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Open AccessArticle
Prevalence and Associated Factors with Frailty Using the Kihon Checklist among Community-Dwelling Older Adults in Taiwan
by
Chien-Chih Chen
Chien-Chih Chen 1,†,
Wei-Chien Hsu
Wei-Chien Hsu 1,†,
Yi-Hsuan Wu
Yi-Hsuan Wu 1,
Fang-Yu Lai
Fang-Yu Lai 1,
Pei-Yu Yang
Pei-Yu Yang 2,3,*,‡ and
I-Ching Lin
I-Ching Lin 1,3,4,*,‡
1
Department of Family Medicine, Asia University Hospital, No. 222, FuSin Rd., Wufeng, Taichung 41354, Taiwan
2
Department of Medical Technology, Jenteh Junior College of Medicine, Nursing and Management, NO. 79-9 Sha-Luen Hu, Xi-Zhou Li, Hou-Loung Town, Miaoli County 35664, Taiwan
3
Department of Kinesiology, Health and Leisure, Chienkuo Technology University, No. 1, Chiehshou North Road, Changhua, Changhua Country 50000, Taiwan
4
Department of Healthcare Administration, Asia University, No. 500, Lioufeng Rd., Wufeng, Taichung 41354, Taiwan
*
Authors to whom correspondence should be addressed.
†
These authors contributed equally to first author of this work.
‡
These authors contributed equally to corresponding author of this work.
Medicina 2024, 60(8), 1231; https://doi.org/10.3390/medicina60081231 (registering DOI)
Submission received: 27 June 2024
/
Revised: 25 July 2024
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Accepted: 27 July 2024
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Published: 29 July 2024
Abstract
Background and Objectives: Frailty in older adults is associated with adverse health outcomes. This study aimed to analyze the frailty status of community-dwelling older adults in Taiwan using the Kihon Checklist (KCL) and explore associations with demographic, physiological, and functional factors. Materials and Methods: In this cross-sectional study, 278 community-dwelling older adults were classified as robust, prefrail, or frail based on their KCL scores. Participants underwent physical fitness assessments including muscle strength and endurance tests, walking speed tests, and flexibility tests. One-way ANOVA and logistic regression analyses were used to examine differences and associations between frailty status and physical fitness indicators. Results: 36% of participants were robust, 47.1% prefrail, and 16.9% frail. The robust group significantly outperformed the prefrail and frail groups in the 30 s sit-to-stand test, 2.44 m sit-to-walk test, and walking speed (p < 0.001). The 2.44 m sit-to-walk test was a significant predictor of prefrailty (OR = 1.18, 95% CI = 1.02–1.36) after adjusting for other physical fitness indicators. Conclusions: Lower limb functional capacity, particularly in the 2.44 m sit-to-walk test, was significantly associated with pre-frailty among community-dwelling older adults in Taiwan. Early screening, the classification of frailty by the Kihon Checklist, and targeted interventions focusing on lower limb strength, endurance, and mobility are crucial for preventing and delaying frailty progression in older populations.
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MDPI and ACS Style
Chen, C.-C.; Hsu, W.-C.; Wu, Y.-H.; Lai, F.-Y.; Yang, P.-Y.; Lin, I.-C.
Prevalence and Associated Factors with Frailty Using the Kihon Checklist among Community-Dwelling Older Adults in Taiwan. Medicina 2024, 60, 1231.
https://doi.org/10.3390/medicina60081231
AMA Style
Chen C-C, Hsu W-C, Wu Y-H, Lai F-Y, Yang P-Y, Lin I-C.
Prevalence and Associated Factors with Frailty Using the Kihon Checklist among Community-Dwelling Older Adults in Taiwan. Medicina. 2024; 60(8):1231.
https://doi.org/10.3390/medicina60081231
Chicago/Turabian Style
Chen, Chien-Chih, Wei-Chien Hsu, Yi-Hsuan Wu, Fang-Yu Lai, Pei-Yu Yang, and I-Ching Lin.
2024. "Prevalence and Associated Factors with Frailty Using the Kihon Checklist among Community-Dwelling Older Adults in Taiwan" Medicina 60, no. 8: 1231.
https://doi.org/10.3390/medicina60081231
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