Evidence map›Paper›PMID 30810884›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2019

The association between frailty and quality of life among rural community-dwelling older adults in Kegalle district of Sri Lanka: a cross-sectional study.

Dhammika Deepani Siriwardhana, Manuj Chrishantha Weerasinghe, Greta Rait, Shaun Scholes, Kate R Walters

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In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

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  6. The Longitudinal Association Between Frailty, Cognition, and Quality of Life in Older Europeans.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
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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

5 authors at 4 institutions in 2 countries.

Dhammika Deepani SiriwardhanaResearch Department of Primary Care and Population Health, University College London, Rowland Hill Street, London, NW3 2PF, UK. deepani.siriwardhana.15@ucl.ac.uk.ORCID http://orcid.org/0000-0003-2313-3095
Manuj Chrishantha WeerasingheDepartment of Community Medicine, Faculty of Medicine, University of Colombo, No. 25, Kynsey Road, Colombo 08, Sri Lanka.
Greta RaitResearch Department of Primary Care and Population Health, University College London, Rowland Hill Street, London, NW3 2PF, UK.ORCID http://orcid.org/0000-0002-7216-7294
Shaun ScholesResearch Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
Kate R WaltersResearch Department of Primary Care and Population Health, University College London, Rowland Hill Street, London, NW3 2PF, UK.ORCID http://orcid.org/0000-0003-2173-2430
Roland Hill (United Kingdom) · GBUniversity College London · GBUniversity of Colombo · LKUniversity of Kelaniya · LK

Funding

Commonwealth Scholarship Commission LKCS-2015-678
6 · The paper itself

Abstract

purposeThe objective of this study was to estimate the cross-sectional association of frailty status with overall and domain-specific quality of life (QoL) in rural community-dwelling older adults in Kegalle district of Sri Lanka.

methodsA population-based cross-sectional study was conducted with 746 community-dwelling older adults aged ≥ 60 years living in the rural areas of Kegalle district of Sri Lanka in 2016. A three-stage probability sampling design was used to recruit participants. Frailty and QoL were assessed using the Fried phenotype and Older People's Quality of Life Questionnaire, respectively. Multivariable linear regression was used to estimate the association of frailty with QoL after accounting for the complex sampling design.

resultsThe median (IQR) age of the sample was 68 (64:75) years and comprised of 56.7% women. 15.2% (95% CI 12.4%, 18.7%) were frail and 48.5% (95% CI 43.9%, 53.2%) were pre-frail. The unadjusted means (SE) of the total QoL score for the robust, pre-frail and frail groups were 139.2 (0.64), 131.8 (1.04) and 119.2 (1.35), respectively. After adjusting for covariates in the final multivariable model, the estimated differences in mean QoL were lower for both frail and pre-frail groups versus robust. The estimated reduction in the total QoL score was 7.3% for those frail and 2.1% for those pre-frail. All QoL domains apart from 'social relationships and participation', 'home and neighbourhood' and 'financial circumstances' were associated with frailty.

conclusionsFrailty was associated with a small but significant lower quality of life in this rural Sri Lankan population, which appears largely explained by 'health' and 'independence, control over life and freedom' QoL domains. Interventions aiming to improve quality of life in frail older adults should consider targeting these aspects.

Indexed as

AgedAged, 80 and overCross-Sectional StudiesFemaleFrail ElderlyFrailtyGeriatric AssessmentHumansIndependent LivingMaleMiddle AgedQuality of LifeResidence CharacteristicsRural PopulationSri LankaSurveys and QuestionnairesCommunity-dwelling older adultsFrailtyQuality of lifeSri LankaWHO South-East Asia region

Identifiers

PMID30810884
OpenAlexW2916503696

What OpenQuestion holds

Textmetadata
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.