- 期刊
- Ahead-of-Print
The Association Between Frailty Status and Different Aspects of Well-Being of Older Adults in Macao: A Community-Based Survey
摘要
Background: Frailty is considered an age-related condition, which can lead to unsatisfactory health outcomes. While many factors contribute to frailty, there is a lack of evidence on which aspect of related factors contribute the most in frailty. The purpose of the present study was to understand the current frailty status of older adults in Macao, and to investigate the association between different aspects of well-being (including physical, psychological, social, cognitive and self-rated health (SRH) and the age difference in frailty. Method: A cross-sectional survey was conducted in a community. Frailty was assessed using the Fatigue, Resistance, Ambulation, Illness, Loss of Weight (FRAIL) scale. Physical, psychological, social, and cognitive well-being were assessed through different tools and questions. Logistic regression models were used to analyze the association of different aspects of well-being with frailty status. Results: Among 572 valid responses, the mean age was 74.6 (range from 65 to 94), 23.77% were in pre-frail/frail status. In models only adjusted for sociodemographic factors, participants with higher PHQ-2 scores (aOR=11.09, p<0.001) and poor SRH (aOR=4.36, p<0.001) had a significantly higher risk of being in pre-frail/frail status. The results remained after adjusting all aspects of well-being. The effect of psychological well-being on pre-frail/frail was significant higher in the older age group (aOR=20.98, p<0.001) than in the younger age group (aOR=8.90, p<0.001). The effect of SRH was higher in the younger age group (aOR=5.71, p<0.001) than in the older age group (aOR=3.58, p=0.01). Conclusions: Older adults in Macao with poor psychological well-being and SRH have higher risk of being frail. Intervention that targets psychological well-being might be an effective way to prevent frailty among older adults in Macao. This finding also encourages public health policy targeting psychological well-being improvement.