On the Relationship Between Frailty, Nutritional Status, Depression and Quality of Life Among Older People

• Published in: International journal of older people nursing Vol. 19; no. 5; pp. e12644 - n/a
• Main Authors: Kasa, Ayele Semachew, Traynor, Victoria, Lee, Shu‐Chun, Drury, Peta
• Format: Journal Article
• Language: English
• Published: England 01.09.2024
• Subjects: Aged; Aged, 80 and over; community‐dwelling; Depression - epidemiology; Depression - psychology; Ethiopia; Ethiopia - epidemiology; Female; Frail Elderly - psychology; frailty; Frailty - epidemiology; Geriatric Assessment; Humans; Independent Living; Male; Middle Aged; Nutritional Status; older adults; older people; Quality of Life; Ethiopia; community‐dwelling; older adults; frailty; older people; Ethiopia
• ISSN: 1748-3735; 1748-3743
• DOI: 10.1111/opn.12644

ABSTRACT Background Frailty is a multidimensional geriatric syndrome associated with physical, psychological and social changes. There is a paucity of research on frailty in Sub‐Saharan African (SSA) countries, especially Ethiopia. Objectives To assess the initial correlations among frailty, nutritional status, depression and QOL (quality of life) in a group of older people in Ethiopia who are later enrolled in a study examining the effects of a nurse‐led community intervention on frailty and related health outcomes. Methods Data from 68 community‐dwelling individuals 60 years of age, or over, were collected. Frailty was measured using the Amharic version of the Tilburg Frailty Indicator. The statistical analysis included Spearman's rank correlation coefficient for degrees of association, Mann–Whitney U‐test for variables with two categories and Kruskal–Wallis for variables with three or more categories. Results The mean frailty score for participants was 7.3 (±1.9). Participants with higher frailty scores had lower nutritional status (rs = −0.46, p < 0.01). There was a statistically significant relationship (positive) between frailty scores and depression (rs = 0.39, p < 0.01). Depressed (Md = 9, n = 23) and non‐depressed frail older people (Md = 7, n = 45) showed a significant difference in their overall frailty score, U = 330.50, z = −2.49, p = 0.01, r = 0.30. There was an inverse significant association between the level of frailty across different domains in the QOL: physical (rs = −0.44, p < 0.01), psychological (rs = −0.45, p < 0.01), social relations (rs = −0.29, p < 0.05) and environmental (rs = −0.47, p < 0.01). Conclusion The findings from this study were consistent with those from across middle‐income and high‐income countries. Implications for Practice This research indicates that older people living in communities who are identified as frail often suffer from a poor nutritional status, depression and reduced QOL. It suggests that healthcare professionals in Sub‐Saharan countries would benefit from recognising the frailty in this population, and developing interventions aimed at enhancing nutrition, mental health and overall well‐being.