The burden of non-disabled frailty and its associated factors among older adults in Bangladesh

Sabuj Kanti Mistry; A. R.M.Mehrab Ali; Uday Narayan Yadav; Saruna Ghimire; Afsana Anwar; Md Nazmul Huda; Fouzia Khanam; Rashidul Alam Mahumud; Ateeb Ahmad Parray; Shovon Bhattacharjee; David Lim; Mark Fort Harris

doi:10.1371/journal.pone.0294889

The burden of non-disabled frailty and its associated factors among older adults in Bangladesh

Sabuj Kanti Mistry, A. R.M.Mehrab Ali, Uday Narayan Yadav, Saruna Ghimire, Afsana Anwar, Md Nazmul Huda, Fouzia Khanam, Rashidul Alam Mahumud, Ateeb Ahmad Parray, Shovon Bhattacharjee, David Lim, Mark Fort Harris

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Abstract

Objective

The present study aims to measure the prevalence of non-disabled frailty and its associated factors among Bangladeshi older adults.

Methods

This cross-sectional study was conducted during September and October 2021 among 1,045 Bangladeshi older adults (≥60 years). Telephone interviews, using a semi-structured questionnaire, were undertaken to collect data on participants’ characteristics and level of frailty. The non-disabled frailty was measured using the ‘Frail Non-Disabled (FiND)’ questionnaire. A multinomial logistic regression model assessed the factors associated with frailty among the participants.

Results

Around a quarter of the participants (24.8%) were frail. The multinomial regression analysis showed that older participants aged ≥80 years (RRR = 3.23, 95% CI: 1.41–7.37) were more likely to be frail compared to participants aged 60–69 years. Likewise, the participants living in a large family with ≥4 members (RRR = 1.39, 95% CI: 1.01–1.92) were more likely to be frail compared to those living in smaller families. Also, participants having memory or concentration problems (RRR = 1.56, 95% CI: 1.12–2.17) were more likely to be frail compared to those who were not suffering from these problems. Moreover, participants whose family members were non-responsive to their day-to-day assistance (RRR = 1.47, 95% CI: 1.06–2.03) were more likely to be frail compared to those whose family members were responsive. Furthermore, participants who were feeling lonely (RRR = 1.45, 95% CI: 1.07–1.98) were more likely to be frail than their counterparts who were not feeling lonely.

Conclusions

The findings of the present study suggest developing tailored interventions to address the burden of frailty among the older populations in Bangladesh. In particular, providing long-term care and health promotion activities can be of value in preventing frailty and reducing adverse health outcomes among this vulnerable population group.

Original language	English
Article number	e0294889
Number of pages	12
Journal	PLoS One
Volume	18
Issue number	11
DOIs	https://doi.org/10.1371/journal.pone.0294889
Publication status	Published - 28 Nov 2023
Externally published	Yes

Keywords

Frailty
Older adults
Bangladesh
Burden of frailty
Health promotion

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Final published versionFinal published version, 571 KBLicence: CC BY

Cite this

@article{d8e23223f81e43548d15d4e1cdea9d51,

title = "The burden of non-disabled frailty and its associated factors among older adults in Bangladesh",

abstract = "Objective The present study aims to measure the prevalence of non-disabled frailty and its associated factors among Bangladeshi older adults. Methods This cross-sectional study was conducted during September and October 2021 among 1,045 Bangladeshi older adults (≥60 years). Telephone interviews, using a semi-structured questionnaire, were undertaken to collect data on participants{\textquoteright} characteristics and level of frailty. The non-disabled frailty was measured using the {\textquoteleft}Frail Non-Disabled (FiND){\textquoteright} questionnaire. A multinomial logistic regression model assessed the factors associated with frailty among the participants. Results Around a quarter of the participants (24.8%) were frail. The multinomial regression analysis showed that older participants aged ≥80 years (RRR = 3.23, 95% CI: 1.41–7.37) were more likely to be frail compared to participants aged 60–69 years. Likewise, the participants living in a large family with ≥4 members (RRR = 1.39, 95% CI: 1.01–1.92) were more likely to be frail compared to those living in smaller families. Also, participants having memory or concentration problems (RRR = 1.56, 95% CI: 1.12–2.17) were more likely to be frail compared to those who were not suffering from these problems. Moreover, participants whose family members were non-responsive to their day-to-day assistance (RRR = 1.47, 95% CI: 1.06–2.03) were more likely to be frail compared to those whose family members were responsive. Furthermore, participants who were feeling lonely (RRR = 1.45, 95% CI: 1.07–1.98) were more likely to be frail than their counterparts who were not feeling lonely. Conclusions The findings of the present study suggest developing tailored interventions to address the burden of frailty among the older populations in Bangladesh. In particular, providing long-term care and health promotion activities can be of value in preventing frailty and reducing adverse health outcomes among this vulnerable population group.",

keywords = "Frailty, Older adults, Bangladesh, Burden of frailty, Health promotion",

author = "Mistry, {Sabuj Kanti} and Ali, {A. R.M.Mehrab} and Yadav, {Uday Narayan} and Saruna Ghimire and Afsana Anwar and Huda, {Md Nazmul} and Fouzia Khanam and Mahumud, {Rashidul Alam} and Parray, {Ateeb Ahmad} and Shovon Bhattacharjee and David Lim and Harris, {Mark Fort}",

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doi = "10.1371/journal.pone.0294889",

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T1 - The burden of non-disabled frailty and its associated factors among older adults in Bangladesh

AU - Mistry, Sabuj Kanti

AU - Ali, A. R.M.Mehrab

AU - Yadav, Uday Narayan

AU - Ghimire, Saruna

AU - Anwar, Afsana

AU - Huda, Md Nazmul

AU - Khanam, Fouzia

AU - Mahumud, Rashidul Alam

AU - Parray, Ateeb Ahmad

AU - Bhattacharjee, Shovon

AU - Lim, David

AU - Harris, Mark Fort

PY - 2023/11/28

Y1 - 2023/11/28

N2 - Objective The present study aims to measure the prevalence of non-disabled frailty and its associated factors among Bangladeshi older adults. Methods This cross-sectional study was conducted during September and October 2021 among 1,045 Bangladeshi older adults (≥60 years). Telephone interviews, using a semi-structured questionnaire, were undertaken to collect data on participants’ characteristics and level of frailty. The non-disabled frailty was measured using the ‘Frail Non-Disabled (FiND)’ questionnaire. A multinomial logistic regression model assessed the factors associated with frailty among the participants. Results Around a quarter of the participants (24.8%) were frail. The multinomial regression analysis showed that older participants aged ≥80 years (RRR = 3.23, 95% CI: 1.41–7.37) were more likely to be frail compared to participants aged 60–69 years. Likewise, the participants living in a large family with ≥4 members (RRR = 1.39, 95% CI: 1.01–1.92) were more likely to be frail compared to those living in smaller families. Also, participants having memory or concentration problems (RRR = 1.56, 95% CI: 1.12–2.17) were more likely to be frail compared to those who were not suffering from these problems. Moreover, participants whose family members were non-responsive to their day-to-day assistance (RRR = 1.47, 95% CI: 1.06–2.03) were more likely to be frail compared to those whose family members were responsive. Furthermore, participants who were feeling lonely (RRR = 1.45, 95% CI: 1.07–1.98) were more likely to be frail than their counterparts who were not feeling lonely. Conclusions The findings of the present study suggest developing tailored interventions to address the burden of frailty among the older populations in Bangladesh. In particular, providing long-term care and health promotion activities can be of value in preventing frailty and reducing adverse health outcomes among this vulnerable population group.

AB - Objective The present study aims to measure the prevalence of non-disabled frailty and its associated factors among Bangladeshi older adults. Methods This cross-sectional study was conducted during September and October 2021 among 1,045 Bangladeshi older adults (≥60 years). Telephone interviews, using a semi-structured questionnaire, were undertaken to collect data on participants’ characteristics and level of frailty. The non-disabled frailty was measured using the ‘Frail Non-Disabled (FiND)’ questionnaire. A multinomial logistic regression model assessed the factors associated with frailty among the participants. Results Around a quarter of the participants (24.8%) were frail. The multinomial regression analysis showed that older participants aged ≥80 years (RRR = 3.23, 95% CI: 1.41–7.37) were more likely to be frail compared to participants aged 60–69 years. Likewise, the participants living in a large family with ≥4 members (RRR = 1.39, 95% CI: 1.01–1.92) were more likely to be frail compared to those living in smaller families. Also, participants having memory or concentration problems (RRR = 1.56, 95% CI: 1.12–2.17) were more likely to be frail compared to those who were not suffering from these problems. Moreover, participants whose family members were non-responsive to their day-to-day assistance (RRR = 1.47, 95% CI: 1.06–2.03) were more likely to be frail compared to those whose family members were responsive. Furthermore, participants who were feeling lonely (RRR = 1.45, 95% CI: 1.07–1.98) were more likely to be frail than their counterparts who were not feeling lonely. Conclusions The findings of the present study suggest developing tailored interventions to address the burden of frailty among the older populations in Bangladesh. In particular, providing long-term care and health promotion activities can be of value in preventing frailty and reducing adverse health outcomes among this vulnerable population group.

KW - Frailty

KW - Older adults

KW - Bangladesh

KW - Burden of frailty

KW - Health promotion

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The burden of non-disabled frailty and its associated factors among older adults in Bangladesh

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Keywords

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