ArticleBMC geriatrics2019
Frailty state among Indonesian elderly: prevalence, associated factors, and frailty state transition.
Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 95 citations in OpenAlex.
- Prevalence of frailty in Indonesia: a systematic review and meta-analysis.BMC geriatrics · 2023Pooled it
- The prevalence of functional disability and its impact on older adults in the ASEAN region: a systematic review and meta-analysis.Epidemiology and health · 2022Pooled it
- Associations of sociodemographic and behavioral factors with frailty transition patterns: a multi-state Markov analysis of the China Health and Retirement Longitudinal Study (CHARLS).Archives of public health = Archives belges de sante publique · 2026Article
- Analysis of the prevalence of frailty and its influential factors among the rural elderly from the Yi and Hani ethnic groups in border areas of Yunnan Province.BMC geriatrics · 2026Article
- Factors associated with frailty and the effect of frailty on postoperative outcomes in older adults with hip fracture.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Article
- Machine Learning Models for Frailty Classification of Older Adults in Northern Thailand: Model Development and Validation Study.JMIR aging · 2025Article
- Effects ofNarra J · 2025Article
- Co-occurrence of Frailty, Possible Sarcopenia, and Malnutrition in Community-Dwelling Older Outpatients: A Multicentre Observational Study.Annals of geriatric medicine and research · 2025Observational
- Determinants of frailty among hospitalized older adults across various wards in a tertiary care hospital in Nepal.Aging clinical and experimental research · 2025Article
- Article
- Differential effects of size-specific particulate matter on frailty transitions among middle-aged and older adults in China: findings from the China Health and Retirement Longitudinal Study (CHARLS), 2015-2018.International health · 2024Article
- Surgical resection for hepatocellular carcinoma: a single-centre's one decade of experience.Annals of medicine and surgery (2012) · 2024Article
- Exploring the implementation of multidisciplinary collaboration at nursing homes in Jakarta, Indonesia: A descriptive phenomenological study.Belitung nursing journal · 2024Article
- Association of depression and sleep quality with frailty: a cross-sectional study in China.Frontiers in public health · 2024Article
- Demographic and cardiovascular risk factors associated with pre-frailty and frailty among community-dwelling older adults in Jakarta, Indonesia: Active Aging Study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2023Article
- Transitions of self-management behaviors and frailty status among community-dwelling older adults: a national longitudinal population-based cohort study.BMC geriatrics · 2022Article
- Article
- Effect of combined locomotor training and aerobic exercise on increasing handgrip strength in elderly with locomotive syndrome: A randomised controlled trial.Annals of medicine and surgery (2012) · 2022Article
- Prevalence of Anemia and Factors Associated With Handgrip Strength in Indonesian Elderly Population.Cureus · 2022Article
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInformation about frailty status and its transition is important to inform clinical decisions. Predicting frailty transition is beneficial for its prevention. While Indonesia is the 4th largest geriatric population in Asia, data about frailty transition is limited. This study aimed to obtain data on prevalence of frailty, its risk factors, frailty state transition and its prognostic factors, as well as to develop prognostic score for frailty state transition.
methodsMulticenter study on subjects aged ≥60 years old was done to obtain the prevalence of frailty status and to identify risk factors of frailty. Prospective cohort over 12 months was done to obtain data on frailty state transition. Multiple logistic regression analysis was performed to identify its prognostic factors from several clinical data, which then were utilized to develop prognostic score for frailty state worsening.
resultsCross-sectional data from 448 subjects showed that 25.2% of the subjects were frail based on Frailty index-40 items. Risk factors of frailty were age (OR 2.72; 95% CI 1.58-4.76), functional status (OR 2.89; 95% CI 1.79-4.67), and nutritional status (OR 3.75; 95% CI 2.29-6.13). Data from the 162 subjects who completed the cohort showed 27.2% of the cohort had frailty state worsening. Prognostic factors for frailty state worsening were being 70 years or older (OR 3.9; 95% CI 1.2-12.3, p < 0.05), negative QoL, i.e., fair and poor QoL (OR 2.5; 95% CI 1.1-5.9, p < 0.05), and slow gait speed (OR 2.8; 95% CI 1.3-6.4, p < 0.05). The internal validation of the prognostic score consisted of those three variables showed good performance.
conclusionThe prevalence of frailty in this study among Indonesian elderly in outpatient setting was 25.2%. The risk factors of frailty were age, functional status and nutritional status. The prognostic factors for frailty state worsening were being 70 years old or older, negative QoL (fair or poor quality of life), and slow gait speed. A prognostic score to predict frailty state worsening in 12 months had been developed.
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