Evidence map›Paper›PMID 32229521›Full record

ArticleBMJ open2020

Association between frailty and disability among rural community-dwelling older adults in Sri Lanka: a cross-sectional study.

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

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

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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

6 citing papers in PubMed.

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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.

Dhammika Deepani SiriwardhanaResearch Department of Primary Care and Population Health, University College London, London, UK deepani.siriwardhana.15@ucl.ac.uk.ORCID 0000-0003-2313-3095
Manuj Chrishantha WeerasingheDepartment of Community Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Greta RaitResearch Department of Primary Care and Population Health, University College London, London, UK.
Shaun ScholesResearch Department of Epidemiology and Public Health, University College London, London, UK.
Kate R WaltersResearch Department of Primary Care and Population Health, University College London, London, UK.ORCID 0000-0003-2173-2430

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe examined the association between frailty and disability in rural community-dwelling older adults in Kegalle district of Sri Lanka.

designA population-based cross-sectional study.

participantsA total of 746 community-dwelling adults aged ≥60 years. PRIMARY AND SECONDARY OUTCOME MEASURES: Frailty was assessed using the Fried phenotype. Disability was operationalised in terms of having one or more activity limitation/s in instrumental activities of daily living (IADL) and basic activities of daily living (BADL).

resultsThe median age of the sample was (median 68; IQR 64-75) years and 56.7% were female. 15.2% were frail and 48.5% were prefrail. The prevalence of ≥1 IADL limitations was high, 84.4% among frail adults. 38.7% of frail adults reported ≥1 BADL limitations. Over half of frail older adults (58.3%) reported both ≥1 physical and cognitive IADL limitations. Being frail decreased the odds of having no IADL limitations, and was associated with a higher count of IADL limitations. No significant association was found between prefrailty and number of IADL limitations.

conclusionsThe prevalence of ≥1 IADL limitations was high among rural community-dwelling frail older adults. Findings imply the greater support and care required for rural Sri Lankan frail older adults to live independently in the community.

Indexed as

Disability EvaluationFrail ElderlyFrailtyGeriatric AssessmentActivities of Daily LivingAgedCross-Sectional StudiesFemaleHumansIndependent LivingMaleMiddle AgedPrevalenceSri LankaAsiadisabilityfrail elderlyindependent livingSri Lanka

Identifiers

PMID32229521
PMCPMC7170600

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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.