Prevalence of Co-Occurrence of Physical Frailty and Malnutrition and Its Associated Factors Among Community-Dwelling Older Adults in a Rural District, Malaysia

Frailty and malnutrition commonly co-occur but remains undetected and untreated in community settings. This study aimed to determine the prevalence of co-occurring frailty and malnutrition, and its associated factors among community-dwelling older adults in a rural setting in Malaysia. A cross-secti...

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Main Authors: Mustaffa, Musastika, Hairi, Noran Naqiah, Majid, Hazreen Abdul, Choo, Wan Yuen, Hairi, Farizah Mohd, Peramalah, Devi, Kandiben, Shathanapriya, Ali, Zainudin Mohd, Razak, Inayah Abdul, Ismail, Norliana, Sooryanarayana, Rajini, Ahmad, Nur Sakinah, Bulgiba, Awang
Format: Article
Published: SAGE Publications 2024
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Online Access:http://eprints.um.edu.my/47018/
https://doi.org/10.1177/10105395241238092
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Summary:Frailty and malnutrition commonly co-occur but remains undetected and untreated in community settings. This study aimed to determine the prevalence of co-occurring frailty and malnutrition, and its associated factors among community-dwelling older adults in a rural setting in Malaysia. A cross-sectional study was conducted among adults aged >= 60 residing in Kuala Pilah district, Negeri Sembilan, Malaysia. Physical frailty and nutritional status were assessed using the Fried phenotype and the Mini Nutritional Assessment (MNA), respectively. Among 1855 participants, 6.4% had co-occurring frailty and at-risk/malnutrition and 11.3% had co-occurring prefrailty and at-risk/malnutrition. Older age, fair-to-poor self-rated health, long-term disease, polypharmacy, activities of daily living (ADLs) and instrumental ADLs' disabilities, cognitive impairment, and poor social support were associated with higher odds of co-occurring frailty and malnutrition. Therefore, beside early identification, targeted intervention is crucial to prevent or delay the progression of frailty and malnutrition in this population.