Evidence map›Paper›PMID 30395649›Full record

ArticlePloS one2018

Prevalence, transitions and factors predicting transition between frailty states among rural community-dwelling older adults in Malaysia.

Nur Sakinah Ahmad, Noran Naqiah Hairi, Mas Ayu Said, Shahrul Bahyah Kamaruzzaman, Wan Yuen Choo, Farizah Hairi, Sajaratulnisah Othman, Norliana Ismail, Devi Peramalah, Shathanapriya Kandiben and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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  9. Sustained frailty remission and dementia risk in older adults: A longitudinal study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Nur Sakinah AhmadCentre for Epidemiology and Evidence Based Practice, Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Noran Naqiah HairiCentre for Epidemiology and Evidence Based Practice, Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia.ORCID 0000-0002-2692-9016
Mas Ayu SaidCentre for Epidemiology and Evidence Based Practice, Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Shahrul Bahyah KamaruzzamanDivision of Geriatrics, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Wan Yuen ChooCentre for Epidemiology and Evidence Based Practice, Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Farizah HairiCentre for Epidemiology and Evidence Based Practice, Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Sajaratulnisah OthmanDepartment of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Norliana IsmailTobacco Control Unit, Ministry of Health Malaysia, Putrajaya, Malaysia.
Devi PeramalahCentre for Epidemiology and Evidence Based Practice, Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Shathanapriya KandibenCentre for Epidemiology and Evidence Based Practice, Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Zainudin Mohd AliNegeri Sembilan State Health Department (JKNNS), Negeri Sembilan, Malaysia.
Sharifah Nor AhmadNegeri Sembilan State Health Department (JKNNS), Negeri Sembilan, Malaysia.
Inayah Abdul RazakNegeri Sembilan State Health Department (JKNNS), Negeri Sembilan, Malaysia.
Awang BulgibaCentre for Epidemiology and Evidence Based Practice, Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia.
University of Malaya · MYMalaysia Theological Seminary · MYMinistry of Health · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to describe the prevalence and transitions of frailty among rural-community dwelling older adults in Malaysia and to analyse factors associated with different states of frailty transition. Frailty was conceptualized using modified Fried phenotype from the Cardiovascular Health Study.

designThis is a prospective longitudinal study with 12-months follow up among older adults in Malaysia.

settingKuala Pilah, a district in Negeri Sembilan, which is one of the fourteen states in Malaysia.

participants2,324 community-dwelling older Malaysians aged 60 years and older.

resultsThe overall prevalence of frailty in this study was 9.4% (95% CI 7.8-11.2). The prevalence increased at least three-fold with every 10 years of age. This increase was seen higher in women compared to men. Being frail was significantly associated with older age, women, and respondents with a higher number of chronic diseases, poor cognitive function and low socioeconomic status (p<0.05). During the 12-months follow-up, our study showed that the transition towards greater frailty states were more likely (22.9%) than transition toward lesser frailty states (19.9%) while majority (57.2%) remained unchanged. Multivariate logistic regression analysis showed that presence of low physical activity increased the likelihood of worsening transition towards greater frailty states by three times (OR 2.9, 95% CI 2.2-3.7) and lowered the likelihood of transition towards lesser frailty states (OR 0.3, 95% CI 0.2-0.4).

conclusionFrailty is reported among one in every eleven older adults in this study. The prevalence increased across age groups and was higher among women than men. Frailty possesses a dynamic status due to its potential reversibility. This reversibility makes it a cornerstone to delay frailty progression. Our study noted that physical activity conferred the greatest benefit as a modifiable factor in frailty prevention.

Indexed as

AgedAged, 80 and overFemaleFrail ElderlyFrailtyHumansIndependent LivingMalaysiaMaleMiddle AgedPrevalencePrognosisRural Population

Identifiers

PMID30395649
PMCPMC6218037
OpenAlexW2900158221

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.