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Frailty Prevalence and Association with Health-Related Quality of Life Impairment among Rural Community-Dwelling Older Adults in Vietnam

Author

Listed:
  • Anh Trung Nguyen

    (Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam
    Department of Gerontology, Hanoi Medical University, Hanoi 100000, Vietnam)

  • Long Hoang Nguyen

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam)

  • Thanh Xuan Nguyen

    (Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam
    Department of Gerontology, Hanoi Medical University, Hanoi 100000, Vietnam
    Dinh Tien Hoang Institute of Medicine, Hanoi 100000, Vietnam)

  • Thu Thi Hoai Nguyen

    (Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam
    Department of Gerontology, Hanoi Medical University, Hanoi 100000, Vietnam)

  • Huong Thi Thu Nguyen

    (Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam
    Department of Gerontology, Hanoi Medical University, Hanoi 100000, Vietnam)

  • Tam Ngoc Nguyen

    (Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam
    Department of Gerontology, Hanoi Medical University, Hanoi 100000, Vietnam)

  • Hai Quang Pham

    (Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam)

  • Bach Xuan Tran

    (Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
    Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Carl A. Latkin

    (Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Cyrus S. H. Ho

    (Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore)

  • Roger C. M. Ho

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
    Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119077, Singapore
    Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore)

  • Thang Pham

    (Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam
    Department of Gerontology, Hanoi Medical University, Hanoi 100000, Vietnam)

  • Huyen Thi Thanh Vu

    (Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam
    Department of Gerontology, Hanoi Medical University, Hanoi 100000, Vietnam)

Abstract

Measuring health-related quality of life (HRQOL) is critical to evaluate the burden of frailty in the older population.This study explored the prevalence of frailty among Vietnamese older people in rural communities, determined the factors associated with frailty, and examined the differences in HRQOL between non-frail, pre-frail, and frail people. A cross-sectional study was conducted on older adults (≥60 years old) residing in Soc Son district, northern Vietnam. Non-frailty, pre-frailty, and frailty conditions were evaluated using Fried’s frailty criteria. The EuroQol-5 Dimensions-5 Levels(EQ-5D-5L) instrument was employed to measure HRQOL. Socioeconomic, behavioral, health status, and healthcare utilization characteristics were collected as covariates. Among 523 older adults, 65.6% were pre-frail, and 21.7% were frail. The mean EQ-5D-5L indexes of the non-frailty, pre-frailty, and frailty groups were 0.70 (SD = 0.18), 0.70 (SD = 0.19), and 0.58 (SD = 0.20), respectively. The differences were found between non-frailty and frailty groups ( p < 0.01), as well as the pre-frailty and frailty groups ( p <0.01). After adjusting for covariates, the estimated mean difference in the HRQOL between the non-frailty and frailty groups was −0.10 (95%CI= −0.17; −0.02) (R 2 = 45.2%), showing a 10% reduction of the maximum EQ-5D-5L index.This study emphasized the high prevalence of frailty among older adults in the rural communities of Vietnam. Frailty was found to be associated with a small reduction of HRQOL in this population.

Suggested Citation

  • Anh Trung Nguyen & Long Hoang Nguyen & Thanh Xuan Nguyen & Thu Thi Hoai Nguyen & Huong Thi Thu Nguyen & Tam Ngoc Nguyen & Hai Quang Pham & Bach Xuan Tran & Carl A. Latkin & Cyrus S. H. Ho & Roger C. M, 2019. "Frailty Prevalence and Association with Health-Related Quality of Life Impairment among Rural Community-Dwelling Older Adults in Vietnam," IJERPH, MDPI, vol. 16(20), pages 1-12, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:20:p:3869-:d:275815
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    References listed on IDEAS

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    1. Brazier, John & Ratcliffe, Julie & Salomon, Joshua & Tsuchiya, Aki, 2016. "Measuring and Valuing Health Benefits for Economic Evaluation," OUP Catalogue, Oxford University Press, edition 2, number 9780198725923.
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    1. Payom Thinuan & Penprapa Siviroj & Peerasak Lerttrakarnnon & Thaworn Lorga, 2020. "Prevalence and Potential Predictors of Frailty among Community-Dwelling Older Persons in Northern Thailand: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(11), pages 1-13, June.
    2. Tan Van Nguyen & Thuy Thanh Ly & Tu Ngoc Nguyen, 2020. "A Pilot Study of the Clinical Frailty Scale to Predict Frailty Transition and Readmission in Older Patients in Vietnam," IJERPH, MDPI, vol. 17(5), pages 1-9, February.

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