Hubungan kerapuhan dan status activity of daily living pada penduduk usia lanjut di Desa Pedawa, Buleleng, Bali

Abstract

Background: Frailty is a process of decreasing physical, psychological, and/or social functions related to the aging process. The process before frail often shows no signs and symptoms. At this stage the individual will experience a decline in functional status which can lead to severe clinical consequences. Objective: To determine the relationship of frailty and frailty parameters with functional status based on the assessment of Activity of Daily Living (ADL). Methods: A cross-sectional analytic study was conducted in Pedawa Village, Buleleng, Bali. Subjects underwent interviews and physical examinations to determine frailty and questionnaires to assess activity of daily living. The Spearman correlation test was used to determine the correlation between frailty and ADL scores, Mann Whitney U test to determine the correlation between weight loss, fatigue, and decreased physical activity with ADL. Result: A total of 80 samples were included in this study, consisting of elderly men (50%) and women (50%). A significant negative correlation obtained between frailty scores and ADL scores (r = -0.47, p < 0.001). There were also significant results between the frailty parameters, that is weight loss, fatigue, decreased walking speed, and decreased physical activity with ADL (p <0.05), while the relationship between hand grip strength and ADL was found to be not significant (p = 0.269). Conclusion:This study showed a negative correlation between frailty and ADL scores, with the higher the frailty score associated with lower ADL scores. There is a significant relationship between weight loss, fatigue, decreased walking speed and decreased physical activity with ADL.