Psychometric properties of the Frailty Scale in elderly Ecuadorians and correlation analysis with nutritional status and global maltreatment
Keywords:
psychometric properties, mistreatment, older adults, frailty, nutritional status.Abstract
The general objective was to analyze the psychometric properties of the feasibility scale in the Ecuadorian elderly and to determine whether frailty is associated with nutritional status and global mistreatment of the elderly, with the purpose of generating public policies that contribute to the reduction of mistreatment of the elderly. A study of the psychometric properties was carried out by means of an exploratory and confirmatory factor analysis, in addition, a non-experimental, quantitative, descriptive-correlational, cross-sectional, and prospective research was conducted with a sample of 195 older adults ≥ 60 years old belonging to the city of Cuenca through a non-probabilistic sampling. As results, women predominated in 61%, rural and urban residence in 50%, married marital status in 53.5%, academic level secondary level in 47.1%, medium socioeconomic level in 62.3%, with a total global mistreatment of 19.7%, where the female sex evidenced significant differences in physical mistreatment (p=0. 01), finally, it was evidenced that nutritional status was positively correlated with frailty in both urban and rural residence (r = 0.67, rural r = 0.68), rural r = 0.68); rural r = 0.68), but there is no relationship between frailty and nutritional status and maltreatment. In conclusion, this study will contribute to future research, and it is recommended that more research be conducted on this problem, especially on the factors that trigger mistreatment to contribute to the generation of public policies that benefit older adults and help them to better manage their old age.
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References
World Health Organization. World report on aging and health [Internet]. Ginebra; 2015. 1–282. Available from: http://apps.who.int/iris/bitstream/handle/10665/186466/9789240694873_spa.pdf;jsessionid=8A23A2C12FE4067C1277DD346D7BCBDB?sequence=1
Pineda Loja NE, Ramírez Coronel AA, Mesa Cano IC. Risk factors associated with elder abuse: Systematic review. Am Heal:2697–3421. Available from: https://jah-journal.com/index.php/jah/article/view/81
OMS. Elder abuse [Internet]. Organizacion Mundial de la salud. 2021 [cited 2021 Nov 23]. Available from: https://www.who.int/es/news-room/fact-sheets/detail/elder-abuse
Pedraza D. Disponibilidad de alimentos como factor determinante de la Seguridad Alimentaria y Nutricional y sus representaciones en Brasil. Rev Nutr [Internet]. 2005 [cited 2021 Nov 23];18(1):129–43. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0124-00642004000200002&lng=en&nrm=iso&tlng=es
Lorenzo-López L, Maseda A, De Labra C, Regueiro-Folgueira L, Rodríguez-Villamil JL, Millán-Calenti JC. Nutritional determinants of frailty in older adults: A systematic review. BMC Geriatr [Internet]. 2017 [cited 2021 Nov 15];17(1). Available from: https://pubmed.ncbi.nlm.nih.gov/28506216/
Agudelo M, Cardona D, Segura A, Restrepo D. Maltrato al adulto mayor, un problema silencioso. Rev Fac Nac Salud Pública [Internet]. 2020 [cited 2021 Nov 24];38(2):1–11. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/331289/20802150
Martínez H, Mitchell M, Aguirre C. Salud Del Adulto Mayor-Gerontología Y Geriatría. Man Med Prev y Soc I [Internet]. 2015;1(2):1–19. Available from: http://preventivaysocial.webs.fcm.unc.edu.ar/files/2014/04/Unidad-5-Salud-Adulto-Mayor-V-2013.pdf
Organizacion Mundial de la salud. Prevención de la violencia-OPS/OMS | Organización Panamericana de la Salud [Internet]. Prevencion de la violencia. 2016 [cited 2021 Nov 24]. p. 1. Available from: https://www.paho.org/es/temas/prevencion-violencia
Dong X, Simon M, Odwazny R, Gorbien M. Depression and Elder Abuse and Neglect Among a Community-Dwelling Chinese Elderly Population. J Elder Abuse Negl [Internet]. 2008 [cited 2021 Nov 23];20(1):25–41. Available from: https://pubmed.ncbi.nlm.nih.gov/18551905/
Consejo de proteccion de derechos. Personas adultas mayores [Internet]. Vol. 12, Consejo de proteccion de derechos. Ecuador; 2018. p. 1–56. Available from: https://proteccionderechosquito.gob.ec/adjuntos/agendas/3_ADULTOS_MAYORES.pdf
Ramírez Ramírez JU, Cadena Sanabria MO, Ochoa ME. Edmonton Frail Scale in Colombian older people. Comparison with the Fried criteria. Rev Esp Geriatr Gerontol [Internet]. 2017 Nov 1 [cited 2021 Nov 23];52(6):322–5. Available from: https://www.elsevier.es/es-revista-revista-espanola-geriatria-gerontologia-124-articulo-aplicacion-escala-fragilidad-edmonton-poblacion-S0211139X17300926
González R, Cardentey J, Hernández D, Rosales G, Jeres C. Comportamiento de la fragilidad en adultos mayores. Arch méd Camaguey [Internet]. 2017 [cited 2021 Nov 24];21(4):498–509. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552017000400008&lng=es&nrm=iso&tlng=es
Velastegui A. Síndrome de fragilidad del adulto mayor (00257), en el Asilo Rosa Elvira de León, Azogues 2018 [Internet]. Vol. 8, Universidad de Cuenca. Universidad de Cuenca; 2019. Available from: http://dspace.ucuenca.edu.ec/bitstream/123456789/32066/1/PROYECTO DE INVESTIGACIÓN.pdf
Creavin S, Wisniewski S, Noel A, Trevelyan C, Hampton T, Rayment D, et al. Mini-Mental State Examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations. Cochrane database Syst Rev [Internet]. 2016 Jan 13 [cited 2021 Nov 25];2016(1):1–157. Available from: https://doi.wiley.com/10.1002/14651858.CD011145.pub2
Rodríguez G, Carrasco R. Objetivo [Internet]. 2013 [cited 2021 Nov 25]. Available from: http://bit.ly/2zKM5qq.
Chavarro D, Heredia R, Sanabria C, Gutiérrez C. EN GERIATRÍA. p. 1–50.
Aguilar L, Rojas M, Dorador J, Vílchez W. Ministerio de Salud: guía técnica para la valoración nutricional antropométrica de la persona adulta mayor [Internet]. Peru: Ministerio de salud; 2013. Available from: https://bvs.ins.gob.pe/insprint/CENAN/Valoración_nutricional_antropométrica_persona_adulta_mayor.pdf
Asociación Médica Mundial. Manual de Políticas de la AMM [Internet]. 2019. 1–515 p. Available from: https://www.wma.net/wp-content/uploads/2019/10/HB-S-Version-2019.pdf
Organizacion Mundial de la Salud. Principios éticos [Internet]. 2010 [cited 2021 Nov 26]. p. 1–8. Available from: https://www.who.int/es/about/ethics/ethical-principles
López S, Oteiza L, Lázaro N, Irazabal M, Ibarz M, Artigas A, et al. Frailty in patients over 65 years of age admitted to Intensive Care Units (FRAIL-ICU). Med Intensiva [Internet]. 2019;43(7):395–401. Available from: https://doi.org/10.1016/j.medin.2019.01.010
Rolfson D, Majumdar S, Tsuyuki R, Tahir A, Rockwood K. Validity and reliability of the Edmonton Frail Scale [Internet]. Vol. 35, Age and Ageing. Age Ageing; 2006 [cited 2022 Jan 27]. 526–9. Available from: https://pubmed.ncbi.nlm.nih.gov/16757522/
Dent E, Kowal P, Hoogendijk EO. Frailty measurement in research and clinical practice: A review. Eur J Intern Med [Internet]. 2016 Jun 1 [cited 2022 Jan 27];31:3–10. Available from: https://pubmed.ncbi.nlm.nih.gov/27039014/
Rivelli R, Gabetta J, Amarilla A, López O, Denis M, Duarte L, et al. Frailty of the elderly in three Family Health Units of Paraguay in 2019. Rev. virtual Soc. Parag. Med. Int. 2020;7(2):11–22.
Wu L, Chen H, Hu Y, Xiang H, Yu X, Zhang T, et al. Prevalence and Associated Factors of Elder Mistreatment in a Rural Community in People’s Republic of China: A Cross-Sectional Study. Bayer A, editor. PLoS One [Internet]. 2012 [cited 2021 Nov 23];7(3):1–8. Available from: https://pubmed.ncbi.nlm.nih.gov/22448276/
Evans C, Hunold K, Rosen T, Platts T. Diagnosis of Elder Abuse in U.S. Emergency Departments. J Am Geriatr Soc [Internet]. 2017 Jan 18 [cited 2022 Jan 31];65(1):91–7. Available from: /pmc/articles/PMC5258672/
Alfonso M, Ribot V, Luis I, Robert J. Maltrato financiero a los adultos mayores. Policlínico “Carlos Manuel Portuondo”, La Habana. Rev habanera cienc méd [Internet]. 2021 [cited 2022 Jan 31];20(1):2911. Available from: http://www.revhabanera.sld.cu/index.php/rhab/article/view/2911/2806
Carmona J, Carvalhal R, Viera M, Recio B, Goergen T, Rodríguez MA. Maus-tratos no ambiente familiar contra idosos nas ilhas dos açores. Rev Lat Am Enfermagem. 2017;25.
Organización Panamericana de la Salud. El maltrato de las personas mayores y sus tipos. Inf Mund Sobre la Violencia y la Salud [Internet]. 2003 [cited 2022 Jan 31];223. Available from: https://www.who.int/es/news-room/fact-sheets/detail/elder-abuse
Ramírez Y, Flórez H, Cardona D, Segura Á, Segura A, Muñoz D, et al. Factores asociados con la ideación suicida del adulto mayor en tres ciudades de Colombia, 2016. Rev Colomb Psiquiatr [Internet]. 2016 [cited 2021 Nov 23];49(3):1–12. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74502020000300142&lng=en&nrm=iso&tlng=es
Deossa G, Restrepo L, Velásquez J, Varela D. Evaluación nutricional de adultos mayores con el Mini Nutritional Assessment: MNA. Univ y Salud [Internet]. 2016 Dec 20 [cited 2021 Dec 2];18(3):1–11. Available from: http://dx.doi.org/10.22267/rus.161803.54
Menéndez-González L, Izaguirre-Riesgo A, Tranche-Iparraguirre S, Montero-Rodríguez Á, Orts-Cortés MI. Prevalence and associated factors of frailty in adults over 70 years in the community. Aten Primaria. 2021 Dec 1;53(10):102128.
Gómez Ricárdez LA, Abrego GR, Llamas EK. Prevalencia y factores asociados a violencia familiar en adultos mayores de Ocozocoautla (Chiapas, México). Rev Esp Geriatr Gerontol [Internet]. 2007 Jan 1 [cited 2022 Jan 29];42(1):27–34. Available from: https://www.elsevier.es/es-revista-revista-espanola-geriatria-gerontologia-124-articulo-prevalencia-factores-asociados-violencia-familiar-13099320
Vinueza-Veloz MF, Nuñez-Rivero Y, Leyva-Montero M de los Á, Montero-López IL, Mera-Segovia CM. [Socio-demographic determinants of violence in older people in Ecuador]. Rev Esp Geriatr Gerontol [Internet]. 2021 Jan 1 [cited 2022 Jan 27];56(1):41–6. Available from: https://www.elsevier.es/es-revista-revista-espanola-geriatria-gerontologia-124-articulo-determinantes-sociodemograficos-violencia-adultos-mayores-S0211139X20300949
López Nieto M, Arenas Cedillo M, González Pedraza Avilés A. Family violence prevalence in patients from the Gerontology Module of a Family Medicine clinic. Rev Esp Geriatr Gerontol [Internet]. 2018 Jul 1 [cited 2022 Jan 29];53(4):229–30. Available from: https://www.elsevier.es/es-revista-revista-espanola-geriatria-gerontologia-124-articulo-prevalencia-violencia-intrafamiliar-pacientes-del-S0211139X17301762
Naughton C, Drennan J, Lyons I, Lafferty A, Treacy M, Phelan A, et al. Elder abuse and neglect in Ireland: Results from a national prevalence survey. Age Ageing [Internet]. 2012 Jan [cited 2022 Feb 2];41(1):98–103. Available from: https://pubmed.ncbi.nlm.nih.gov/21997767/
Pillemer K, Burnes D, Riffin C, Lachs MS. Elder Abuse: Global Situation, Risk Factors, and Prevention Strategies [Internet]. Vol. 56, Gerontologist. Gerontologist; 2016 [cited 2022 Feb 2]. p. S194–205. Available from: https://pubmed.ncbi.nlm.nih.gov/26994260/
Lázaro del Nogal M, Férnandez C, Serrano P, Santiago A, Villavicencio P, Martin T. Three years experience in the detection and follow-up of violence against the elderly in a tertiary hospital. Rev Esp Geriatr Gerontol [Internet]. 2018 Jan 1 [cited 2022 Jan 29];53(1):15–8. Available from: https://www.elsevier.es/es-revista-revista-espanola-geriatria-gerontologia-124-articulo-deteccion-seguimiento-malos-tratos-personas-S0211139X17300549
Forero Borda LM, Hoyos Porto SDJ, Buitrago Martínez V, Heredia Ramírez RA. Maltrato a las personas mayores: una revisión narrativa. Univ Médica. 2019;60(4):1–16.
Jürschik P, Viladrosa M, Botigué T, Lavedán A, Vena AB, Noguera T. Prevalencia y factores asociados a sospecha de malos tratos en la unidad geriátrica del área de urgencias del hospital. Rev Esp Geriatr Gerontol [Internet]. 2013 Mar 1 [cited 2022 Feb 2];48(2):55–8. Available from: https://www.elsevier.es/es-revista-revista-espanola-geriatria-gerontologia-124-articulo-prevalencia-factores-asociados-sospecha-malos-S0211139X12001047
Frazão SL, Silva MS, Norton P, Magalhães T. Domestic violence against elderly with disability. J Forensic Leg Med [Internet]. 2014 [cited 2022 Jan 29];28:19–24. Available from: https://pubmed.ncbi.nlm.nih.gov/25440142/
Tafur Castillo J, Guerra Ramírez M, Carbonell A, Ghisays López M. Factores que afectan el estado nutricional del adulto mayor. Latinoam Hipertens. 2018;13(5).
García L, Quevedo M, Martinez M, Buron P. Nutritional state in older adults and relation with not transmissible chronic illnesses. Medimay [Internet]. 2021 Nov 22 [cited 2022 Jan 27];28(4):512–22. Available from: http://revcmhabana.sld.cu/index.php/rcmh/article/view/1745
Curcio C, Payán C, Jiménez A, Gómez F. Abuse in Colombian elderly and its association with socioeconomic conditions and functionality. Colomb Med [Internet]. 2019 [cited 2022 Jan 27];50(2):77–88. Available from: https://pubmed.ncbi.nlm.nih.gov/31607765/
Simone L, Wettstein A, Senn O, Rosemann T, Hasler S. Types of abuse and risk factors associated with elder abuse. Swiss Med Wkly [Internet]. 2016 [cited 2021 Nov 15];146:w14273. Available from: https://pubmed.ncbi.nlm.nih.gov/26827053/
Honarvar B, Gheibi Z, Asadollahi A, Bahadori F, Khaksar E, Faradonbeh M, et al. The impact of abuse on the quality of life of the elderly: A population-based survey in Iran [Internet]. Vol. 53, Journal of Preventive Medicine and Public Health. Korean Society for Preventive Medicine; 2020 [cited 2022 Jan 27]. p. 89–97. Available from: /pmc/articles/PMC7142012/
Ramírez-Coronel A, Martínez-Suárez P, Pogyo-Morocho G, Estrella-González M, Mesa-Cano I, Minchala-Urgilés R, et al. Evaluación psicométrica e intervención de Enfermería frente al Miedo a COVID-19. Arch Venez Farmacol y Ter. 2020 [citado 2021 Ene 31]; 39(5):660–6. Disponible en: https://search.proquest.com/docview/2478790383?pq-origsite=gscholar&fromopenview=true
Torres-Criollo LM, Ramírez-Coronel AA, Martínez-Suárez PC, Romero-Sacoto LA, Mesa-Cano IC, González-León FM, et al. Clinical and para clinical variables predicting prognosis in patients with covid-19: Systematic review. Arch Venez Farmacol Ter 2020 [citado 2021 Ene 31];39(5):667-671. Disponible en: https://search.proquest.com/docview/2478791926?pq-origsite=gscholar&fromopenview=true
Ramírez-Coronel AA., Martínez-Suárez PC, Cabrera-Mejía JB, Buestán-Andrade PA, Torracchi-Carrasco E, Carpio MG. Social skills and aggressiveness in childhood and adolescence. Arch Venez Farmacol Ter 2020 [citado 2021 Ene 31];39(2):209-214. Disponible en: https://search.proquest.com/docview/2422402946?pq-origsite=gscholar&fromopenview=true
Ramírez AA. Laterality and reader process: correlational study. Espirales. 2019 [citado 2021 Ene 31];3(27),105-117. Disponible en: https://www.revistaespirales.com/index.php/es/article/view/558
Cabrera-Mejía JB, Martínez-Suárez PC, Ramírez-Coronel AA, Montánchez-Torres ML, Torracchi-Carrasco E, Castro-Ochoa FL. Analysis of problem-based learning impact on academic performance according to the forgotten (Fuzzy) effects theory. Arch Venez Farmacol Ter 2020 [citado 2021 Ene 31];39(5):651-659.
Andrade MC, Urgilés PT, Estrella MA. Information and communication technologies in the development of stochastic models applied to the health sector. Medicina 2020 [citado 2021 Ene 31];80(1):31-38. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32044739/
Ramírez-Coronel A, Martínez-Suárez PC, Mesa-Cano I, Minchala-Urgilés RE, Ramírez-Coronel M, Torres-Criollo L, et al. Reseña histórica de Michel Foucault (1926-1984): concepto de ciencia e incidencia en la Psicología. Archivos Venezolanos de Farmacología y Terapéutica 2020 [citado 2021 Ene 31];39(6):740-743. Disponible en: https://search.proquest.com/docview/2478769623?pq-origsite=gscholar&fromopenview=true DOI: 10.5281/zenodo.4406598
Romero-Sacoto LA, Mesa-Cano IC, González MÁE, Ramírez-Coronel AA. Personal protective equipment for COVID-19 patient care: a systematic review. Arch Venez Farmacol Ter 2021;40(7):666-674.
Minchala-Urgilés RE, Ramírez-Coronel AA, Estrella-González MÁ, Martínez-Suárez PC. Therapeutic opportunities in adult patients with covid-19. Arch Venez Farmacol Ter 2021;40(7):675-679.
González-León FM, Mesa-Cano IC, Ramírez-Coronel AA, Peña-Cordero SJ. Fear and behavioral self-assessment for care in the face of the covid-19 health emergency in the population of azogues. Arch Venez Farmacol Ter 2021;40(7):656-665.
Pogyo-Morocho GL, Ramírez-Coronel AA, Mesa-Cano IC, Pogyo-Morocho MV. Physical functionality in the daily life of the elderly in azogues. Arch Venez Farmacol Ter 2021;40(6):587-595.
Sarango DER, Mesa-Cano IC, Ramírez-Coronel AA, Brito EGM. Nursing role in the covid-19 pandemic: Systematic review. Arch Venez Farmacol Ter 2021;40(6):575-580.
Uyaguari SPN, Mesa-Cano IC, Ramírez-Coronel AA, Brito EGM. Demographic and clinical characteristics of patients infected with covid-19 at the general hospital of Macas. Arch Venez Farmacol Ter 2021;40(6):563-568.
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