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Quality of Life Research

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27-02-2019

The association between frailty and quality of life among rural community-dwelling older adults in Kegalle district of Sri Lanka: a cross-sectional study

Auteurs: Dhammika Deepani Siriwardhana, Manuj Chrishantha Weerasinghe, Greta Rait, Shaun Scholes, Kate R. Walters

Gepubliceerd in: Quality of Life Research | Uitgave 8/2019

Abstract

Purpose

The objective of this study was to estimate the cross-sectional association of frailty status with overall and domain-specific quality of life (QoL) in rural community-dwelling older adults in Kegalle district of Sri Lanka.

Methods

A population-based cross-sectional study was conducted with 746 community-dwelling older adults aged ≥ 60 years living in the rural areas of Kegalle district of Sri Lanka in 2016. A three-stage probability sampling design was used to recruit participants. Frailty and QoL were assessed using the Fried phenotype and Older People’s Quality of Life Questionnaire, respectively. Multivariable linear regression was used to estimate the association of frailty with QoL after accounting for the complex sampling design.

Results

The median (IQR) age of the sample was 68 (64:75) years and comprised of 56.7% women. 15.2% (95% CI 12.4%, 18.7%) were frail and 48.5% (95% CI 43.9%, 53.2%) were pre-frail. The unadjusted means (SE) of the total QoL score for the robust, pre-frail and frail groups were 139.2 (0.64), 131.8 (1.04) and 119.2 (1.35), respectively. After adjusting for covariates in the final multivariable model, the estimated differences in mean QoL were lower for both frail and pre-frail groups versus robust. The estimated reduction in the total QoL score was 7.3% for those frail and 2.1% for those pre-frail. All QoL domains apart from ‘social relationships and participation’, ‘home and neighbourhood’ and ‘financial circumstances’ were associated with frailty.

Conclusions

Frailty was associated with a small but significant lower quality of life in this rural Sri Lankan population, which appears largely explained by ‘health’ and ‘independence, control over life and freedom’ QoL domains. Interventions aiming to improve quality of life in frail older adults should consider targeting these aspects.

vorige artikel Quality of life is substantially worse for community-dwelling older people living with frailty: systematic review and meta-analysis

volgende artikel Health-related quality of life among rural men and women with hypertension: assessment by the EQ-5D-5L in Jiangsu, China

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Titel: The association between frailty and quality of life among rural community-dwelling older adults in Kegalle district of Sri Lanka: a cross-sectional study
Auteurs: Dhammika Deepani Siriwardhana
Manuj Chrishantha Weerasinghe
Greta Rait
Shaun Scholes
Kate R. Walters
Publicatiedatum: 27-02-2019
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 8/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-019-02137-5

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