Prevalence of frailty in rural community-dwelling older adults in Kegalle district of Sri Lanka: a population-based cross-sectional study

BMJ Open. 2019 Jan 25;9(1):e026314. doi: 10.1136/bmjopen-2018-026314.

Abstract

Objective: Our main objective was to describe the prevalence and associated sociodemographic factors of frailty and pre-frailty in rural community-dwelling older adults in Kegalle district of Sri Lanka.

Design: Community-based cross-sectional study.

Setting: The study was conducted in rural areas of Kegalle district in Sri Lanka.

Participants: A total of 746 community-dwelling older adults aged ≥60 years were included in the study.

Results: The prevalence of frailty and pre-frailty in rural Kegalle district was 15.2% (95% CI 12.3% to 18.6%) and 48.5% (95% CI 43.8% to 53.2%), respectively. We found a strong association between age and both frailty and pre-frailty. There were strong associations between longest-held occupation and frailty and education level and pre-frailty.

Conclusions: The prevalence of frailty in this rural Sri Lankan older population was high compared with high-income and upper middle-income countries. The profile of health and social care services in Sri Lanka needs to address frailty and its consequences.

Keywords: epidemiology; geriatric medicine; public health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Frail Elderly / statistics & numerical data*
  • Frailty / epidemiology*
  • Geriatric Assessment
  • Humans
  • Independent Living
  • Logistic Models
  • Male
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Rural Population
  • Sex Distribution
  • Sri Lanka / epidemiology