[Prevalence of frailty in an elderly Spanish urban population. Relationship with comorbidity and disability].
OBJECTIVE
To estimate prevalence of frailty, by Fried criteria, in a Spanish urban old population, and to analyse relationship with comorbidity and disability.


METHODS
Aged ≥ 65 living in Peñagrande area (Fuencarral district in Madrid, Spain).


METHODS
Cross-sectional study. Baseline evaluation of "Cohort of Peñagrande" established in 814 person.


METHODS
Frailty was defined by the presence of ≥ 3 of the following criteria: unintentional weight loss, weakness (grip strength), exhaustion, low walking speed, and low physical activity. Age, gender, marital status, educational level, global income at home, comorbidity and disability were measured. A descriptive bivariate and multivariate analysis was performed and ponderated by age and gender in study population. Association was estimated by Odds Ratio and confidence intervals (OR, IC 95%).


RESULTS
73,3% participated (N=814), 48,6% were men and the median age was 76 [71-83]. The estimated prevalence of frailty in the study population was 10,3% (IC95%: 8,2-12,5): 8,1% male and 11,9% female (p=0.084). Frailty was associated with aged ≥ 85 (OR=3,61; IC95%: 1,26-10,29), low educational level (OR=1,71; IC95%: 1,01-2,90), comorbidity (OR=1,27; IC95%:1,03-1,56 by each process) and disability (OR=15,61; IC95%: 8,88-27,45).


CONCLUSIONS
Prevalence of frailty in an elderly spanish population is similar to international studies. In our environment first beneficiary population for frailty detection is constituted by people aged ≥ 85, and those with comorbidity and low educational level.
Alcalá
María Victoria Castell
MV
Centro de Salud Dr. Castroviejo, Madrid, España. mcastell.gapm05@salud.madrid.org
Puime
Angel Otero
AO
Santos
María Teresa Sánchez
MT
Barral
Araceli Garrido
AG
Montalvo
Juan Ignacio González
JI
Zunzunegui
María Victoria
MV
D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity / Q000639:trends*; D003430:Cross-Sectional Studies; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D016330:Frail Elderly / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D015995:Prevalence; D013030:Spain / Q000453:epidemiology; D014504:Urban Health