Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia
Frailty and malnutrition commonly co-occur but remains undetected and untreated in community settings. This study aimed to determine the prevalence of co-occurring frailty and malnutrition, and its associated factors among community-dwelling older adults in a rural setting in Malaysia. A cross-secti...
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| Veröffentlicht in: | Asia-Pacific journal of public health 2024-03, Vol.36 (2-3), p.210-218 |
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| creator | Mustaffa, Musastika Hairi, Noran Naqiah Majid, Hazreen Abdul Choo, Wan Yuen Hairi, Farizah Mohd Peramalah, Devi Kandiben, Shathanapriya Ali, Zainudin Mohd Abdul Razak, Inayah Ismail, Norliana Sooryanarayana, Rajini Ahmad, Nur Sakinah Bulgiba, Awang |
| description | Frailty and malnutrition commonly co-occur but remains undetected and untreated in community settings. This study aimed to determine the prevalence of co-occurring frailty and malnutrition, and its associated factors among community-dwelling older adults in a rural setting in Malaysia. A cross-sectional study was conducted among adults aged ≥ 60 residing in Kuala Pilah district, Negeri Sembilan, Malaysia. Physical frailty and nutritional status were assessed using the Fried phenotype and the Mini Nutritional Assessment (MNA), respectively. Among 1855 participants, 6.4% had co-occurring frailty and at-risk/malnutrition and 11.3% had co-occurring prefrailty and at-risk/malnutrition. Older age, fair-to-poor self-rated health, long-term disease, polypharmacy, activities of daily living (ADLs) and instrumental ADLs’ disabilities, cognitive impairment, and poor social support were associated with higher odds of co-occurring frailty and malnutrition. Therefore, beside early identification, targeted intervention is crucial to prevent or delay the progression of frailty and malnutrition in this population. |
| doi_str_mv | 10.1177/10105395241238092 |
| format | Article |
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This study aimed to determine the prevalence of co-occurring frailty and malnutrition, and its associated factors among community-dwelling older adults in a rural setting in Malaysia. A cross-sectional study was conducted among adults aged ≥ 60 residing in Kuala Pilah district, Negeri Sembilan, Malaysia. Physical frailty and nutritional status were assessed using the Fried phenotype and the Mini Nutritional Assessment (MNA), respectively. Among 1855 participants, 6.4% had co-occurring frailty and at-risk/malnutrition and 11.3% had co-occurring prefrailty and at-risk/malnutrition. Older age, fair-to-poor self-rated health, long-term disease, polypharmacy, activities of daily living (ADLs) and instrumental ADLs’ disabilities, cognitive impairment, and poor social support were associated with higher odds of co-occurring frailty and malnutrition. Therefore, beside early identification, targeted intervention is crucial to prevent or delay the progression of frailty and malnutrition in this population.</description><identifier>ISSN: 1010-5395</identifier><identifier>ISSN: 1941-2479</identifier><identifier>EISSN: 1941-2479</identifier><identifier>DOI: 10.1177/10105395241238092</identifier><identifier>PMID: 38482611</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Activities of Daily Living ; Aged ; Cross-Sectional Studies ; Frail Elderly ; Frailty - complications ; Frailty - epidemiology ; Geriatric Assessment ; Humans ; Independent Living ; Malaysia - epidemiology ; Malnutrition - epidemiology ; Nutritional Status ; Prevalence</subject><ispartof>Asia-Pacific journal of public health, 2024-03, Vol.36 (2-3), p.210-218</ispartof><rights>2024 APJPH</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c292t-ea56ddd78f98e7d3444d22f0ba368705a6c2734e108dec3006ad7a4c2154464a3</cites><orcidid>0009-0003-1096-5463 ; 0000-0002-5313-0445</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/10105395241238092$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/10105395241238092$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38482611$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mustaffa, Musastika</creatorcontrib><creatorcontrib>Hairi, Noran Naqiah</creatorcontrib><creatorcontrib>Majid, Hazreen Abdul</creatorcontrib><creatorcontrib>Choo, Wan Yuen</creatorcontrib><creatorcontrib>Hairi, Farizah Mohd</creatorcontrib><creatorcontrib>Peramalah, Devi</creatorcontrib><creatorcontrib>Kandiben, Shathanapriya</creatorcontrib><creatorcontrib>Ali, Zainudin Mohd</creatorcontrib><creatorcontrib>Abdul Razak, Inayah</creatorcontrib><creatorcontrib>Ismail, Norliana</creatorcontrib><creatorcontrib>Sooryanarayana, Rajini</creatorcontrib><creatorcontrib>Ahmad, Nur Sakinah</creatorcontrib><creatorcontrib>Bulgiba, Awang</creatorcontrib><title>Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia</title><title>Asia-Pacific journal of public health</title><addtitle>Asia Pac J Public Health</addtitle><description>Frailty and malnutrition commonly co-occur but remains undetected and untreated in community settings. This study aimed to determine the prevalence of co-occurring frailty and malnutrition, and its associated factors among community-dwelling older adults in a rural setting in Malaysia. A cross-sectional study was conducted among adults aged ≥ 60 residing in Kuala Pilah district, Negeri Sembilan, Malaysia. Physical frailty and nutritional status were assessed using the Fried phenotype and the Mini Nutritional Assessment (MNA), respectively. Among 1855 participants, 6.4% had co-occurring frailty and at-risk/malnutrition and 11.3% had co-occurring prefrailty and at-risk/malnutrition. Older age, fair-to-poor self-rated health, long-term disease, polypharmacy, activities of daily living (ADLs) and instrumental ADLs’ disabilities, cognitive impairment, and poor social support were associated with higher odds of co-occurring frailty and malnutrition. Therefore, beside early identification, targeted intervention is crucial to prevent or delay the progression of frailty and malnutrition in this population.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Cross-Sectional Studies</subject><subject>Frail Elderly</subject><subject>Frailty - complications</subject><subject>Frailty - epidemiology</subject><subject>Geriatric Assessment</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Malaysia - epidemiology</subject><subject>Malnutrition - epidemiology</subject><subject>Nutritional Status</subject><subject>Prevalence</subject><issn>1010-5395</issn><issn>1941-2479</issn><issn>1941-2479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1OGzEUha2qqPy0D9AN8rKLDtgez3i8jJKmIIESIboeXWwPGHnG1D9UeZq-ah0S2FRiZev43O9c6yD0lZIzSoU4p4SSppYN45TVHZHsAzqiktOKcSE_lnt5r7aGQ3Qc4yMhjSyuT-iw7njHWkqP0N91MM_gzKQM9gOe-2qlVA7hVVg_bKJV4PAygHVpg2HS-BrclFOwyfrpRbhMEc9i9MpCMhovQSUfijT66b4wxzFPNm2qxR_jnC3SymkT8ExnVwZtYeCbHErIwsaCVen7NgJKMnxGBwO4aL7szxP0a_njdn5RXa1-Xs5nV5VikqXKQNNqrUU3yM4IXXPONWMDuYO67QRpoFVM1NxQ0mmjakJa0AK4YrThvOVQn6BvO-5T8L-ziakfbVRlXZiMz7FnshG0lYTIYqU7qwo-xmCG_inYEcKmp6Tf9tL_10uZOd3j891o9NvEaxHFcLYzRLg3_aPPYSrffYf4D_zhlpk</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Mustaffa, Musastika</creator><creator>Hairi, Noran Naqiah</creator><creator>Majid, Hazreen Abdul</creator><creator>Choo, Wan Yuen</creator><creator>Hairi, Farizah Mohd</creator><creator>Peramalah, Devi</creator><creator>Kandiben, Shathanapriya</creator><creator>Ali, Zainudin Mohd</creator><creator>Abdul Razak, Inayah</creator><creator>Ismail, Norliana</creator><creator>Sooryanarayana, Rajini</creator><creator>Ahmad, Nur Sakinah</creator><creator>Bulgiba, Awang</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0003-1096-5463</orcidid><orcidid>https://orcid.org/0000-0002-5313-0445</orcidid></search><sort><creationdate>202403</creationdate><title>Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia</title><author>Mustaffa, Musastika ; 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This study aimed to determine the prevalence of co-occurring frailty and malnutrition, and its associated factors among community-dwelling older adults in a rural setting in Malaysia. A cross-sectional study was conducted among adults aged ≥ 60 residing in Kuala Pilah district, Negeri Sembilan, Malaysia. Physical frailty and nutritional status were assessed using the Fried phenotype and the Mini Nutritional Assessment (MNA), respectively. Among 1855 participants, 6.4% had co-occurring frailty and at-risk/malnutrition and 11.3% had co-occurring prefrailty and at-risk/malnutrition. Older age, fair-to-poor self-rated health, long-term disease, polypharmacy, activities of daily living (ADLs) and instrumental ADLs’ disabilities, cognitive impairment, and poor social support were associated with higher odds of co-occurring frailty and malnutrition. 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| ispartof | Asia-Pacific journal of public health, 2024-03, Vol.36 (2-3), p.210-218 |
| issn | 1010-5395 1941-2479 1941-2479 |
| language | eng |
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| subjects | Activities of Daily Living Aged Cross-Sectional Studies Frail Elderly Frailty - complications Frailty - epidemiology Geriatric Assessment Humans Independent Living Malaysia - epidemiology Malnutrition - epidemiology Nutritional Status Prevalence |
| title | Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia |
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