Abstract:
BACKGROUND:The debate on frailty in later life focuses primarily on deficits and their associations with adverse (health) outcomes. In addition to deficits, it may also be important to consider the abilities and resources of older adults. This study was designed to gain insights into the lived experiences of frailty among older adults to determine which strengths can balance the deficits that affect frailty. METHODS:Data from 121 potentially frail community-dwelling older adults in Flemish-speaking Region of Belgium and Brussels were collected using a mixed-methods approach. Quantitative data were collected using the Comprehensive Frailty Assessment Instrument (CFAI), Montreal Cognitive Assessment (MoCA), and numeric rating scales (NRS) for quality of life (QoL), care and support, meaning in life, and mastery. Bivariate analyses, paired samples t-tests and means were performed. Qualitative data on experiences of frailty, frailty balance, QoL, care and support, meaning in life, and mastery were collected using semi-structured interviews. Interviews were subjected to thematic content analysis. RESULTS:The "no to mild frailty" group had higher QoL, care and support, meaning in life, and mastery scores than the "severe frailty" group. Nevertheless, qualitative results indicate that, despite being classified as frail, many older adults experienced high levels of QoL, care and support, meaning in life, and mastery. Respondents mentioned multiple balancing factors for frailty, comprising individual-level circumstances (e.g., personality traits, coping strategies, resilience), environmental influences (e.g., caregivers, neighborhood, social participation), and macro-level features (e.g., health literacy, adequate financial compensation). Respondents also highlighted that life changes affected their frailty balance, including changes in health, finances, personal relationships, and living situation. CONCLUSION:The findings indicate that frailty among older individuals can be considered as a dynamic state and, regardless of frailty, balancing factors are important in maintaining a good QoL. The study investigated not only the deficits, but also the abilities, and resources of frail, older adults. Public policymakers and healthcare organizations are encouraged to include these abilities, supplementary or even complementary to the usual focus on deficits.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Dury S,Dierckx E,van der Vorst A,Van der Elst M,Fret B,Duppen D,Hoeyberghs L,De Roeck E,Lambotte D,Smetcoren AS,Schols J,Kempen G,Zijlstra GAR,De Lepeleire J,Schoenmakers B,Verté D,De Witte N,Kardol T,De Deyn PP,Engdoi
10.1186/s12889-018-5088-3subject
Has Abstractpub_date
2018-01-30 00:00:00pages
191issue
1issn
1471-2458pii
10.1186/s12889-018-5088-3journal_volume
18pub_type
杂志文章abstract:BACKGROUND:Bacteria affect oral health, but few studies have systematically examined the role of bacterial communities in oral diseases. We examined this relationship in a large population-based Chinese cancer screening cohort. METHODS:Human Oral Microbe Identification Microarrays were used to test for the presence of...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-1110
更新日期:2014-10-27 00:00:00
abstract:BACKGROUND:In Bangladesh, 20 million people are at the risk of developing arsenicosis because of excessive arsenic intake. Despite increased awareness, many of the implemented arsenic-safe water options are not being sufficiently used by the population. This study investigated the role of social-cognitive factors in ex...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-417
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Respiratory illness (RI) remains a public health problem in Laos, but little is known about the overall burden and people's healthcare-seeking behavior for RI. Understanding the burden of RI and community patterns of healthcare-seeking behavior would provide better guidance for Lao public health program and ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-444
更新日期:2013-05-04 00:00:00
abstract:BACKGROUND:Weight misperception is the discordance between an individual's actual weight status and the perception of his/her weight. It is a common problem in the youth population as enumerated by many international studies. However data from Pakistan in this area is deficient. METHODS:A multi-center cross-sectional ...
journal_title:BMC public health
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2458-13-707
更新日期:2013-08-02 00:00:00
abstract:BACKGROUND:Achieving universal coverage as an objective needs to confront the reality of multiple mechanisms, with healthcare financing and provision occurring in both public and private settings. South Africa has both large and mature public and private health systems offering useful insights into how they can be effe...
journal_title:BMC public health
pub_type:
doi:10.1186/1471-2458-12-S1-S5
更新日期:2012-01-01 00:00:00
abstract::The Washington Group on Disability Statistics is a voluntary working group made up of representatives of over 100 National Statistical Offices and international, non-governmental and disability organizations that was organized under the aegis of the United Nations Statistical Division. The purpose of the Washington Gr...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-S4-S4
更新日期:2011-05-31 00:00:00
abstract:BACKGROUND:The Screen Time Weight-loss Intervention Targeting Children at Home (SWITCH) trial tested a family intervention to reduce screen-based sedentary behaviour in overweight children. The trial found no significant effect of the intervention on children's screen-based sedentary behaviour. To explore these null fi...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-016-3124-8
更新日期:2016-05-26 00:00:00
abstract:BACKGROUND:The double burden of malnutrition is the co-occurrence of undernutrition (e.g. underweight, stunting, and micronutrient deficiencies) and over-nutrition (e.g. obesity, type 2 diabetes, and cardiovascular disease) at the population, household, or individual level. The objectives of this study were to determin...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08679-5
更新日期:2020-05-13 00:00:00
abstract:BACKGROUND:The Sahrawi people fled their homes in 1975 as the conflict in Western Sahara escalated and settled down near Tindouf, Algeria, where they still live. High prevalence of overweight and obesity and type 2 diabetes had been found in this protracted refugee setting. Scaling up national policy efforts to promote...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-021-10217-w
更新日期:2021-01-19 00:00:00
abstract:BACKGROUND:Physical activity and sedentary behavior are considered independent risk factors for chronic disease. However, we do not fully understand their interrelation with key health outcomes such as subclinical atherosclerosis. This study examines the combined effects of sedentary behavior and physical activity on c...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6439-4
更新日期:2019-02-06 00:00:00
abstract:BACKGROUND:Metabolic syndrome (MetS), a condition of metabolic disorders, is now causing large disease burden around the world. This study aimed to update the prevalence of MetS in Jiangsu Province of China and evaluate the predicting value of five anthropometric measures including waist circumference (WC), body mass i...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09423-9
更新日期:2020-08-31 00:00:00
abstract:BACKGROUND:Prior studies on social capital and health have assessed social capital in residential neighbourhoods and communities, but the question whether the concept should also be applicable in workplaces has been raised. The present study reports on the psychometric properties of an 8-item measure of social capital ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-6-251
更新日期:2006-10-13 00:00:00
abstract:BACKGROUND:Congenital heart disease (CHD) is the most common type of major birth defects in Sichuan, the most populous province in China. The detailed etiology of CHD is unknown but some environmental factors are suspected as the cause of this disease. However, the geographical variations in CHD prevalence would be hig...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-595
更新日期:2014-06-12 00:00:00
abstract:BACKGROUND:Malaria transmission in Ethiopia is unstable and seasonal, with the majority of the country's population living in malaria-prone areas. Results from DHS 2005 indicate that the coverage of key malaria interventions was low. The government of Ethiopia has set the national goal of full population coverage with ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-321
更新日期:2008-09-21 00:00:00
abstract:BACKGROUND:Maternal morbidity and mortality continued to be major issues in many countries. Globally a total of 10.7 million women have died between 1990 and 2015 due to maternal causes where sub-Saharan Africa alone accounts for 66% of maternal death. Since most maternal deaths are avoidable; skilled attendance during...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7818-6
更新日期:2019-11-11 00:00:00
abstract:BACKGROUND:Brucellosis is a contagious zoonotic disease transferred from sick animals to humans and endemic in the Middle East and other countries. Humans mainly acquire the disease by consuming non-pasteurized dairy products from infected animals. This study assesses the rates of non-pasteurized dairy product consumpt...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5430-9
更新日期:2018-04-18 00:00:00
abstract:BACKGROUND:Recent studies suggest that lactation has long-term effects on risk for cardiovascular disease in women, but the effects on cardiovascular mortality are less well known. METHOD:In a Norwegian population-based prospective cohort study, we studied the association of lifetime duration of lactation with cardiov...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-1070
更新日期:2013-11-13 00:00:00
abstract:BACKGROUND:High-risk HPV DNA testing has been proposed as a primary tool for cervical cancer screening (HPV-CCS) as an alternative to the Papanicolaou cytology- method. This study describes factors associated with women's intentions to attend cervical cancer screening if high-risk HPV DNA testing (HPV-CCS) was implemen...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-2865-8
更新日期:2016-03-02 00:00:00
abstract:BACKGROUND:Although parental support is an important component in overweight prevention programs for children, current programs pay remarkably little attention to the role of parenting. To close this gap, we developed a web-based parenting program for parents entitled "Making a healthy deal with your child". This e-lea...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-015-1394-1
更新日期:2015-02-14 00:00:00
abstract::The Chemical Events Working Group of the Global Health Security Initiative has developed a flexible screening tool for chemicals that present a risk when accidentally or deliberately released into the atmosphere. The tool is generic, semi-quantitative, independent of site, situation and scenario, encompasses all chemi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-253
更新日期:2013-03-21 00:00:00
abstract:BACKGROUND:Human Papilloma Virus (HPV) vaccine has undergone successful trials and has recently been approved for use for the primary prevention of cervical cancer. The aim of this study was to determine knowledge and attitudes towards HPV vaccination. METHODS:Semi-structured interview and questionnaire delivered in a...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-368
更新日期:2008-10-23 00:00:00
abstract:BACKGROUND:Excessive noise affects human health and interferes with daily activities. Although environmental noise may not directly cause mental illness, it may accelerate and intensify the development of latent mental disorders. Noise sensitivity (NS) is considered a moderator of non-auditory noise effects. In the pre...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4244-5
更新日期:2017-04-12 00:00:00
abstract:BACKGROUND:The prevalence of hypertension is rising worldwide with an estimated one billion people now affected globally and is of near epidemic proportions in many parts of South Asia. Recent turmoil has until recently precluded estimates in Afghanistan so we sought, therefore, to establish both prevalence predictors ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-386
更新日期:2014-04-23 00:00:00
abstract:BACKGROUND:Chronic hemodialysis patients are at higher risk for acquiring hepatitis C virus (HCV). The prevalence varies among different countries and hemodialysis centers. Although guidelines for a comprehensive infection control program exist, the nosocomial transmission still accounts for the new cases of infection....
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-7-50
更新日期:2007-04-04 00:00:00
abstract:BACKGROUND:Physical activity is likely to be determined as a complex interplay between personal, interpersonal, and environmental factors. Studying the built environment involves expanding the focus from the individual perspective to a public health one. Therefore, the objetive of this study was to examine the associat...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4538-7
更新日期:2017-07-03 00:00:00
abstract:BACKGROUND:Health care providers (HCPs) play an important role in public health emergency preparedness and response (PHEPR) so need to be aware of public health threats and emergencies. To inform HCPs, public health issues PHEPR messages that provide guidelines and updates, and facilitate surveillance so HCPs will reco...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-11-337
更新日期:2011-05-18 00:00:00
abstract:BACKGROUND:The Ebola virus disease (EVD) outbreak 2014 received extensive news media coverage, which faded out before the outbreak ended. News media coverage impacts risk perception; it is, however, unclear if the components of risk perception (affective and cognitive responses) change differently over time. METHODS:I...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5543-1
更新日期:2018-05-15 00:00:00
abstract:BACKGROUND:Age-related Macular Degeneration (AMD) is the leading cause of blindness. This study aims to analyze regional differences on the global burden of AMD and help direct related policy making. METHODS:Disability-adjusted life years (DALY) data were collected from the Global Burden of Disease Study (GBD) 2017 to...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-8445-y
更新日期:2020-03-30 00:00:00
abstract:BACKGROUND:There is some evidence of the benefits of breastfeeding to masticatory function, but no studies have evaluated the influence of breastfeeding duration on the quality of this function. The objective of this study was to investigate the association between duration of breastfeeding and quality of masticatory f...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-934
更新日期:2012-10-31 00:00:00
abstract:BACKGROUND:There has been growing global concern about air pollution due to its great risk to public health. In Japan, although industrial- and traffic-related air pollution has been decreasing, concerns about particulate matter air pollution has been growing in recent years. In this study, we examined the effects of a...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6934-7
更新日期:2019-05-22 00:00:00