Frailty and depression in centenarians

• Type: Article in International Scientific Journal
• Date: 2018

Authors

Ribeiro, O (Author) Other; Duarte, N (Author) Other; Teixeira, L (Author) ICBAS; Constança Paúl (Author) ICBAS

Journal

Title: International Psychogeriatrics

Vol. 30

Pages: 115-124

ISSN: 1041-6102

Publisher: Cambridge University Press

Indexing

ISI Web of Knowledge - 19 Citations

Scopus - 20 Citations

Other information

Authenticus ID: P-00N-HMQ

DOI: 10.1017/s1041610217001910

Abstract (EN): Background: Physical frailty and depression are common comorbid conditions that have important impact on older adults. Few studies however have examined their co-occurrence in centenarians. This paper explores the relationship between the two conditions and the most characteristic depressive symptoms associated with the frailty syndrome. Methods: Data come from two Portuguese Centenarian Studies. Frailty was measured using Fried's phenotype, which includes at least three clinical signs: exhaustion, weight loss, weakness, slowness, and low physical activity level; the Geriatric Depression Scale was used to assess depression. Descriptive comparison and binary logistic regression models were used for data analysis. Results: The final sample comprised 91 centenarians (mean age = 101.0, SD = 1.3; 85.7% female). From these, 5.5% were classified as robust, 42.9% as pre-frail, and 51.6% as frail. The prevalence of depression in the whole sample was 35.2% (51.1% in frail centenarians; 21.1% in pre-frail centenarians; 0% in robust centenarians). Frail centenarians presented higher risk of depression (OR = 3.92; 95% CI 1.48-10.4) when compared to pre-frail centenarians. Findings from the multivariable model (gender, living arrangements, education, cognition, subjective health, current illness, and functionality) revealed that only subjective health remained significant. Conclusion: It seems that depression is a comorbid clinical independent condition that is frequent in frail and pre-frail centenarians.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 10