title: Frailty in self-neglecting older adults: A secondary analysis.
abstract: Self-neglect (SN) and frailty in older adults is associated with increased disability and mortality. Despite these commonalities, there have been no studies objectively assessing frailty in older adults who SN. This secondary analysis classified frailty in N = 37 older adults with Adult Protective Services validated SN using the Fried Frailty Phenotype (FFP) of weight loss, weakness, exhaustion, activity level, and walking speed. Overall, 3% were classified as robust, 62% as prefrail, and 35% as frail. Most (72%) were overweight/obese, with clinically significant decreases in activity level (60%) and walking speed (97%). Compared to the original FFP population, older adults who SN exhibit important differences in frailty phenotypes, and finding that the largest percentage of older adults who SN were prefrail may indicate a critical opportunity for intervening in this population to reduce future functional decline and mortality.
authors.affiliation: a Division of Geriatric and Palliative Medicine, Department of Internal Medicine , The University of Texas Health Science Center at Houston (UTHealth) , Houston , Texas , USA.|b Texas Elder Abuse and Mistreatment Institute , Houston , Texas , USA.|c UTHealth Consortium on Aging , Houston , Texas , USA.
authors.forename: Jessica L
authors.initials: JL
authors.lastname: Lee
authors.affiliation: a Division of Geriatric and Palliative Medicine, Department of Internal Medicine , The University of Texas Health Science Center at Houston (UTHealth) , Houston , Texas , USA.|b Texas Elder Abuse and Mistreatment Institute , Houston , Texas , USA.|c UTHealth Consortium on Aging , Houston , Texas , USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Burnett
authors.affiliation: a Division of Geriatric and Palliative Medicine, Department of Internal Medicine , The University of Texas Health Science Center at Houston (UTHealth) , Houston , Texas , USA.|b Texas Elder Abuse and Mistreatment Institute , Houston , Texas , USA.|c UTHealth Consortium on Aging , Houston , Texas , USA.
authors.forename: Carmel B
authors.initials: CB
authors.lastname: Dyer
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004552:Elder Abuse / Q000175:diagnosis*; D005260:Female; D016330:Frail Elderly; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D009765:Obesity / Q000175:diagnosis; D050177:Overweight / Q000175:diagnosis; D016032:Randomized Controlled Trials as Topic; D016138:Walking
keywords: Elder abuse; elder mistreatment; elder self-neglect; frailty