JHSM
Journal of Health Sciences and Medicine

Journal of Health Sciences and Medicine (JHSM) is an unbiased, peer-reviewed, and open access international medical journal. The Journal publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports, and clinical images, invited reviews, editorials, letters, comments, and related knowledge.

ISSN: Active
eISSN: 2636-8579
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Submit Manuscript

Index
Original Article
The investigation of frailty level and factors affecting frailty in older adults with osteoarthritis: a cross-sectional study on Turkish population
Abstract
Aims: This study aims to evaluate the fragility level, fall risks and factors affecting both conditions of individuals with OA aged 60 and over living in an underdeveloped province.
Methods: The research sample consists of 260 individuals over the age of 60 who were diagnosed with osteoarthritis. The frailty of the participants was measured. Their functional mobility and risk of falling were measured.
Results: The prevalence of frailty and pre-frailty was found to be 82%. It was revealed that frailty is not always affected by the severity of osteoarthritis and the progression of age. In addition, it was found that factors such as stage IV osteoarthritis and being frail or pre-frail increase the risk of falling. The stage of osteoartritis, education level, lifestyle, and risk of falling explained 24% of the variance in the frailty variable. Having an unhealthy lifestyle increases frailty 20 times; lowincome level increases frailty eight times; and each increase in education level affects frailty at most four times negatively.
Conclusion: Psychological rehabilitation and social support may negatively affect the development of frailty in individuals aged 60 years and older. Frail older women with severe OA are more vulnerable to falls.

Keywords : Frailty, osteoarthritis, geriatrics, frailty scale, risk of falling

Download Article


1. Kapucu S. and &Uuml;nver G. Kırılgan yaşlı ve hemşirelik bakımı/fragile elderly and nursing care. <em>Osmangazi J Med. </em>2017;39(1):122-129.
2. T&Uuml;İK 2020 https://www.tuik.gov.tr/ (Access: 18 January 2022)
3. Misra D, Felson DT, Silliman RA, et al. Knee osteoarthritis and frailty: findings from the multicenter osteoarthritis study and osteoarthritis initiative. <em>J Gerontol A Biol Sci Med Sci.</em> 2015;70(3): 337-342.
4. Xue QL. The frailty syndrome: definition and natural history. <em>Clin Geriatr Med. </em>2011;27(1): 1-15.
5. &Ccedil;elebi ZK, Erdoğmuş Ş, Turgut D. Determination of frailty and risk factors in elderly hemodialysis patients. <em>J Ankara Univ Fac Med.</em> 2020;73(1):26-30
6. Loeser RF, Collins JA, Diekman BO. Ageing and the pathogenesis of osteoarthritis. <em>Nat Rev Rheumatol.</em> 2016; 12(7): 412-420.
7. Castell MV, Van Der Pas S, Otero A, et al. Osteoarthritis and frailty in elderly individuals across six European countries: results from the European Project on Osteoarthritis (EPOSA). <em>BMC Musculoskeletal Disorders</em>. 2015;17(16):2-8.
8. Meessen JMTA, Leichtenberg CS, Tilbury C, et al. Frailty in end-stage hip or knee osteoarthritis: validation of the Groningen Frailty Indicator (GFI) questionnaire. <em>Rheumatol Int.</em> 2018;38(5):917-924.
9. Veronese N, Maggi S, Trevisan C, et al. Pain increases the risk of developing frailty in older adults with osteoar- thritis. <em>Pain Med.</em> 2017;18(3):414-427.
10. Wise BL, Parimi N, Zhang Y, et al. Frailty and hip osteoarthritis in men in the MrOS cohort. <em>J Gerontol A Biol Sci Med Sci.</em> 2014; 69(5):602-608.
11. O&rsquo;Brien MS and McDougall JJ. Age and frailty as risk factors for the development of osteoarthritis. <em>Mech Ageing Dev.</em> 2019;180:21-28.
12. Yalınkılı&ccedil; M, Kılı&ccedil;aslan K, Uysal H, Bilgin S, En&ccedil; N. Determination of frailty status of elderly individuals with heart failure. <em>Turk J Card Nurs.</em> 2020;11(25):51-59.
13. Denfeld QE, Winters-Stone K, Mudd JO, Gelow JM, Kurdi S, Lee CS. The prevalence of frailty in heart failure: a systematic review and meta-analysis. <em>Int J Cardiol</em>. 2017;236:283-289.
14. Arslan M, Ko&ccedil; E M, S&ouml;zmen MK. The Turkish adaptation of the Tilburg frailty indicator: a validity and reliability study. <em>Turkish J Geriatr.</em> 2018;21(2):173-183.
15. Morley JE, Malmstrom TK, Miller DK. A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. <em>J Nutr Health Aging. </em>2012;16(7):601-608.
16. Hymabaccus B. Validation of FRAIL Scale in Turkish older adults, Hacettepe University Faculty of Medicine, Thesis in Internal Medicine, Ankara 2017.
17. Barry E, Galvin R, Keogh C, Horgan F, Fahey T. Is the timed up and go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. <em>BMC Geriatr</em>. 2014;14(1):8-14.
18. Podsiadlo D, Richardson S. The timed &ldquo;Up &amp; Go&rdquo;: a test of basic functional mobility for frail elderly persons. <em>J Am Geriafrics Soc.</em> 1991;39(2):142-148.
19. Arslan M. Turkish adaptation of the Tilburg vulnerability scale: a study of validity and reliability. İzmir Katip &Ccedil;elebi University, Faculty of Medicine, Department of Family Medicine, Specialization Thesis. İzmir, 2017.
20. Bindawas SM, Vennu V, Stubbs B. Longitudinal relationship between knee pain status and incident frailty: data from the osteoarthritis initiative. <em>Pain Med.</em> 2018;19(11):2146-2153.
21. Miguel RC, Dias RC, Dias JM, da Silva SL, Filho MPR, Ribeiro TM. Frailty syndrome in the com- munity-dwelling elderly with osteoarthritis. <em>Rev Bras Reumatol.</em> 2012;52(3):331-347.
22. Wanaratna K, Muangpaisan W, Kuptniratsaikul V, Chalermsri C, Nuttamonwarakul A. Prevalence and factors associated with frailty and cognitive frailty among community-dwelling elderly with knee osteoarthritis. <em>J Community Health.</em> 2019;44(3):587-595.
23. Imagama S, Ando K, Kobayashi K, et al. Differences of locomotive syndrome and frailty in community-dwelling middle-aged and elderly people: pain, osteoarthritis, spinal alignment, body balance, and quality of life. <em>Mod Rheumatol.</em> 2020;30(5):921-929.
24. Bandeen-Roche K, Seplaki CL, Huang J, et al. Frailty in older adults: a nationally representative profile in the United States. <em>J Gerontol A Biol Sci Med Sci.</em> 2015;70(11):1427-1434.
25. Myers V, Drory Y, Goldbourt U, Gerber Y. Multilevel socioeconomic status and incidence of frailty post myocardial infarction. <em>Int J Cardiol.</em> 2014;170(3):338-343.
26. Abellan van Kan G, Rolland Y, Houles M, Gillette-Guyonnet S, Soto M, Vellas B. The assessment of frailty in older adults. <em>Clin Geriatr Med.</em> 2010;26(2):275-286.
Article available in :
Volume 7, Issue 4, 2024
Page : 387-394
https://doi.org/10.32322/jhsm.1453110
Article Information
Received : 14 Mar 2024
Accepted : 10 Haz 2024
Published : 30 Tem 2024
Corresponding Author :

Azize Aydemir: Department of Midwifery, Faculty of Health Sciences, Giresun University, Giresun, Turkiye

[email protected]
Citation : Aydemir A, Yıldırım Gürkan D, Kapukaya EE, Korkmaz M. The investigation of frailty level and factors affecting frailty in older adults with osteoarthritis: a cross-sectional study on Turkish population. J Health Sci Med. 2024;7(4):387-394.

Read: 139
Cited: 0
Download : 62
_Footer