Factors Relating to Frailty among Community-Dwelling Elderly in Nam-Phrae subdistrict, Hangdong district, Chiang Mai Province
Keywords:
Frailty, Activities of Daily Living, Nutritional, Older adultsAbstract
Frailty is a significant health concern among older adults, serving as a primary contributor to adverse health outcomes such as falls, increased disease burden, functional decline, permanent disability, and diminished quality of life. This study employed a cross-sectional analytic design to investigate the prevalence and associated factors of frailty among older adults residing in Nam Phrae Subdistrict, Hang Dong District, Chiang Mai Province. A total of 349 participants were selected through simple random sampling using the official registry of older adults. Data were collected using the elderly health screening and assessment form of the Department of Medical Services, Ministry of Public Health. Descriptive statistics were used to analyze general characteristics and frailty prevalence, while binary logistic regression was employed to identify factors associated with frailty.
The study found that The majority of participants were female (63.69%), with a mean age of 68.37 years. The prevalence of frailty was found to be 5.9%. Two factors were significantly associated with frailty: Functional ability: Older adults with partial independence in daily activities were 7.80 times more likely to be frail (95% CI = 1.207–50.132, p = 0.031). Nutritional status: Those at risk of malnutrition were 4.20 times more likely to be frail (95% CI = 1.317–13.382, p = 0.015).
These findings underscore the importance of implementing targeted interventions to enhance physical strength—particularly muscle function—and nutritional support to mitigate frailty and improve overall health outcomes in older populations.
References
Bandeen-Roche, K., Seplaki, C. L., Huang, J., Buta, B., Phadwal, K., Al-Rifai, M., ... & Walston, J. D.
(2015). Frailty in older adults: A nationally representative profile in the United States. The Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, 70(11), 1427–1434. https://doi.org/10.1093/gerona/glv133
Boulos, C., Salameh, P., & Barberger-Gateau, P. (2015). Malnutrition and frailty in community
dwelling older adults living in a rural setting. Clinical Nutrition, 35(1), 154–159. https://doi.org/10.1016/j.clnu.2015.01.008
Charoensukhsiri, S., Sutthinak, S., & Charoensukhsiri, K. (2025). Prevalence of frailty among older
Thai adults in the universal healthcare coverage area of a university-affiliated tertiary medical institute, Nakhon Nayok Province. Ramathibodi Medical Journal, 48(3), Article e271673. (In Thai)
Chen, L. Y., Fang, T. J., Lin, Y. C., & Hsieh, H. F. (2021). Exploring the mediating effects of
cognitive function, social support, activities of daily living and depression in the relationship between age and frailty among community-dwelling elderly. International Journal of Environmental Research and Public Health, 18(23), 12543. https://doi.org/10.3390/ijerph182312543
Daniel, W. W., & Cross, C. L. (1999). Biostatistics: A foundation for analysis in the health
sciences (7th ed.). John Wiley & Sons.
Department of Medical Services, Ministry of Public Health. (2021). Manual of screening and
health assessment for the elderly 2021. (In Thai)
Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., ... & McBurnie,
M. A. (2001). Frailty in older adults: Evidence for a phenotype. The Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, 56(3), M146–M157. https://doi.org/10.1093/gerona/56.3.m146
Health Data Center, Ministry of Public Health. (2024). Elderly health screening and chronic
disease reports: Nam Phrae Sub-district. https://hdcservice.moph.go.th (In Thai)
He, B., Ma, Y., Wang, C., Jiang, M., Geng, C., Chang, X., ... & Han, L. (2019). Prevalence of frailty
among community-dwelling elderly in China: A systematic review and meta-analysis. Journal of Nutrition, Health & Aging, 23(7), 595–602. https://doi.org/10.1007/s12603-019-1225-z
Jaidee, S., & Sasat, S. (2017). A study of frailty in older people resided in community, Bangkok.
Royal Thai Navy Medical Journal, 44(3), 117–131. (In Thai)
Ji, D., Guo, H., Qiu, S., Dong, L., Shen, Y., Shen, Z., & Xu, J. (2024). Screening for frailty and its
association with activities of daily living, cognitive impairment, and falls among community-dwelling older adults in China. BMC Geriatrics, 24(1), 576. https://doi.org/10.1186/s12877-024-05187-z
Klinputtarn, N., Thongma, S., Klinchetu, N., & Srithumsuk, W. (2023). The role of nurses in home
care for older people with frailty. Journal of The Royal Thai Army Nurses, 23(2), 50–57. (In Thai)
Kulprateepunya, K., Nuengchais, P., Khokluecha, P., Chaitaweep, K., Butsri, K., Detphon, K., ... &
Klamngoen, K. (2023). Prevalence of frailty in community-dwelling older adults in Ubon
Ratchaburi. Journal of Corporate Management and Local Innovation, 7(10), 183–194.
(In Thai).
Li, X., Li, X., Sun, L., Yang, L., Wang, C., Yuan, T., ... & Zhang, L. (2024). The bidirectional
relationship between activities of daily living and frailty during short-and long-term follow-up period among the middle-aged and older population: Findings from the Chinese nationwide cohort study. Frontiers in Public Health, 12, 1382384. https://doi.org/10.3389/fpubh.2024.1382384
National Statistical Office. (2024). Report on the Thai elderly population 2023. Ministry of
Digital Economy and Society. (In Thai)
O’Caoimh, R., Sezgin, D., O’Donovan, M. R., Molloy, D. W., Clegg, A., Rockwood, K., & Liew, A.
(2021). Prevalence of frailty in 62 countries across the world: A systematic review and meta-analysis of population level studies. Age and Ageing, 50(1), 96–104. https://doi.org/10.1093/ageing/afaa219
Ongmekiat, T. (2019). Frailty in older adults: A case study. Thai Journal of Nursing Council,
(3), 5–19. (In Thai)
Samneang, N. (2024). Prevalence and factors associated with physical frailty in older people
attending the elderly clinic at Nakornping Hospital. Nakornping Hospital Journal, 15(1), 76–93. (In Thai)
Sirikamolsethian, B., Wongkampan, S., Na Thalang, R., & Chailarp, K. (2024). Epidemiology of
frailty, sarcopenia, and dementia among community-dwelling older people in Lak Si District, Bangkok. Journal of the Princess Chulabhorn Royal Academy, 6(2), 63–74. (In Thai)
Sirikul, S., Roopsawang, I., & Aree-Ue, S. (2024). Frailty as a key predictor of malnutrition among
older adults with swallowing problems. Pacific Rim International Journal of Nursing Research, 28(2), 308–320. https://doi.org/10.60099/prijnr.2024.267113
Songapiwatkul, L., Hongtanod, W., Yesong, W., & Namwong, A. (2023). Prevalence and factors
associated with frailty among community-dwelling older people. Journal of Health
Sciences Scholarship, 10(2), 241–251. (In Thai)
Sriwong, W., Mahavisessin, W., Srinonprasert, V., Siriussawakul, A., Aekplakorn, W.,
Limpawattana, P., ... & Wongviriyawong, T. (2022). Validity and reliability of the Thai version of the simple frailty questionnaire (T-FRAIL) with modifications to improve its diagnostic properties in the preoperative setting. BMC Geriatrics, 22(1), 161. https://doi.org/10.1186/s12877-022-02863-5.
Sadjapong, U., Silangirn, P., Chaichana, K., & Thongtip, S. (2024). Malnutrition, fear of falling, and
quality of life are associated with frailty in older adults. Journal of Health Research, 38(3), 283–290. https://doi.org/10.56808/2586-940X.1085.
To, T. H. M., Doan, T. T. N., Ho, W. C., & Liao, W. C. (2022). Prevalence of frailty among
community-dwelling older adults in Asian countries: A systematic review and meta-analysis. Healthcare, 10(5), 895. https://doi.org/10.3390/healthcare10050895
United Nations. (2022). World population prospects 2022: Summary of results. UN Department
of Economic and Social Affairs.
World Health Organization. (2022). Ageing and health.
https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
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