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

    Ashara McQueen, Nursing Student, The University of The Bahamas
    As it relates to the above mentioned article that was published on March 29th 2020 in Volume10, Issue 3 on BMJ Open. I found that this was a very interesting article as it relates to age related changes of older adults, that will most definitely spark the interest of those involved in gerontology and geriatric research. As I read this article, it is evident that frailty can be associated with disability among dwelling older adults. I agree with the author that although frailty and disability may intertwine thus their concepts are absolutely different. This judgement can simply be gathered based on the definitions that were provided and stated explicitly as it relates to the term’s frailty and disability. However, there are factors that are strongly associated with frailty and disability such as socioeconomic status, ethnicity and life style.
    Furthermore, the results from this study shows the prevalence of more than half of the percentage of older frail adults displayed greater instrumental activities of daily living (IADL) while the remaining smaller percentage displayed greater basic activities of daily living (BADL). In addition, high count of IADL limitations were associated with being frail.
    Other authors conducted a study on prevalence of frailty among dwelling older adults and their sociodemographic factors associated with frailty. Kendhapedi and Devasenapathy (2019), found a high sign...

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    Conflict of Interest:
    None declared.
  • Published on:
    Association between frailty and disability in rural community-dwelling older adults

    Siriwardhana et al. examined the association between frailty and disability in rural community-dwelling older adults, aged ≥ 60 years, in Sri Lanka (1). About 15.2% were frail and 48.5% were prefrail. The prevalence of ≥1 instrumental activities of daily living (IADL) limitations was 84.4% among frail adults. 38.7% of frail adults reported ≥1 basic activities of daily living (BADL) limitations. In addition, 58.3% reported both ≥1 physical and cognitive IADL limitations. Furthermore, the odds of being frail for having no IADL limitations significantly decreased. I have some concerns about their study.

    The same authors described the prevalence and associated sociodemographic factors of frailty and pre-frailty (2). They found a strong association of frailty and pre-frailty with aging. In addition, longest-held occupation had a strong association with frailty, and education level was strongly associated with pre-frailty. Furthermore, prevalence of frailty was relatively lower in high-income and upper middle-income countries, compared with prevalence in Sri Lanka. The same authors also evaluated the association of frailty status with overall and domain-specific quality of life (QoL) (3). The estimated reduction in the total quality of life (QoL) score was 7.3% for those frail and 2.1% for those with pre-frail. These reductions could be explained by 'health' and 'independence, control over life and freedom' QoL domains. I suppose that aging, ethnicit...

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    Conflict of Interest:
    None declared.