALTH SCIENCE RESEARCH JOURNAL, 14(1), 43–54. Retrieved from https://he01.tci-thaijo.org/index.php/JHR/article/view/238221
นิพนธ์ต้นฉบับ (Original Articles)


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