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Aida Jimenez-Corona, Enrique O Graue, Alvaro Garcia-Perez, Roberto C Castrejon-Perez, Carlos Contreras-Verde, Jeffrey Romero-Manzano, Jesus Arrieta-Camacho; Prevalence of pre-frailty and frailty in older patients with cataract from a specialized hospital in Mexico City. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):511.
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© ARVO (1962-2015); The Authors (2016-present)
Frailty has been recognized as a geriatric syndrome associated with a high rate of disability, morbidity and mortality. The aim of this study was to determine the prevalence of pre-frailty and frailty in patients aged 50 years and older with cataract.
Cross-sectional study including 86 patients aged 50 years and over with cataract. Patients had a complete ophthalmic examination to assess visual acuity and magnitude and type of the cataract. A standardized questionnaire measuring frailty was applied; it included five components: weakness, slowness, fatigue, low physical activity and weight loss. Pre-frailty was defined as having 1 to 2 components; frailty was defined as having ≥3 of the components. Also, the Hospital Anxiety and Depression Scale (HADS) questionnaire, which identifies three categories of anxiety (none, borderline, and anxiety) and depression (none, borderline, and depression) was administered. All analyses were performed using Stata 13.
Of 86 patients, 60 were women and 23 were men (mean age 71.6 years, s.d. 10.2; visual acuity worse than 20/400). Overall prevalence of pre-frailty and frailty was 55.8% (95%CI 45.0-66.1) and 12.7% (95%CI 7.1-21.9), respectively (p trend <0.05). Prevalence of pre-frailty was higher in women than in men (29.5% and 16%, respectively); in patients with anxiety than in those without (75.0% and 52.7%, respectively); and in patients with depression than in those without (73.3% and 52.1%, respectively). Prevalence of frailty was higher in women than in men (14.8% and 8.0%, respectively); in patients with anxiety than in those without (16.7% and 12.2%, respectively); and in patients with depression than in those without (20.0% and 11.3%, respectively). In multinominal logistic regression analysis, after adjustment for age and schooling, pre-frailness and frailness were significantly associated with mild and moderate sings of anxiety/depression (OR=6.46, p=0.021 and OR=7.07, p=0.049, respectively).
These results show a high prevalence of pre-frailty and frailty in older patients with cataract. Psychological conditions such as anxiety and depression (even in mild and moderate levels) are associated with pre-frailty and frailty; therefore, a multidisciplinary management of these patients should be implemented.
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