title: Prevalence of frailty and its association with sociodemographic and clinical characteristics, and resource utilization in a population of Singaporean older adults.
abstract: OBJECTIVE
  The present study examined the prevalence of frailty and its association with sociodemographic, clinical and social characteristics, and service utilization in a representative general population sample of Singaporean older adults.
  
  
  METHODS
  A single-phase, cross-sectional survey was carried out in a nationally representative sample of 2102 Singapore residents aged 60 years and older. Five frailty parameters (weakness, slowness, exhaustion, low physical activity and/or unintentional weight loss) were measured to assess Fried's frailty phenotype to identify frail (meeting 3/5 criteria), prefrail (meeting 1 or 2 criteria) and non-frail (absence of all 5) older adults. On testing independent associations, multiple backward stepwise logistic regression analyses were carried out to identify the strongest correlates of frail states.
  
  
  RESULTS
  The prevalence of frailty among the older adult population was found to be 5.7%. Sociodemographic, clinical and social characteristics differed significantly at an independent level by frailty status. A higher proportion of frail older adults had care needs (54.5%) compared to pre-frail (13.5%) and non-frail (2.2%), and poor social networks (58.8% vs prefrail [36.6%] and non-frail [28.6%]). Frail older adults also had significantly higher service utilization. Significant correlates of frail state were older age, poor social networks, having any care need, and a history of dementia, diabetes, cancer, respiratory problems or paralysis.
  
  
  CONCLUSIONS
  Frailty is common among older adults in Singapore, and it correlates with many components at the person, health and societal levels, thus highlighting the importance of individual- and population-level frailty detection and interventions in this population. Geriatr Gerontol Int 2017; 17: 1444-1454.
authors: Research Division, Institute of Mental Health, Singapore.
authors: Janhavi Ajit
authors: JA
authors: Vaingankar
authors: Research Division, Institute of Mental Health, Singapore.
authors: Siow Ann
authors: SA
authors: Chong
authors: Research Division, Institute of Mental Health, Singapore.
authors: Edimansyah
authors: E
authors: Abdin
authors: Research Division, Institute of Mental Health, Singapore.
authors: Louisa
authors: L
authors: Picco
authors: Research Division, Institute of Mental Health, Singapore.
authors: Boon Yiang
authors: BY
authors: Chua
authors: Research Division, Institute of Mental Health, Singapore.
authors: Saleha
authors: S
authors: Shafie
authors: Research Division, Institute of Mental Health, Singapore.
authors: Hui Lin
authors: HL
authors: Ong
authors: Research Division, Institute of Mental Health, Singapore.
authors: Sherilyn
authors: S
authors: Chang
authors: Research Division, Institute of Mental Health, Singapore.
authors: Esmond
authors: E
authors: Seow
authors: Ministry of Health, Singapore.
authors: Derrick
authors: D
authors: Heng
authors: Department of Geriatric Psychiatry, Institute of Mental Health, Singapore.
authors: Peak Chiang
authors: PC
authors: Chiam
authors: Research Division, Institute of Mental Health, Singapore.
authors: Mythily
authors: M
authors: Subramaniam
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000534:rehabilitation* / Q000706:statistics & numerical data; D005260:Female; D016330:Frail Elderly / Q000706:statistics & numerical data*; D000073496:Frailty / Q000453:epidemiology* / Q000534:rehabilitation; D015577:Geriatric Assessment / Q000379:methods*; D006295:Health Resources / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012846:Singapore / Q000453:epidemiology
keywords: chronic condition; dementia; epidemiology; geriatric medicine; public health