Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia.

Journal: Asia-Pacific journal of public health

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Affiliated Institutions:  Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. School of Health and Rehabilitation Sciences, AECC University College, Bournemouth, UK. Negeri Sembilan State Health Department (JKNNS), Seremban, Malaysia. Disease Control Division, Ministry of Health Malaysia, Putrajaya, Malaysia. Family Health Development Division, Ministry of Health Malaysia, Putrajaya, Malaysia. Mental Health, Injury and Violence Prevention and Substance Abuse Sector, Disease Control Division, Ministry of Health Malaysia, Putrajaya, Malaysia.

Abstract summary 

Frailty and malnutrition commonly co-occur but remains undetected and untreated in community settings. This study aimed to determine the prevalence of co-occurring frailty and malnutrition, and its associated factors among community-dwelling older adults in a rural setting in Malaysia. A cross-sectional study was conducted among adults aged ≥ 60 residing in Kuala Pilah district, Negeri Sembilan, Malaysia. Physical frailty and nutritional status were assessed using the Fried phenotype and the Mini Nutritional Assessment (MNA), respectively. Among 1855 participants, 6.4% had co-occurring frailty and at-risk/malnutrition and 11.3% had co-occurring prefrailty and at-risk/malnutrition. Older age, fair-to-poor self-rated health, long-term disease, polypharmacy, activities of daily living (ADLs) and instrumental ADLs' disabilities, cognitive impairment, and poor social support were associated with higher odds of co-occurring frailty and malnutrition. Therefore, beside early identification, targeted intervention is crucial to prevent or delay the progression of frailty and malnutrition in this population.

Authors & Co-authors:  Mustaffa Hairi Majid Choo Hairi Peramalah Kandiben Ali Abdul Razak Ismail Sooryanarayana Ahmad Bulgiba

Study Outcome 

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Citations : 
Authors :  13
Identifiers
Doi : 10.1177/10105395241238092
SSN : 1941-2479
Study Population
Male,Female
Mesh Terms
Other Terms
frailty;malnutrition;older adults;prevalence;rural
Study Design
Study Approach
Country of Study
Publication Country
China