ArticleBMC geriatrics2025
Associated factors of frailty among community-dwelling older adults with multimorbidity from a health ecological perspective: a cross-sectional study.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- How health literacy and eHealth literacy influence quality of life in older adults with chronic diseases: a network and path analysis.Health and quality of life outcomes · 2026Article
- Patterns of Vulnerability: Frailty, Multimorbidity, and Physical Health-Related Quality of Life in Institutionalised Older Adults.Healthcare (Basel, Switzerland) · 2026Article
- Oral Frailty and Physical Frailty Associated With Sleep Quality in Community-Dwelling Adults: A Cross-Sectional Study.Journal of oral rehabilitation · 2026Article
- Analysis of frailty status and its influencing factors in maintenance hemodialysis patients based on the health ecological model.BMC nephrology · 2025Article
- Trajectories and predictors of frailty in older patients undergoing radical prostatectomy: A longitudinal study.Asia-Pacific journal of oncology nursing · 2025Article
- The association between multimorbidity and intrinsic capacity decline among older adults: the mediating role of frailty.BMC public health · 2025Article
- Assessing the contributions of health deficits to frailty among older people in Sub-Saharan Africa: evidence from Côte d'Ivoire.BMC public health · 2025Article
- The Role of Senolytics in Osteoporosis.Biomolecules · 2025Review
- Analysis of potential categories and influencing factors of chronic disease comorbidity patterns among residents of Yantai City based on the health ecology model.Frontiers in public health · 2025Article
- Socioeconomic status and lifestyle as factors of multimorbidity among older adults in China: results from the China Health and Retirement Longitudinal Survey.Frontiers in public health · 2025Article
- Association of the Tilburg Frailty Indicator with mortality, readmission, and healthcare contacts in adult patients with multimorbidity.Journal of multimorbidity and comorbidityArticle
- A novel technique of peripheral nerve blocks and sedation as primary anesthetic technique for adult emergency hip fracture surgery: A retrospective propensity matched study.Saudi journal of anaesthesiaArticle
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6 authors.
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Abstract
backgroundAs the global aging process accelerates, the older population is increasing annually, with the majority suffering from one or more chronic diseases. Due to the influence of chronic disease comorbidity, frailty among the older is widespread. Therefore, early identification of frailty in older adults with comorbidities from a comprehensive perspective, along with proactive measures for prevention and timely intervention, becomes an inevitable requirement for healthy aging. This study aimed to identify the entry point of frailty management in the older with multimorbidity in the community and clarify the focus of frailty management.
methodsA national cross-sectional survey of 1056 older adults with comorbidities in 148 cities across China was conducted. Frailty was assessed using the Fatigue, Resistance, Ambulation, Illnesses, and Loss of weight (FRAIL) scale. Based on the health ecological model, the factors which may influence frailty were collected from five levels. Univariate and multivariate analysis were utilized to determine the factors influencing frailty. The STROBE checklist was used preparing the manuscript.
resultsA total of 417 patients (39.5%) reported having frailty, while 613 patients (58.0%) were in the pre-frail state. Multivariate logistic regression analysis indicate that compared with robust patients, number of comorbidities, self-efficacy, sleep quality and perceived social support are associated with frailty in older patients with comorbidities (P < 0.05). Compared to pre-frail group, factors such as number of comorbidities, gender (female), cognitive status of diseases, anxiety, having four or more comorbidities, smoking, eating habits, taking three or more different types of medication and perceived social support are associated with frailty (P < 0.05).
conclusionsThe prevalence of frailty among older adults with comorbidities is exceptionally high, influenced by various dimensions from health ecology perspective. Psychological care and daily behavior management should be strengthened for the frail older with multimorbidity. Precise and individualized care interventions need to be developed to help promote healthy aging.
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