Pre-frailty, frailty and associated factors in older caregivers of older adults

Rev Saude Publica. 2020 Jan 31:54:17. doi: 10.11606/s1518-8787.2020054001655. eCollection 2020.

Abstract

Introduction: Providing care to an older adult is an activity that requires considerable physical effort and can cause stress and psychological strain, which accentuate factors that trigger the cycle of frailty, especially when the caregiver is also an older adult. However, few studies have analyzed the frailty process in older caregivers.

Objectives: To investigate the prevalence of pre-frailty, frailty and associated factors in older caregivers of older adults.

Methods: A cross-sectional study was conducted including 328 community-dwelling older caregivers. Frailty was identified using frailty phenotype. Socio-demographic, behavioral and clinical aspects, characteristics related to care and functioning were covariables in the multinomial logistic regression.

Results: The prevalence of pre-frailty and frailty were 58.8% and 21.1%, respectively. An increased age, female sex, not having a conjugal life, depressive symptoms and pain were commonly associated with pre-frailty and frailty. Sedentary lifestyle was exclusively associated with pre-frailty, whereas living in an urban area, low income and the cognitive decline were associated with frailty. A better performance on instrumental activities of daily living reduced the chance of frailty.

Conclusion: Many factors associated with the frailty syndrome may be related to the act of providing care, which emphasizes the importance of the development of coping strategies for this population.

MeSH terms

  • Age Factors
  • Aged
  • Brazil / epidemiology
  • Caregivers / psychology
  • Caregivers / statistics & numerical data*
  • Cross-Sectional Studies
  • Female
  • Frail Elderly / psychology
  • Frail Elderly / statistics & numerical data*
  • Frailty / epidemiology*
  • Frailty / psychology
  • Geriatric Assessment
  • Humans
  • Male
  • Middle Aged
  • Risk Factors
  • Sex Factors
  • Socioeconomic Factors

Grants and funding

Funding: This study was supported by the Conselho Nacional de Desenvolvimento Científico e Tecnológico – CNPQ (Project 160550/2013-0). PADRD/CNPQ/UFSCar financially supported Ingrid Cristina Lopes. The Fundação de Amparo à Pesquisa do Estado de São Paulo – FAPESP (Project 17/26377-4) and the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brasil (CAPES) – Financial Code 001 financially supported Roberta de Oliveira Máximo. The Conselho Nacional de Desenvolvimento Científico e Tecnológico – CNPq (Project 303981/2017-2) and the Fundação de Amparo à Pesquisa do Estado de São Paulo – FAPESP (Project 18/13917-3) financially supported Tiago da Silva Alexandre.